Delirium and Sedation in the ICU

被引：46

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

收藏

页码：463 / 474

页数：12

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