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

页码：51 / +

页数：16

共 50 条

[21] INCIDENCE OF DELIRIUM IN AN INTENSIVE CARE UNIT
Ballestero, F. M.
Rana, M. S.
Caivano Nemet, M. L.
Blasco, M. A.
Veltri, M. A.
Khoury, M.
Chertcoff, F. J.
INTENSIVE CARE MEDICINE, 2011, 37 : S181 - S181
[22] Management of delirium in the intensive care unit
Page, Valerie
Gough, Katie
BRITISH JOURNAL OF HOSPITAL MEDICINE, 2010, 71 (07) : 372 - 376
[23] Assessing Delirium in the Intensive Care Unit
Sona, Carrie
CRITICAL CARE NURSE, 2009, 29 (02) : 103 - 105
[24] Underdiagnosis of delirium on an intensive care unit
Basu, J.
ANAESTHESIA, 2011, 66 (11) : 1062 - 1063
[25] Delirium in the Cardiac Intensive Care Unit
Ibrahim, Khalil
McCarthy, Cian P.
McCarthy, Killian J.
Brown, Charles H.
Needham, Dale M.
Januzzi, James L., Jr.
McEvoy, John W.
JOURNAL OF THE AMERICAN HEART ASSOCIATION, 2018, 7 (04):
[26] Sedation and delirium in the intensive care unit
Porter, Richard
McClure, Jason
ANAESTHESIA AND INTENSIVE CARE MEDICINE, 2013, 14 (01): : 22 - 26
[27] Pathophysiology of delirium in the intensive care unit
Gunther, Max L.
Morandi, Alessandro
Ely, E. Wesley
CRITICAL CARE CLINICS, 2008, 24 (01) : 45 - +
[28] Sedation and delirium in the intensive care unit
Pathmanathan, Nim
McClure, Jason
ANAESTHESIA AND INTENSIVE CARE MEDICINE, 2016, 17 (01): : 17 - 23
[29] Delirium in Cardiac Intensive Care Unit
Pagad, Sukrut
Somagutta, Manoj R.
May, Vanessa
Arnold, Ashley A.
Nanthakumaran, Saruja
Sridharan, Saijanakan
Malik, Bilal Haider
CUREUS JOURNAL OF MEDICAL SCIENCE, 2020, 12 (08)
[30] Prevention of Delirium in the Intensive Care Unit
Braune, Stephan
Gurlit, Simone
DEUTSCHE MEDIZINISCHE WOCHENSCHRIFT, 2019, 144 (23) : 1611 - 1618

← 1 2 3 4 5 →