Sedation and delirium in the intensive care unit

被引：3

作者：

Porter, Richard ^{[1
]}

McClure, Jason ^{[2
]}

机构：

[1] Alfred Hosp, Melbourne, Vic, Australia

[2] Alfred Hosp, Intens Care, Melbourne, Vic, Australia

来源：

ANAESTHESIA AND INTENSIVE CARE MEDICINE | 2013年 / 14卷 / 01期

关键词：

Agitation; analgesia; delirium; hypnosis; intensive care; sedation; sedation scores;

D O I：

10.1016/j.mpaic.2012.11.007

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Sedation is an important aspect of intensive care practice. Utilized effectively it can reduce suffering on the intensive care unit. Strategies for providing sedation and the various pharmacological options are discussed in this article. Delirium is common in the intensive care unit and is important to recognize because of the association with increases in both morbidity and mortality. Various strategies exist for identifying and managing delirium. This article examines how delirium can be identified and both pharmacological and non-pharmacological treatment strategies.

引用

页码：22 / 26

页数：5

共 14 条

[1] Intensive Care Delirium Screening Checklist: evaluation of a new screening tool [J].

Bergeron, N ;

Dubois, MJ ;

Dumont, M ;

Dial, S ;

Skrobik, Y .

INTENSIVE CARE MEDICINE, 2001, 27 (05) :859-864

[2] Decreased duration of mechanical ventilation when comparing analgesia-based sedation using remifentanil with standard hypnotic-based sedation for up to 10 days in intensive care unit patients: A randomised trial [ISRCTN47583497] [J].

Breen, D ;

Karabinis, A ;

Malbrain, M ;

Morais, R ;

Albrecht, S ;

Jarnvig, IL ;

Parkinson, P ;

Kirkham, AJ .

CRITICAL CARE, 2005, 9 (03) :R200-R210

[3]

Devlin JW, 1999, CRIT CARE MED, V27, P1271, DOI 10.1097/00003246-199907000-00008

[4] Monitoring sedation status over time in ICU patients - Reliability and validity of the Richmond Agitation-Sedation Scale (RASS) [J].

Ely, EW ;

Truman, B ;

Shintani, A ;

Thomason, JWW ;

Wheeler, AP ;

Gordon, S ;

Francis, J ;

Speroff, T ;

Gautam, S ;

Margolin, R ;

Sessler, CN ;

Dittus, RS ;

Bernard, GR .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2003, 289 (22) :2983-2991

[5] Delirium in mechanically ventilated patients - Validity and reliability of the Confusion Assessment Method for the intensive care unit (CAM-ICU) [J].

Ely, EW ;

Inouye, SK ;

Bernard, GR ;

Gordon, S ;

Francis, J ;

May, L ;

Truman, B ;

Speroff, T ;

Gautam, S ;

Margolin, R ;

Hart, RP ;

Dittus, R .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2001, 286 (21) :2703-2710

[6] Dexmedetomidine vs Midazolam or Propofol for Sedation During Prolonged Mechanical Ventilation Two Randomized Controlled Trials [J].

Jakob, Stephan M. ;

Ruokonen, Esko ;

Grounds, R. Michael ;

Sarapohja, Toni ;

Garratt, Chris ;

Pocock, Stuart J. ;

Bratty, J. Raymond ;

Takala, Jukka .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2012, 307 (11) :1151-1160

[7] Sedation in the intensive care unit with remifentanil/propofol versus midazolam/fentanyl: a randomised, open-label, pharmacoeconomic trial [J].

Muellejans, Bernd ;

Matthey, Thomas ;

Scholpp, Joachim ;

Schill, Markus .

CRITICAL CARE, 2006, 10 (03)

[8] CONTROLLED SEDATION WITH ALPHAXALONE-ALPHADOLONE [J].

RAMSAY, MAE ;

SAVEGE, TM ;

SIMPSON, BRJ ;

GOODWIN, R .

BRITISH MEDICAL JOURNAL, 1974, 2 (5920) :656-659

[9] Atypical antipsychotics versus haloperidol for treatment of delirium in acutely ill patients [J].

Rea, Rhonda S. ;

Battistone, Sarah ;

Fong, Jeffrey J. ;

Devlin, John W. .

PHARMACOTHERAPY, 2007, 27 (04) :588-594

[10]

Riker Richard R, 2011, Anesthesiol Clin, V29, P663, DOI 10.1016/j.anclin.2011.09.006

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