谵妄
医学
重症监护医学
叙述性评论
重症监护室
重症监护
心理干预
危重病
病危
随机对照试验
梅德林
干预(咨询)
急诊医学
机械通风
精神科
法学
政治学
作者
Gregory J. Blair,Talha Mehmood,Mona R. Rudnick,Ware G. Kuschner,Juliana Barr
标识
DOI:10.1177/0885066618771528
摘要
Delirium is a multifactorial entity, and its understanding continues to evolve. Delirium has been associated with increased morbidity, mortality, length of stay, and cost for hospitalized patients, especially for patients in the intensive care unit (ICU). Recent literature on delirium focuses on specific pharmacologic risk factors and pharmacologic interventions to minimize course and severity of delirium. While medication management clearly plays a role in delirium management, there are a variety of nonpharmacologic interventions, pharmacologic minimization strategies, and protocols that have been recently described. A PubMed search was performed to review the evidence for nonpharmacologic management, pharmacologic minimization strategies, and prevention of delirium for patients in the ICU. Recent approaches were condensed into 10 actionable steps to manage delirium and minimize medications for ICU patients and are presented in this review.
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