Tag: delirium
A Novel Computerized Test for Detecting and Monitoring Visual Attentional Deficits and Delirium in the ICU
Delirium in the ICU is associated with poor outcomes but is under-detected. Here we evaluated performance of a novel, graded test for objectively detecting inattention in delirium, implemented on a custom-built computerized... read more
Differentiating Delirium From Sedative/Hypnotic-Related Iatrogenic Withdrawal Syndrome
The main objectives of this study is to identify available assessment tools for sedative/hypnotic iatrogenic withdrawal syndrome and delirium in PICU patients, the evidence supporting their use, and describe areas of overlap... read more
Drug might alleviate post-surgical delirium and confusion
To blunt postoperative pain and reduce the need for opioid drugs following surgery, anesthesiologists often give patients low doses of the drug ketamine during operations. Recent research even suggests that the drug might... read more
Intraoperative Infusion of Dexmedetomidine for Prevention of Postoperative Delirium and Cognitive Dysfunction in Elderly Patients
Intraoperative infusion of dexmedetomidine for prevention of postoperative delirium and cognitive dysfunction in elderly patients undergoing major elective non-cardiac surgery. Postoperative delirium occurs in 10% to 60%... read more
Michael Lewis’ The Undoing Project: How do ER surgeons avoid dumb, deadly mistakes? Ask their doctor
In an excerpt from his new book Michael Lewis examines a Toronto doctor who helps trauma surgeons avoid errors in judgment when life and death are on the line. Doctors tended to see only what they were trained to see: That... read more
Identifying barriers to delivering the ABCDE bundle to minimize adverse outcomes for mechanically ventilated patients
Improved outcomes are associated with the Awakening, Breathing Coordination, Delirium and Early mobility/exercise (ABCDE) bundle; however, implementation issues are common. As yet, no study has integrated the barriers to... read more
Clinical summaries for hospitalised patients: time for higher standards
The average person remembers less than half of the information provided by healthcare professionals during a medical visit. The situation is arguably most challenging for patients leaving the hospital, where acute illness,... read more
The Confusion Assessment Method for the ICU-7 Delirium Severity Scale
Delirium severity is independently associated with longer hospital stays, nursing home placement, and death in patients outside the ICU. Delirium severity in the ICU is not routinely measured because the available instruments... read more
The association of sleep quality, delirium, and sedation status with daily participation in physical therapy in the ICU
Poor sleep is common in the ICU setting and may represent a modifiable risk factor for patient participation in ICU-based physical therapy (PT) interventions. This study evaluates the association of perceived sleep quality,... read more
Association between delirium superimposed on dementia and mortality in hospitalized older adults
In a prospective cohort study, Thiago Junqueira Avelino-Silva and colleagues examine the association of delirium superimposed on dementia on hospital mortality and 12-month mortality in hospitalized older adults. This was... read more
Intraoperative Oxidative Stress Associated With Postoperative Delirium
Intraoperative oxidative stress is associated with postoperative delirium in ICU patients after cardiac surgery, a study has found. Researchers from Vanderbilt University Medical Center, in Nashville, Tenn., came to this... read more
Efficacy of Oral Risperidone, Haloperidol, or Placebo for Symptoms of Delirium Among Patients in Palliative Care
In patients receiving palliative care, individualized management of delirium precipitants and supportive strategies result in lower scores and shorter duration of target distressing delirium symptoms than when risperidone... read more
Delirium in Critically Ill Children: An International Point Prevalence Study
In this multi-institutional, multinational point prevalence study of 994 subjects, delirium screening by the bedside nurse was feasible in children of all ages. PD was a common complication of critical illness, with a prevalence... read more
Experts reveal noisy wards can lead to terrifying hallucinations
How a stay in hospital can tip you over the edge: Experts reveal noisy wards can lead to terrifying hallucinations and even long-term harm. Recognizing the symptoms means patients receive the care they need and can make the... read more
Factors influencing physical activity and rehabilitation in survivors of critical illness
Eighty-nine papers were included. Five major themes and 28 sub-themes were identiļ¬ed, encompassing: (1) patient physical and psychological capability to perform physical activity, including delirium, sedation, illness severity,... read more
Delirium: Thinking Clearly About a Foggy Issue
Benzodiazepines are one of the leading causes of delirium. These drugs are already falling out of favor in critical care settings for other reasons; they are not easily titratable, and research suggests they can prolong a... read more
Protocol Lacking for Post-op Delirium
While 70% of anesthesiologists say they "frequently" or "occasionally" encounter postoperative delirium in their practices, more than three-fourths (77%) lack a process to screen for at-risk patients.... read more
SCCM Pod-330 Long-Term Mental Health Problems After Delirium in the ICU
Todd Fraser, MD, speaks with Arjen Slooter, MD, PhD, about the article, "Long-Term Mental Health Problems After Delirium in the ICU," published in Critical Care Medicine.... read more
New Clinical Resources From American Association Of Critical-Care Nurses Address Delirium, CAUTI And VTE
Updated AACN Practice Alerts offer latest evidence-based practice related to delirium, catheter-associated urinary tract infections and venous thromboembolism.... read more
Hospitals embed mental health professionals in the ICU
Pilot programs at several large academic medical centers suggest that integrating psychiatrists and other mental-health professionals into hospital units.... read more
Hospitals struggle to address terrifying and long-lasting 'ICU delirium'
Doctors and nurses across the country are now pushing an ambitious campaign to change practices in intensive care units to reduce cases of "ICU delirium".... read more
