Search Tag: delirium

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

ICU Management

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

ICU Management

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

ICU Management

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

ICU Management

Volume 16 - Issue 4, 2016

2016 30 Nov

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