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Intensive Care Unit Delirium
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논문 기본 정보

Type
Academic journal
Author
Journal
대한중환자의학회 Acute and Critical Care Acute and Critical Care 제30권 제2호 KCI Accredited Journals
Published
2015.1
Pages
63 - 72 (10page)

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Intensive Care Unit Delirium
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Delirium is described as a manifestation of acute brain injury and recognized as one of the most common complications in intensive care unit (ICU) patients. Although the causes of delirium vary widely among patients, delirium increases the risk of longer ICU and hospital length of stay, death, cost of care, and post-ICU cognitive impairment. Prevention and early detection are therefore crucial. However, the clinical approach toward delirium is not sufficiently aggressive, despite the condition’s high incidence and prevalence in the ICU setting. While the underlying pathophysiology of delirium is not fully understood, many risk factors have been suggested. As a way to improve delirium-related clinical outcome, high-risk patients can be identified. A valid and reliable bedside screening tool is also needed to detect the symptoms of delirium early. Delirium is commonly treated with medications, and haloperidol and atypical antipsychotics are commonly used as standard treatment options for ICU patients although their efficacy and safety have not been established. The approaches for the treatment of delirium should focus on identifying the underlying causes and reducing modifiable risk factors to promote early mobilization.
#critical care #delirium #intensive care units.

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References (25)

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American Psychiatric Association / 2013 / Diagnostic and statistical manual of mental disorders / American psychiatric publishing google schola Barr J / 2013 / Clinical practice guidelines for the management of pain, agitation, and delirium in adult patients in the intensive care unit / Crit Care Med 41 : 263 ~ 306 google schola Ely EW / 2004 / Delirium as a predictor of mortality in mechanically ventilated patients in the intensive care unit / JAMA 291 : 1753 ~ 1762 google schola Girard TD / 2010 / Delirium as a predictor of long-term cognitive impairment in survivors of critical illness / Crit Care Med 38 : 1513 ~ 1520 google schola Kamdar BB / 2012 / Sleep deprivation in critical illness: its role in physical and psychological recovery / J Intensive Care Med 27 : 97 ~ 111 google schola

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