Journal ArticleDOI
Acute Brain Failure: Pathophysiology, Diagnosis, Management, and Sequelae of Delirium
Reads0
Chats0
TLDR
The epidemiology, known etiological factors, presentation and characteristics, prevention, management, and impact of delirium are discussed.About:
This article is published in Critical Care Clinics.The article was published on 2017-07-01. It has received 201 citations till now. The article focuses on the topics: Delirium & Acute care.read more
Citations
More filters
Journal ArticleDOI
Delirium pathophysiology: An updated hypothesis of the etiology of acute brain failure.
TL;DR: Delirium is the most common neuropsychiatric syndrome encountered by clinicians dealing with older adults and the medically ill and is best characterized by 5 core domains: cognitive deficits, attentional deficits, circadian rhythm dysregulation, emotional Dysregulation, and alteration in psychomotor functioning.
Journal ArticleDOI
Practice Parameters for Intravenous Analgesia and Sedation for Adult Patients in the Intensive Care Unit: An Executive Summary
Journal ArticleDOI
Clinical Assessment and Management of Delirium in the Palliative Care Setting
TL;DR: Until recently, antipsychotics have played a pivotal role in delirium management, but this role now requires critical re-evaluation in light of recent research that failed to demonstrate their efficacy in mild- to moderate-severity deliria occurring in palliative care patients.
Efficacy and safety of haloperidol versus atypical antipsychotic medications in the treatment of delirium
Hyung-Jun Yoon,Kyoungmin Park,Won Jung Choi,Soo Hee Choi,Jin Young Park,Jae Jin Kim,Jeong-Ho Seok +6 more
TL;DR: Haloperidol, risperidone, olanzapine, and quetiapine were equally efficacious and safe in the treatment of delirium, however, age is a factor that needs to be considered when making a choice of antipsychotic medication for the Treatment of Delirium.
Journal ArticleDOI
Applying machine learning to continuously monitored physiological data.
TL;DR: This commentary reviews published and potential applications for the use of ML for monitoring within the hospital environment and presents use cases as well as several questions regarding the application of ML to the analysis of the vast amount of complex data that clinicians must interpret in the realm of continuous physiological monitoring.
References
More filters
Journal ArticleDOI
A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients
TL;DR: A 10‐item Short Portable Mental Status Questionnaire (SPMSQ), easily administered by any clinician in the office or in a hospital, has been designed, tested, standardized and validated.
Journal ArticleDOI
Clarifying Confusion: The Confusion Assessment Method: A New Method for Detection of Delirium
TL;DR: The CAM is sensitive, specific, reliable, and easy to use for identification of delirium and was shown to have convergent agreement with four other mental status tests, including the Mini-Mental State Examination.
Journal ArticleDOI
Delirium as a predictor of mortality in mechanically ventilated patients in the intensive care unit
E. Wesley Ely,Ayumi Shintani,Brenda Truman,Theodore Speroff,Sharon M. Gordon,Frank E. Harrell,Sharon K. Inouye,Gordon R. Bernard,Robert S. Dittus +8 more
TL;DR: Delirium was an independent predictor of higher 6-month mortality and longer hospital stay even after adjusting for relevant covariates including coma, sedatives, and analgesics in patients receiving mechanical ventilation.
Journal ArticleDOI
Early physical and occupational therapy in mechanically ventilated, critically ill patients: a randomised controlled trial.
William D. Schweickert,Mark C. Pohlman,Anne S. Pohlman,Celerina Nigos,Amy J. Pawlik,Cheryl L. Esbrook,Linda Spears,Megan E. Miller,Mietka Franczyk,Deanna Deprizio,Gregory A. Schmidt,Amy Bowman,Rhonda Barr,Kathryn E. McCallister,Jesse B. Hall,John P. Kress +15 more
TL;DR: A strategy for whole-body rehabilitation-consisting of interruption of sedation and physical and occupational therapy in the earliest days of critical illness-was safe and well tolerated, and resulted in better functional outcomes at hospital discharge, a shorter duration of delirium, and more ventilator-free days compared with standard care.
Related Papers (5)
Clinical Practice Guidelines for the Management of Pain, Agitation, and Delirium in Adult Patients in the Intensive Care Unit
Juliana Barr,Gilles L. Fraser,Kathleen Puntillo,E. Wesley Ely,Céline Gélinas,Joseph F. Dasta,Judy E. Davidson,John W. Devlin,John P. Kress,Aaron M. Joffe,Douglas B. Coursin,Daniel Herr,Avery Tung,Bryce R.H. Robinson,Dorrie K. Fontaine,Michael A. E. Ramsay,Richard R. Riker,Curtis N. Sessler,Brenda T. Pun,Yoanna Skrobik,Roman Jaeschke +20 more
Clinical Practice Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU
John W. Devlin,John W. Devlin,Yoanna Skrobik,Céline Gélinas,Dale M. Needham,Arjen J. C. Slooter,Pratik P. Pandharipande,Paula L. Watson,Gerald L. Weinhouse,Mark E. Nunnally,Bram Rochwerg,Michele C. Balas,Mark van den Boogaard,Karen J. Bosma,Karen J. Bosma,Nathaniel E. Brummel,Gerald Chanques,Linda Denehy,Xavier Drouot,Gilles L. Fraser,Jocelyn E. Harris,Aaron M. Joffe,Michelle E. Kho,John P. Kress,Julie A. Lanphere,Sharon McKinley,Karin J. Neufeld,Margaret A. Pisani,Jean François Payen,Brenda T. Pun,Kathleen Puntillo,Richard R. Riker,Bryce R.H. Robinson,Yahya Shehabi,Paul M. Szumita,Chris Winkelman,John Centofanti,Carrie Price,Sina Nikayin,Cheryl Misak,Pamela Flood,Ken Kiedrowski,Waleed Alhazzani +42 more