Anton M. H. Wolters

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BACKGROUND Pediatric delirium (PD) is a severe neuropsychiatric disorder often seen at the pediatric intensive care unit (PICU). The Pediatric Anesthesia Emergence Delirium (PAED) scale assesses five behavioral items on a five-level severity scale, and is easily applicable in children. However, the five-level severity scales are rather arbitrarily anchored(More)
Dear Editor, Refractory agitation (RA) is a frequent and challenging problem in patients in the pediatric intensive care unit (PICU). After exclusion of imminent hypoxia, the differential diagnosis of RA includes: (i) delirium due to the underlying critical illness, and/or (ii) withdrawal, and/or (iii) disinhibition/paradoxical arousal due to(More)
Examination and comparison of the current DSM-IV-TR and the proposed revisions for the forthcoming DSM-5, with regard to neuropsychiatric aspects of critical illness, identified five important issues. These remain to be addressed in order to improve the care of critically ill patients. These are 1) sickness behavior, as part of the organic reaction types of(More)
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