Search Tag: delirium
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
Managing delirium in the ICU with sleep guardians
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
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
If you had a magic wand, what is one thing you would change about healthcare and why?
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 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
Sedative prevents delirium in ICU patients
2018 06 Mar
Results of a randomised, placebo-controlled trial showed that a low dose of the sedative dexmedetomidine given at night may prevent delirium in critically ill patients. In this study of 100 ICU patients, half of them were randomly assigned to receive intravenous dexmedetomidine; the other half were given the placebo. The trial published online in... Read more
Study: ICU delirium a distinct indicator of acute brain injury
2018 27 Feb
More than half of ICU patients in a newly published 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. The researchers write that... Read more
ARDS, delirium and antipsychotic use reviewed
2018 21 Feb
Acute respiratory distress syndrome (ARDS) often requires prolonged and complicated hospital courses putting patients at risk for intensive care unit (ICU) delirium. Antipsychotics are prescribed to decrease the severity and duration of ICU delirium; however, these drugs are associated with many adverse effects including respiratory failure. "Given... Read more