Delirium and Sedation in the ICU

被引：43

作者：

Frontera, Jennifer A. ^{[1
,2
]}

机构：

[1] Mt Sinai Sch Med, Neurosci Intens Care Unit, Dept Neurosurg, New York, NY 10029 USA

[2] Mt Sinai Sch Med, Dept Neurol, New York, NY 10029 USA

来源：

NEUROCRITICAL CARE | 2011年 / 14卷 / 03期

关键词：

Delirium; Sedation; ICU; Intensive care; Confusion; Neurocritical care; INTENSIVE-CARE-UNIT; MECHANICALLY VENTILATED PATIENTS; CRITICALLY-ILL PATIENTS; NICOTINE REPLACEMENT THERAPY; DOSE INTRAVENOUS HALOPERIDOL; POSTOPERATIVE DELIRIUM; STATUS EPILEPTICUS; AGITATED DELIRIUM; RISK-FACTORS; STROKE;

D O I：

10.1007/s12028-011-9520-0

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Delirium is defined by a fluctuating level of attentiveness and has been associated with increased ICU mortality and poor cognitive outcomes in both general ICU and neurocritical care populations. Sedation use in the ICU can contribute to delirium. Limiting ICU sedation allows for the diagnosis of underlying acute neurological insults associated with delirium and leads to shorter mechanical ventilation time, shorter length of stay, and improved 1 year mortality rates. Identifying the underlying etiology of delirium is critical to developing treatment paradigms.

引用

页码：463 / 474

页数：12

共 50 条

[21] Monitoring sedation, agitation, analgesia, neuromuscular blockade, and delirium in adult ICU patients
Riker, RR
Fraser, GL
SEMINARS IN RESPIRATORY AND CRITICAL CARE MEDICINE, 2001, 22 (02) : 189 - 198
[22] Individualised analgesia, sedation, delirium and comfort management strategies in the ICU: a narrative review
Lucendo, A. Perez
Otero, P. Pineiro
Almudevar, P. Matia
Carmona, S. Alcantara
Lopez, E. Lopez
Rueda, F. Ramasco
REVISTA ESPANOLA DE ANESTESIOLOGIA Y REANIMACION, 2023, 70 (09): : 509 - 535
[23] Effect of sedation level on the prevalence of delirium when assessed with CAM-ICU and ICDSC
Haenggi, Matthias
Blum, Sina
Brechbuehl, Ruth
Brunello, Anna
Jakob, Stephan M.
Takala, Jukka
INTENSIVE CARE MEDICINE, 2013, 39 (12) : 2171 - 2179
[24] Alpha-2 agonist induced sedation prevents ICU delirium in postcardiotomy patients
Maldonado, JR
Wysong, A
van der Starre, P
Block, T
Reitz, B
JOURNAL OF PSYCHOSOMATIC RESEARCH, 2005, 58 (06) : S60 - S61
[25] Impact of nicotine replacement therapy on sedation, delirium, and pain in smokers admitted to a medical ICU
Cartin-Ceba, Rodrigo
Afessa, Bekele
CRITICAL CARE MEDICINE, 2007, 35 (12) : A175 - A175
[26] Effect of sedation level on the prevalence of delirium when assessed with CAM-ICU and ICDSC
Matthias Haenggi
Sina Blum
Ruth Brechbuehl
Anna Brunello
Stephan M. Jakob
Jukka Takala
Intensive Care Medicine, 2013, 39 : 2171 - 2179
[27] The association of sleep quality, delirium, and sedation status with daily participation in physical therapy in the ICU
Kamdar, Biren B.
Combs, Michael P.
Colantuoni, Elizabeth
King, Lauren M.
Niessen, Timothy
Neufeld, Karin J.
Collop, Nancy A.
Needham, Dale M.
CRITICAL CARE, 2016, 20
[28] Patient comfort and safety practices in ICU: A point prevalence study of analgesia, sedation and delirium
Elliott, D.
Aitken, L.
Bucknall, T.
Seppelt, I.
Webb, S.
Weisbrodt, L.
McKinley, S.
AUSTRALIAN CRITICAL CARE, 2011, 24 (01) : 57 - 58
[29] Impact of new lighting technology versus traditional fluorescent bulbs on sedation and delirium in the ICU
Lucchini, Alberto
Villa, Marta
Giani, Marco
Canzi, Sabrina
Colombo, Sara
Mapelli, Elisa
Mariani, Ilaria
Rezoagli, Emanuele
Foti, Giuseppe
Bellani, Giacomo
INTENSIVE AND CRITICAL CARE NURSING, 2025, 86
[30] The association of sleep quality, delirium, and sedation status with daily participation in physical therapy in the ICU
Biren B. Kamdar
Michael P. Combs
Elizabeth Colantuoni
Lauren M. King
Timothy Niessen
Karin J. Neufeld
Nancy A. Collop
Dale M. Needham
Critical Care, 20

← 1 2 3 4 5 →