» Articles » PMID: 23182527

Preventing Delirium in the Intensive Care Unit

Overview
Journal Crit Care Clin
Specialty Critical Care
Date 2012 Nov 28
PMID 23182527
Citations 67
Authors
Affiliations
Soon will be listed here.
Abstract

Delirium in the intensive care unit (ICU) is exceedingly common, and risk factors for delirium among the critically ill are nearly ubiquitous. Addressing modifiable risk factors including sedation management, deliriogenic medications, immobility, and sleep disruption can help to prevent and reduce the duration of this deadly syndrome. The ABCDE approach to critical care is a bundled approach that clinicians can implement for many patients treated in their ICUs to prevent the adverse outcomes associated with delirium and critical illness.

Citing Articles

Assessment of ICU nurses' competency towards delirium among critically ill patients.

Hebeshy M, Gaballah S, Ibrahim N BMC Nurs. 2024; 23(1):769.

PMID: 39427193 PMC: 11491024. DOI: 10.1186/s12912-024-02330-z.


Phase I pilot safety and feasibility of a novel restraint device for critically ill patients requiring mechanical ventilation.

Kamdar B, Fine J, Pavini M, Ardren S, Burns S, Bates J J Intensive Care Soc. 2024; 25(1):24-29.

PMID: 39323600 PMC: 11421263. DOI: 10.1177/17511437231182503.


The silent threat: investigating sleep disturbances in hospitalized patients.

Adams C, Harrison R, Schembri A, Junge M, Walpola R Int J Qual Health Care. 2024; 36(2).

PMID: 38727537 PMC: 11107945. DOI: 10.1093/intqhc/mzae042.


Association between visitation restriction during the COVID-19 pandemic and delirium incidence among emergency admission patients: a single-center retrospective observational cohort study in Japan.

Kandori K, Okada Y, Ishii W, Narumiya H, Maebayashi Y, Iizuka R J Intensive Care. 2024; 8:90.

PMID: 38624408 PMC: 7719735. DOI: 10.1186/s40560-020-00511-x.


Utility of Remimazolam for Fast-Track Recovery Following Surgical Aortic Valve Replacement in an Elderly Patient With Severe Aortic Stenosis: A Case Report.

Obata Y, Seino Y, Takeda M, Sakamoto M, Inoue S Cureus. 2024; 16(3):e55812.

PMID: 38586749 PMC: 10999278. DOI: 10.7759/cureus.55812.


References
1.
Ely E, Inouye S, Bernard G, Gordon S, Francis J, May L . Delirium in mechanically ventilated patients: validity and reliability of the confusion assessment method for the intensive care unit (CAM-ICU). JAMA. 2001; 286(21):2703-10. DOI: 10.1001/jama.286.21.2703. View

2.
Shehabi Y, Riker R, Bokesch P, Wisemandle W, Shintani A, Wesley Ely E . Delirium duration and mortality in lightly sedated, mechanically ventilated intensive care patients. Crit Care Med. 2010; 38(12):2311-8. DOI: 10.1097/CCM.0b013e3181f85759. View

3.
Patel R, Gambrell M, Speroff T, Scott T, Pun B, Okahashi J . Delirium and sedation in the intensive care unit: survey of behaviors and attitudes of 1384 healthcare professionals. Crit Care Med. 2009; 37(3):825-32. PMC: 3719180. DOI: 10.1097/CCM.0b013e31819b8608. View

4.
Cooper A, Thornley K, Young G, Slutsky A, Stewart T, Hanly P . Sleep in critically ill patients requiring mechanical ventilation. Chest. 2000; 117(3):809-18. DOI: 10.1378/chest.117.3.809. View

5.
Jakob S, Ruokonen E, Grounds R, Sarapohja T, Garratt C, Pocock S . Dexmedetomidine vs midazolam or propofol for sedation during prolonged mechanical ventilation: two randomized controlled trials. JAMA. 2012; 307(11):1151-60. DOI: 10.1001/jama.2012.304. View