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

[41] Recognizing and Reducing Delirium in the Intensive Care Unit
Dechant, Thomas
Smith, Lauren
Chavez, Jose
CRITICAL CARE NURSING QUARTERLY, 2023, 46 (03) : 277 - 281
[42] Prevention and Management of Delirium in the Intensive Care Unit
Mart, Matthew F.
Williams Roberson, Shawniqua
Salas, Barbara
Pandharipande, Pratik P.
Ely, E. Wesley
SEMINARS IN RESPIRATORY AND CRITICAL CARE MEDICINE, 2021, 42 (01) : 112 - 126
[43] Delirium in the Intensive Care Unit: Is Dexmedetomidine Effective?
Ungarian, Joelle
Rankin, James A.
Then, Karen L.
CRITICAL CARE NURSE, 2019, 39 (04) : E8 - E21
[44] Delirium and cognitive dysfunction in the intensive care unit
Miller, Russell R., III
Ely, E. Wesley
SEMINARS IN RESPIRATORY AND CRITICAL CARE MEDICINE, 2006, 27 (03) : 210 - 220
[45] Delirium in the Intensive Care Unit Assessment and Management
Pun, Brenda T.
Boehm, Leanne
AACN ADVANCED CRITICAL CARE, 2011, 22 (03) : 225 - 237
[46] Anxiety, delirium, and pain in the intensive care unit
Szokol, JW
Vender, JS
CRITICAL CARE CLINICS, 2001, 17 (04) : 821 - +
[47] A Review: Nursing of Intensive Care Unit Delirium
Fan, Yuying
Guo, Ying
Li, Qiujie
Zhu, Xuemei
JOURNAL OF NEUROSCIENCE NURSING, 2012, 44 (06) : 307 - 316
[48] Pain, agitation and delirium in the intensive care unit
McGovern, Christopher
Cowan, Richard
Appleton, Richard
Miles, Barbara
ANAESTHESIA AND INTENSIVE CARE MEDICINE, 2018, 19 (12): : 634 - 640
[49] Cytokine profiles in intensive care unit delirium
Smith, Ryan J.
Lachner, Christian
Singh, Vijay P.
Trivedi, Shubham
Khatua, Biswajit
Cartin-Ceba, Rodrigo
ACUTE AND CRITICAL CARE, 2022, 37 (03) : 415 - 428
[50] DIAGNOSING DELIRIUM IN A PEDIATRIC INTENSIVE CARE UNIT
Nelson, Lara P.
Lachman, Sage E.
Gold, Jeffrey I.
JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY, 2017, 56 (10): : S188 - S189

← 1 2 3 4 5 →