Search Tag: delirium

ICU Management

Psychological Consequences of ICU Admission

2019 08 Aug

Consequences of psychological distress in the ICU needs to be addressed, due to the frequent occurrence of anxiety, delirium, acute PTSD and depression in both patients and family members. By addressing these key issues healthcare costs and usage could be reduced.   Previously, it was thought that stress could be reduced through a paternalistic... Read more

ICU Management

Outcomes of ABCDE Bundle in Mechanically Ventilated Patients

2019 26 Jun

Increasing focus on ICU utilisation and survivorship has also resulted in a greater focus on the long-term consequences of critical illness. Post Intensive Care Syndrome (PICS) is characterised by physical, cognitive, and emotional manifestations and can have a long-lasting impact on survivors of ICU as well as their families and caregivers. ... Read more

ICU Management

#EA19: Assessing delirium in the ICU

2019 01 Jun

Dr. Ulf Guenther from Germany made an excellent presentation today at Euroanaesthesia 2019 #EA19 on assessing delirium in the ICU. Dr. Guenther has spent a large part of his research career dealing with delirium, and he shared his insight with respect to the clinical impact, diagnosis, risk factors, and management of delirium in the ICU.  According... Read more

ICU Management

Cocoon bed aims to lower ICU delirium

2019 30 May

The intensive care unit environment can be extremely stressful, even if they provide some of the best care in the world. It is believed that a patient in the ICU has their sleep interrupted approximately every three minutes either through noise, lights, or medical intervention. Up to 80% of patients in the ICU suffer from some form of delirium, and... Read more

ICU Management

Managing delirium in the ICU with sleep guardians

2019 14 Mar

Sleep guardians - a quality improvement initiative at the Lancashire and South Cumbria Critical Care Network (LSCCCN) to reduce and implement change while managing delirium in critical care patients   Introduction   Up to 85% of critical care patients may experience some form of delirium, but it can be very easily missed (Inouye et al.... Read more

ICU Management

2019 23 Jan

Introduction Up to 85% of critical care patients may experience some form of delirium, but it can be very easily missed (Inouye et al. 2001; Page 2008) particularly in a very busy 24 bedded General Critical Care Unit that is also the regional centre for Trauma and neurosurgery. The unit admits both level 2 and 3 patients within the same clinical... Read more

ICU Management

Music helps prevent delirium in elderly critical care patients

2018 08 Aug

A randomised controlled trial demonstrates that music intervention to prevent delirium among older patients is one of few strategies that provide support in a critical care setting. This study builds on non-pharmacologic approaches for delirium prevention by addressing the pathophysiologic mechanisms that contribute to delirium; neurotransmitter... Read more

ICU Management

2018 14 Apr

Nurses leading through innovation The one thing I would change to improve our healthcare system won’t take magic —it’s achievable today. I would empower all direct care nurses as bedside leaders, innovators and catalysts for change.   Why? Because empowering our clinicians at the front line of care results in better patient... Read more

ICU Management

Volume 18 - Issue 1, 2018

2018 16 Mar

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ICU Management

ICU delirium a distinct indicator of acute brain injury

2018 16 Mar

More than half of ICU patients in a new study experienced delirium for long periods during their stay. Sedative-associated delirium was most common, while longer periods of hypoxic delirium and unclassified delirium were associated with worse cognitive function at follow-up one year after hospital discharge. You might also like : Sedative prevents... Read more