Importance of recognizing and managing delirium in intensive care unit

Delirium is an acute and fluctuating change in mental status, with inattention and altered levels of consciousness. It is a common comorbidity in intensive care units (ICU), resulting in delayed withdrawal of mechanical ventilation, prolonged length of stay in ICU, increased ICU mortality and impair...

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Veröffentlicht in:Chinese journal of traumatology 2009-12, Vol.12 (6), p.370-374
1. Verfasser: 谢郭豪 方向明
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creator 谢郭豪 方向明
description Delirium is an acute and fluctuating change in mental status, with inattention and altered levels of consciousness. It is a common comorbidity in intensive care units (ICU), resulting in delayed withdrawal of mechanical ventilation, prolonged length of stay in ICU, increased ICU mortality and impaired long-term cognitive function of the survivors. Narcotic or psychoactive medication is one of the major risk factors that contribute to ICU delirium. Surveys conducted in several countries indicated that delirium in ICU was inad- equately monitored, underdiagnosed and lacked standardized treatment. In order to improve the prevention and treatment of ICU delirium, it is imperative that the ICU professionals should enrich their knowledge about this comorbidity, familiarize themselves with its screening and management, as well as standardize the administration of narcotic and psychoactive medications.
doi_str_mv 10.3760/cma.j.issn.1008-1275.2009.06.009
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In order to improve the prevention and treatment of ICU delirium, it is imperative that the ICU professionals should enrich their knowledge about this comorbidity, familiarize themselves with its screening and management, as well as standardize the administration of narcotic and psychoactive medications.</description><subject>Critical care</subject><subject>Delirium</subject><subject>Delirium - diagnosis</subject><subject>Delirium - epidemiology</subject><subject>Delirium - etiology</subject><subject>Delirium - therapy</subject><subject>Humans</subject><subject>Intensive Care Units</subject><subject>Prognosis</subject><subject>Risk Factors</subject><subject>停留时间</subject><subject>机械通气</subject><subject>状态变化</subject><subject>精神药物</subject><subject>药品管理</subject><subject>重症监护</subject><subject>麻醉药品</subject><issn>1008-1275</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kUtv3CAQgDkkyqv5C5HVS5rDugMYg49R1DyqSL3kPmIBO2xtvAE7VffXB8tpBWIE-jQzfEPINwollzV8N4Mud6VPKZQUQG0ok6JkAE0JdZnDETn7_35KzlPaAVQMhDwhp7RpODSgzsj907Af46SDccXYFtGZsQv-4ENX6GCLQQfdLRfreh_9PBQ-5D25kPy7K4yOrpiDn76Q41b3yV1-xgvycv_j5e5x8_zr4enu9nljOFfTRgrBrJCNYZURXIiqaZlVxlQGtFUNU1vBKmmlqUW7tVQqynlNqeYqL5D8gtysaf_o0OrQ4W6cY8gF8fBq0uGAbhEAdT4ye72y-zi-zS5NOPhkXN_r4MY5oeQVFSApy-TVJzlvB2dxH_2g41_8ZykDP1fA5a-9excxGe-yMuuzsAnt6JECLmPBPBbc4TIWXPTjoh-XrhBqXPv6uiYzr2Po3rJc3Grzu_W9Q84YFbUC_gFb6Y5S</recordid><startdate>20091201</startdate><enddate>20091201</enddate><creator>谢郭豪 方向明</creator><general>Elsevier B.V</general><general>Department of Anesthesiology,First Affiliated Hospital,College of Medicine,Zhejiang Univesity,Hangzhou 310003,China</general><scope>2RA</scope><scope>92L</scope><scope>CQIGP</scope><scope>~WA</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope><scope>2B.</scope><scope>4A8</scope><scope>92I</scope><scope>93N</scope><scope>PSX</scope><scope>TCJ</scope></search><sort><creationdate>20091201</creationdate><title>Importance of recognizing and managing delirium in intensive care unit</title><author>谢郭豪 方向明</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c338t-7552d579c24c535549f2d8cc4c0ad8928b5247d7c65fbd178133611a38383073</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Critical care</topic><topic>Delirium</topic><topic>Delirium - diagnosis</topic><topic>Delirium - epidemiology</topic><topic>Delirium - etiology</topic><topic>Delirium - therapy</topic><topic>Humans</topic><topic>Intensive Care Units</topic><topic>Prognosis</topic><topic>Risk Factors</topic><topic>停留时间</topic><topic>机械通气</topic><topic>状态变化</topic><topic>精神药物</topic><topic>药品管理</topic><topic>重症监护</topic><topic>麻醉药品</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>谢郭豪 方向明</creatorcontrib><collection>中文科技期刊数据库</collection><collection>中文科技期刊数据库-CALIS站点</collection><collection>中文科技期刊数据库-7.0平台</collection><collection>中文科技期刊数据库- 镜像站点</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><collection>Wanfang Data Journals - Hong Kong</collection><collection>WANFANG Data Centre</collection><collection>Wanfang Data Journals</collection><collection>万方数据期刊 - 香港版</collection><collection>China Online Journals (COJ)</collection><collection>China Online Journals (COJ)</collection><jtitle>Chinese journal of traumatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>谢郭豪 方向明</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Importance of recognizing and managing delirium in intensive care unit</atitle><jtitle>Chinese journal of traumatology</jtitle><addtitle>Chinese Journal of Traumatology(English Edition)</addtitle><date>2009-12-01</date><risdate>2009</risdate><volume>12</volume><issue>6</issue><spage>370</spage><epage>374</epage><pages>370-374</pages><issn>1008-1275</issn><abstract>Delirium is an acute and fluctuating change in mental status, with inattention and altered levels of consciousness. 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source MEDLINE; Elsevier ScienceDirect Journals; EZB-FREE-00999 freely available EZB journals
subjects Critical care
Delirium
Delirium - diagnosis
Delirium - epidemiology
Delirium - etiology
Delirium - therapy
Humans
Intensive Care Units
Prognosis
Risk Factors
停留时间
机械通气
状态变化
精神药物
药品管理
重症监护
麻醉药品
title Importance of recognizing and managing delirium in intensive care unit
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