Preventing Delirium in the Intensive Care Unit

被引：175

作者：

Brummel, Nathan E. ^{[1
,2
,3
]}

Girard, Timothy D. ^{[1
,2
,3
,4
]}

机构：

[1] Vanderbilt Univ, Sch Med, Div Allergy Pulm & Crit Care Med, Dept Med,Med Ctr E, Nashville, TN 37232 USA

[2] Vanderbilt Univ, Sch Med, Dept Med, Ctr Hlth Serv Res, Nashville, TN 37232 USA

[3] Tennessee Valley Healthcare Syst, Dept Vet Affairs Med Ctr, Geriat Res Educ & Clin Ctr GRECC, Nashville, TN 37212 USA

[4] Vanderbilt Univ, Sch Med, Dept Med, Ctr Qual Aging, Nashville, TN 37232 USA

来源：

CRITICAL CARE CLINICS | 2013年 / 29卷 / 01期

关键词：

Delirium; Intensive care unit; Prevention; Sedation; MECHANICALLY VENTILATED PATIENTS; CRITICALLY-ILL PATIENTS; RANDOMIZED CONTROLLED-TRIAL; POSTOPERATIVE DELIRIUM; RISK-FACTORS; HALOPERIDOL PROPHYLAXIS; QUALITY IMPROVEMENT; RESPIRATORY-FAILURE; SLEEP DISRUPTION; ELDERLY-PATIENTS;

D O I：

10.1016/j.ccc.2012.10.007

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

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.

引用

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页码：51 / +

页数：16

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