Intensive Care Unit Delirium and Intensive Care Unit-Related Posttraumatic Stress Disorder

被引：44

作者：

Marra, Annachiara ^{[1
]}

Pandharipande, Pratik P. ^{[2
]}

Patel, Mayur B. ^{[3
]}

机构：

[1] Vanderbilt Univ, Med Ctr, Univ Naples Federico II, Div Allergy Pulm & Crit Care Med,Ctr Hlth Serv Re, 1215 21st Ave South,Med Ctr East,Suite 6100, Nashville, TN 37232 USA

[2] Vanderbilt Univ, Med Ctr, Ctr Hlth Serv Res, Div Anesthesiol Crit Care Med,Dept Anesthesiol, 1211 21st Ave South,Med Arts Bldg,Suite 526, Nashville, TN 37212 USA

[3] Vanderbilt Univ, Med Ctr, Vanderbilt Brain Inst,Sect Surg Sci,Ctr Hlth Serv, Div Trauma Surg Crit Care & Emergency Gen Surg,De, 1211 21st Ave South,Med Arts Bldg,Suite 526, Nashville, TN 37212 USA

来源：

SURGICAL CLINICS OF NORTH AMERICA | 2017年 / 97卷 / 06期

基金：

美国国家卫生研究院;

关键词：

Intensive care unit; Delirium; Posttraumatic stress disorder; ICU-related PTSD; Long-term cognitive impairment; Brain dysfunction; Critical illness; CRITICALLY-ILL PATIENTS; RANDOMIZED CONTROLLED-TRIAL; MECHANICALLY VENTILATED PATIENTS; RESPIRATORY-DISTRESS-SYNDROME; CONFUSION ASSESSMENT METHOD; EMERGENCY-DEPARTMENT PATIENTS; ACUTE BRAIN-DYSFUNCTION; QUALITY-OF-LIFE; CRITICAL ILLNESS; PSYCHOLOGICAL DISTRESS;

D O I：

10.1016/j.suc.2017.07.008

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Delirium is one of the most common behavioral manifestations of acute brain dysfunction in the intensive care unit (ICU) and is a strong predictor of worse outcome. Routine monitoring for delirium is recommended for all patients in the ICU using validated tools. In delirious patients, a search for all reversible precipitants is the first line of action and pharmacologic treatment should be considered when all causes have been ruled out, and it is not contraindicated. Long-term morbidity has significant consequences for survivors of critical illness and for their caregivers. Patients in the ICU may develop posttraumatic stress disorder related to their critical illness experience.

引用

页码：1215 / +

页数：22

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