Still Delirious after All These Years

被引:3
|
作者
Jones, David S. [1 ,2 ]
机构
[1] Harvard Med Sch, Dept Global Hlth & Social Med, Boston, MA 02115 USA
[2] Harvard Univ, Dept Hist Sci, Cambridge, MA 02138 USA
来源
NEW ENGLAND JOURNAL OF MEDICINE | 2014年 / 370卷 / 05期
关键词
OPEN-HEART SURGERY; PSYCHIATRIC COMPLICATIONS;
D O I
10.1056/NEJMp1400062
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
With the emergence of intensive care in the 1950s and 1960s, delirium became more prominent. Doctors quickly set out to understand and prevent it, but delirium results from so many sources that decisive understanding remains elusive. Doctors have recognized delirium for centuries. Transient alterations in consciousness, attention, orientation, perception, or behavior were well known with malaria and alcohol withdrawal or after surgery. Delirium became more prominent in the 1950s and 1960s with the emergence of intensive care. Intensive care units (ICUs) made it possible for patients to survive more severe illnesses and for doctors to attempt more aggressive interventions that required physiological monitoring, respiratory support, and intensive nursing. Delirium, the `new madness of medical progress,'(1) became more prevalent and more visible. Doctors set out to understand and prevent it, but, as the Critical Care Medicine article ...
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页码:399 / 401
页数:3
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