Prevention and management of delirium in critically ill adult patients in the intensive care unit: a review based on the 2018 PADIS guidelines
| العنوان: | Prevention and management of delirium in critically ill adult patients in the intensive care unit: a review based on the 2018 PADIS guidelines |
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| المؤلفون: | Seung Yong Park, Heung Bum Lee |
| المصدر: | Acute and Critical Care Acute and Critical Care, Vol 34, Iss 2, Pp 117-125 (2019) |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | medicine.medical_specialty, intensive care units, Sedation, medicine.medical_treatment, Review Article, Critical Care and Intensive Care Medicine, Critical Care Nursing, behavioral disciplines and activities, law.invention, delirium, law, mental disorders, medicine, prevention and control, guidelines, Intensive care medicine, Mechanical ventilation, Adult patients, business.industry, Critically ill, Stressor, lcsh:Medical emergencies. Critical care. Intensive care. First aid, Cognition, lcsh:RC86-88.9, Intensive care unit, nervous system diseases, Neurology, Delirium, medicine.symptom, business |
| الوصف: | Delirium is an acute, confusional state characterized by altered consciousness and a reduced ability to focus, sustain, or shift attention. It is associated with a number of complex underlying medical conditions and can be difficult to recognize. Many critically ill patients (e.g., up to 80% of patients in the intensive care unit [ICU]) experience delirium due to underlying medical or surgical health problems, recent surgical or other invasive procedures, medications, or various noxious stimuli (e.g., underlying psychological stressors, mechanical ventilation, noise, light, patient care interactions, and drug-induced sleep disruption or deprivation). Delirium is associated with a longer duration of mechanical ventilation and ICU admittance as well as an increased risk of death, disability, and long-term cognitive dysfunction. Therefore, the early recognition of delirium is important and ICU medical staff should devote careful attention to both watching for the occurrence of delirium and its prevention and management. This review presents a brief overview of delirium and an update of the literature with reference to the 2018 Society of Critical Care Medicine Clinical Practice Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU. |
| تدمد: | 2586-6060 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::8dc2b017128ea0757473936026b3ade7Test https://pubmed.ncbi.nlm.nih.gov/31723916Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....8dc2b017128ea0757473936026b3ade7 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 25866060 |
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