Benzodiazepines and Development of Delirium in Critically Ill Children

Benzodiazepines and Development of Delirium in Critically Ill Children

Benzodiazepines are an independent and modifiable risk factor for development of delirium in critically ill children, even after carefully controlling for time-dependent covariates, with a dose-response effect. This temporal... read more

Sophia Observation Withdrawal Symptoms-Pediatric Delirium Scale

Sophia Observation Withdrawal Symptoms-Pediatric Delirium Scale

The SOS-PD scale shows promising validity for early screening of Pediatric Delirium (PD). Further evidence should be obtained from an international multicentre study. A total of 2088 assessments were performed in 146 children... read more

A Pilot Study of Eye-Tracking Devices in ICU

A Pilot Study of Eye-Tracking Devices in ICU

Eye-tracking devices have been suggested as a means of improving communication and psychosocial status among patients in the intensive care unit (ICU). This study was undertaken to explore the psychosocial impact and communication... read more

Delirium in ICU Prevented With Nocturnal Administration of Dexmedetomidine

Delirium in ICU Prevented With Nocturnal Administration of Dexmedetomidine

Low-dose dexmedetomidine administered at night to critically ill adults reduced the incidence of delirium during intensive care unit (ICU) stays and patient-reported sleep quality remained unchanged, according to a study... read more

Association of Delirium With Cognitive Decline in Late Life

Association of Delirium With Cognitive Decline in Late Life

Delirium in the presence of the pathologic processes of dementia is associated with accelerated cognitive decline beyond that expected for delirium or the pathologic process itself. These findings suggest that additional... read more

Delirium a Dreaded Scourge Underdiagnosed in Hospitals

Delirium a Dreaded Scourge Underdiagnosed in Hospitals

Pain medications, infections, medical illnesses, ventilators, dehydration or withdrawing from alcohol can be risk factors for delirium. Hospitals are one of the biggest culprits. They're noisy, busy and not conducive to getting... read more

The Effects of a Delirium Notification Program on the Clinical Outcomes of the ICU

The Effects of a Delirium Notification Program on the Clinical Outcomes of the ICU

Increasing the physician's awareness of the patient's mental state by using a notification program could reduce the anxiety of ICU patients even though it may not reduce delirium. The results suggested that the method of... read more

Subsyndromal Delirium and Institutionalization Among Patients With Critical Illness

Subsyndromal Delirium and Institutionalization Among Patients With Critical Illness

Subsyndromal delirium occurred in most critically ill patients, and its duration was an independent predictor of institutionalization. Routine monitoring of all delirium symptoms may enable detection of full and subsyndromal... read more

Updated Version of the Confusion Assessment Method for the ICU

Updated Version of the Confusion Assessment Method for the ICU

The 2014 updated version of the CAM-ICU is valid according to DSM-5 criteria and reliable regarding inter-observer agreement in a research setting. Delirium remains under-recognized by bedside clinicians. Delirium was diagnosed... read more

Haloperidol Prophylaxis in Critically Ill Patients with a High Risk for Delirium

Haloperidol Prophylaxis in Critically Ill Patients with a High Risk for Delirium

The use of the delirium prevention protocol seems to result in improvement of several delirium outcome measures. Prophylactic treatment with low dose haloperidol in critically ill patients with a high risk of delirium likely... read more

Comparison of Self-Reported and Behavioral Pain Assessment Tools in Critically Ill Patients

Comparison of Self-Reported and Behavioral Pain Assessment Tools in Critically Ill Patients

Self-reported and behavioral pain assessment scales are often used interchangeably in critically ill patients due to fluctuations in mental status. The correlation between scales is not well elucidated. The purpose of this... read more

Clinicians’ Perceptions of Rationales for Rehabilitative Exercise in a Critical Care Setting

Clinicians’ Perceptions of Rationales for Rehabilitative Exercise in a Critical Care Setting

Rehabilitative exercise for critically ill patients may have many benefits; however, it is unknown what intensive care unit (ICU) clinicians perceive to be important rationale for the implementation of rehabilitative exercise... read more

Diagnostic Accuracy of Delirium Assessment Methods in Critical Care Patients

Diagnostic Accuracy of Delirium Assessment Methods in Critical Care Patients

Delirium is a disorder of decreased ability to focus, sustain or shift attention, change in cognition and or perception. The main objective was to evaluate the diagnostic accuracy of Confusion Assessment Method for the ICU... read more

Animal-assisted Intervention in the ICU: A Tool for Humanization

Animal-assisted Intervention in the ICU: A Tool for Humanization

The combination of an aging population and advances in critical care medicine is resulting in a growing number of survivors of critical illness. Survivors' descriptions of their stay in an intensive care unit (ICU) are frequently... read more