Management of ICU Delirium

ICU Director

Volumn 2, Issue 1-2, 2011, Pages 31-35

  Page, Valerie ^a   Katawala, Tasneem ^a  

^a WATFORD GENERAL HOSPITAL   (United Kingdom)

Author keywords

delirium; management; screening; sedation

Indexed keywords

HALOPERIDOL; OLANZAPINE; QUETIAPINE; RISPERIDONE;

AKATHISIA; ANALGESIA; ARTICLE; CLINICAL FEATURE; DRUG EFFICACY; DRUG SAFETY; DRUG USE; EXTRAPYRAMIDAL SYMPTOM; FAMILY STRESS; HEART VENTRICLE FIBRILLATION; HUMAN; IMMOBILIZATION STRESS; INTENSIVE CARE PSYCHOSIS; MANAGED CARE; MOBILIZATION; OUTCOME ASSESSMENT; PATIENT ASSESSMENT; PATIENT IDENTIFICATION; PRIORITY JOURNAL; RECOMMENDED DRUG DOSE; SCREENING TEST; SEDATION; SINGLE DRUG DOSE; SLEEP DEPRIVATION; TORSADE DES POINTES; TREATMENT PLANNING;

EID: 84869770307     PISSN: 19444516     EISSN: 19444524     Source Type: Journal    
DOI: 10.1177/1944451611405197     Document Type: Article

References (18)

1. Dunn WF, Murphy J. Death by compassion-dilemmas and opportunities in sedation delivery: iatrogenesis within a profession in denial. Chest. 2010, 138:1034-1035.
2. Vasilevskis EE, Ely EW, Speroff T., Pun BT, Boehm L., Dittus RS Reducing iatrogenic risks: ICU-acquired delirium and weakness- crossing the quality chasm. Chest. 2010;138:1224-1233.
3. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 4th ed. Washington, DC: American Psychiatric Association; 1994.
4. Page VJ, Navarange S., Gama S., McAuley DF Routine delirium monitoring in a UK critical care unit. Crit Care. 2009;13:R16.
5. Girard TD, Jackson JC, Pandharipande PP,et al.Delirium as a predictor of long-term cognitive impairment as survivors of critical illness. Crit Care Med. 2010;38:1513-1520.
6. Ely EW, Shintani A., Truman B.,et al.Delirium as a predictor of mortality in mechanically ventilated patients in intensive care unit. JAMA. 2004; 291:1753-1762.
7. Inouye SK Delirium in older persons. N Engl J Med. 2006; 354: 1157-1165.
8. Spronk PE, Riekerk B., Hofhuis J., Rommes JH Occurrence of delirium is severely underestimated in the ICU during daily care. Intensive Care Med. 2009;35:1276-1280.
9. Peterson JF, Pun BT, Dittus RS,et al.Delirium and its motoric subtypes: a study of 614 critically ill patients. J Am Geriatr Soc. 2006;54:479-484.
10. Devlin JW, Fong JJ, Fraser GL, Riker RR Delirium assessment in the critically ill. Intensive Care Med. 2007;33:929-940.
11. Pisani MA, Murphy TE, Araujo KL, Slattum P., Van Ness PH, Inouye SK Benzodiazepine and opioid use and the duration of intensive care delirium in an older population. Crit Care Med. 2009; 37: 177-183.
12. Girard TD, Kress JP, Fuchs BD,et al.Efficacy and safety of a paired sedation and ventilator weaning protocol for mechanically ventilated patients in intensive care (Awakening and Breathing Controlled trial) a randomised controlled trial. Lancet. 2008;371:126-134.
13. Schweickert WD, Pohlman MC, Pohlman AS,et al.Early physical and occupational therapy in mechanically ventilated, critically ill patients: a randomised controlled trial. Lancet. 2009;373:1874-1882.
14. Jacobi J., Fraser G., Coursin D.,et al.Clinical practice guidelines for the sustained use of sedatives and analgesics in the critically ill adult. Crit Care Med. 2002;30:119-141.
15. Milbrandt EB, Kersten A., Kong L.,et al.Haloperidol use is associated with lower hospital mortality in mechanically ventilated patients. Crit Care Med. 2005;33: 226-229.
16. Perlis RH, Ganz DA, Avorn J.,et al.Risk of death in elderly users of conventional vs. atypical antipsychotic medications. N Engl J Med. 2005; 353:2335-2341.
17. Devlin JW, Roberts RJ, Fong JJ,et al.Efficacy and safety of quetiapine in critically ill patients with delirium: a prospective, multicenter, randomized, double-blind placebo-controlled pilot study. Crit Care Med. 2010;38:419-427.
18. van Eijk MM, Roes KC, Honing ML,et al.Effect of rivastigmine as an adjunct to usual care with haloperidol on duration of delirium and mortality in critically ill patients: a multicentre, double-blind, placebo-controlled randomised trial. Lancet. 2010;376:1829-1837.