Delirium in the Critically Ill

Delirium is a frame of mind characterized by transient and fluctuating cognitive incapacity and inattention due to a variety of illnesses. Intensive care unit (ICU)-delirium can present as hypoactive, hyperactive or mixed delirium types, hypoactive being the most common and often under-recognized. P...

Full description

Saved in:
Bibliographic Details
Published inJournal of medical sciences and health (Online) Vol. 4; no. 1; pp. 5 - 14
Main Author Gotur, Deepa Bangalore
Format Journal Article
LanguageEnglish
Published ADICHUNCHANAGIRI INSTITUTE OF MEDICAL SCIENCES 20.04.2018
Subjects
acute brain failure
confusion assessment method- intensive care unit
delirium
dexmedetomidine
hypoactive delirium
intensive care unit delirium
Online AccessGet full text

Cover

More Information
Summary:Delirium is a frame of mind characterized by transient and fluctuating cognitive incapacity and inattention due to a variety of illnesses. Intensive care unit (ICU)-delirium can present as hypoactive, hyperactive or mixed delirium types, hypoactive being the most common and often under-recognized. Prevalence of ICU-delirium is variable based on type of patient population but could be as high as 77%. Recent theory for the development of delirium is known as the systems integration failure hypothesis. Predisposing risk factors for ICU delirium are advanced age, baseline cognitive impairment, increased comorbid disease, frailty, alcohol and drug abuse, and high severity of illness. The ABCDEF bundle is a group of interventions developed by the Society of Critical Care Medicine that when applied collectively can help reduce delirium, improve pain management and reduce long-term consequences for adult ICU patients. Delirium outcomes range from mortality, variable degree of cognitive and functional deficits to full functional recovery.
ISSN:2394-9481
2394-949X
DOI:10.46347/JMSH.2018.v04i01.002