ICU delirium: an update

@article{Jones2012ICUDA,
  title={ICU delirium: an update},
  author={Shirley F Jones and Margaret A. Pisani},
  journal={Current Opinion in Critical Care},
  year={2012},
  volume={18},
  pages={146–151}
}
Purpose of reviewDelirium is frequently encountered in the ICU and is associated with significant adverse outcomes. The increasingly recognized consequences of ICU delirium should enhance efforts to improve recognition and management of this serious problem. We aim to review the recent literature on ICU delirium, including risk factors, detection, management and long-term impact of disease. Recent findingsWe present the most recent evidence on risk factors for ICU delirium and its persistence… Expand
Management of delirium in adult critically ill patients: an overview.
  • H. L. Banh
  • Medicine
  • Journal of pharmacy & pharmaceutical sciences : a publication of the Canadian Society for Pharmaceutical Sciences, Societe canadienne des sciences pharmaceutiques
  • 2012
TLDR
The objective of this review article is to provide a comprehensive overview of non-pharmacologic and pharmacologic options for the treatment of ICU delirium. Expand
Assessment of delirium in the intensive care unit
TLDR
Biomarkers of delirium are emerging as tools to diagnoseDelirium, stratify severity, monitor progress, and predict outcomes, potentially changing the way the healthcare provider has an understanding ofdelirium in ICU. Expand
Delirium in the critically ill patient
TLDR
Although the pathophysiology of delirium remains elusive, identifying its mechanisms will allow for the development of preventive measures and effective treatments and thus should be encouraged. Expand
Delirium in ICU patients following cardiac surgery: An observational study
TLDR
This study confirms that clinical aspects such as insomnia and one's circadian rhythm as well as structural elements such as exposure to artificial light are variables that should be monitored in order to prevent and treat the onset of severe post-operative delirium. Expand
Severity of delirium in the ICU is associated with short term cognitive impairment. A prospective cohort study.
TLDR
It is indicated that severity of delirium during ICU stay may be associated with cognitive impairment at the time of discharge from the hospital in ICU survivors. Expand
Delirium prevention program in the surgical intensive care unit improved the outcomes of older adults.
TLDR
This study successfully decreased the duration of delirium for older adults admitted to the SICU with a simple, cost-effective program that led to improved pain and sedation outcomes. Expand
Assessment and management of older patients with delirium in acute settings.
  • M. Dixon
  • Medicine
  • Nursing older people
  • 2018
TLDR
Nursing students and nurses should be confident in the use of the 4AT score to assess patients with delirium and the mnemonic PINCH ME is suggested to guide management of delirious patients in acute settings. Expand
Delirium in Older Adults
TLDR
This chapter reviews the etiology, consequences, screening, diagnosis, prevention, and management of delirium in older patients. Expand
Acute Hyperglycemia Associated with Short-Term Use of Atypical Antipsychotic Medications
TLDR
Preliminary evidence to suggest that atypical antipsychotics impact glucose sensitivity and induce insulin resistance even after a single dose is shown, which shows the potential to affect clinical outcomes exist and warrants further research. Expand
Use of Dexmedetomidine in Liver Transplant Recipients With Postoperative Agitated Delirium.
TLDR
Dexmedetomidine is a promising agent for the treatment of ICU-associated agitated delirium in liver transplantation recipients and significantly decreased the ICU LOS and ICULOS after the occurrence ofDelirium compared to haloperidol. Expand
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