Search Tag: delirium

ICU Management

Checklists-in-the-intensive-care-unit

2023 06 Dec

Checklists are cognitive aids that ensure task completion, enhance adherence to best practices, and prevent errors. In the complex environment of the ICU, checklists have been adopted to improve leadership, team performance, and patient outcomes. While research over the past two decades supports the efficacy of specific ICU checklists, the diverse...Read more

ICU Management

Delirium-how-can-we-protect-our-patients-detection-and-treatment-strategies

2022 25 May

In this article, the authors aim to summarise the current management of delirium, emphasising new publications and possible new studies that will shed light on delirium management strategy. Introduction According to an updated nomenclature of delirium after an interdisciplinary panel of experts from ten medical societies (Slooter et al....Read more

ICU Management

11th-annual-johns-hopkins-critical-care-rehabilitation-conference-2022

2022 02 Nov

Live Virtual format (via Zoom webinar): Nov. 2-5, 2022 Unlimited On-Demand format: Oct. 20 - Dec. 19, 2022 Find Johns Hopkins on Social Media Read more

ICU Management

Less-is-more-in-delirium

2022 10 May

Critical care physicians often use ineffective treatments that lack evidence-based data. This is especially true for delirium. To date, no medications have demonstrated therapeutic benefit for this condition. Medical treatment is either targeted toward preventing delirium or treating agitation associated with it. Behavioural interventions are rarely...Read more

ICU Management

Delirium-motor-subtypes-in-icu-patients

2022 08 Mar

Delirium is the most common cerebral dysfunction in the ICU, affecting nearly one-third of patients. Based on its clinical manifestation, it can be divided into a hypoactive, hyperactive, or mixed motor subtype. Patients with hyperactive delirium are usually in an agitated state of mind and can display symptoms of aggression and restlessness. Patients...Read more

ICU Management

Findings-from-the-samds-icu-survey

2022 08 Feb

Pain is one of the most distressful symptoms among critically ill patients, along with shortness of breath and delirium. Pain is reported by 38 to 51% of patients at risk of dying. Delirium is highly prevalent among patients who are critically ill and is associated with worse short-term and long-term outcomes, including in-hospital mortality, longer...Read more

ICU Management

Multicomponent-intervention-for-sleep-and-delirium-in-sicu

2021 30 Mar

Delirium affects nearly 60% of patients in the surgical intensive care unit (SICU). Sleep-wake disruption is a common risk factor in critically ill patients. However, to date, few SICU-focused delirium interventions have been implemented, even though factors like sleep-wake disruption are modifiable.    A study was conducted to determine the effect...Read more

ICU Management

Prevalence-and-risk-factors-for-delirium-in-covid-19-icu-patients

2021 12 Jan

According to findings from a large study, COVID-19 patients admitted to the ICU in the early months of the pandemic had a higher burden of delirium and coma than is typically found in patients with acute respiratory failure. The findings are published in The Lancet Respiratory Medicine. Study investigators tracked the incidence of delirium and...Read more

ICU Management

Ageing-population

2020 14 Sep

T he process of ageing cannot be defined by a number. The World Health Organization classifies anyone over the age of 65 as elderly. However, it is important to understand that ageing is a complex process, and we must consider physiological and cognitive vulnerabilities when talking about ageing as they can make some elderly people more prone to...Read more

ICU Management

Volume-20-issue-2-2020-1

2020 11 Aug

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ICU Management

The-night-in-the-icu

2020 11 Aug

T hey say that in the world of the intensive care unit (ICU), there is no night. It can be qualified as a lesser day, but not really as a night. The hustle and bustle may be slower, patient flow and activity may be less, conversations may be negligible, and the staff on duty may be limited, but patient care continues, alarms are in place, and the...Read more

ICU Management

Infographic-4

2020 11 Aug

The Night in the ICU  Read more

ICU Management

Delirium-subtypes-in-adult-icus

2020 19 Feb

Delirium is a common problem in patients admitted to the intensive care unit and is associated with increased length of hospital stay, high mortality and long term cognitive impairment. Delayed diagnosis can often make things worse. Delirium is known to fluctuate in its presentation and its severity can also vary. Delirium is generally classified...Read more

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-1

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

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

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

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 Management

Volume-18-issue-1-2018-1

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-4-2016-1

2016 30 Nov

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ICU Management

Study-delirium-high-after-therapeutic-hypothermia-for-cardiac-arrest

2016 11 Jul

A retrospective study of a small group of patients treated with therapeutic hypothermia after cardiac arrest found a high prevalence of delirium. The researchers reviewed the medical charts of patients treated in the cardiovascular intensive care unit (ICU) at Vanderbilt University Medical Center , Nashville, Tennessee, USA. Of 107 patients who survived...Read more

ICU Management

Critical-care-in-denmark

2016 11 Mar

Interview with Professor Ingrid Egerod Prof. Ingrid Egerod, RN, MSN, PhD is an active critical care researcher who has focused on the wellbeing and recovery of intensive care patients during admission and recovery. Her particular areas of interest are sedation, mechanical ventilator weaning, patient experiences, family care, ICU diaries, ICU follow-up...Read more

ICU Management

Earplugs-are-effective-in-reducing-risk-of-delirium

2016 25 Jan

A systematic review of the use of earplugs to reduce delirium in intensive care patients has found that they significantly reduce the risk of delirium. The review, by Edward Litton, Department of Intensive Care Medicine, St John of God Hospital Subiaco , Australia and colleagues is published in Critical Care Medicine . The review analysed data from...Read more