Delirium in the intensive care unit
Delirium is not only a mental change but also a complex clinical syndrome with multiple pathophysiological changes. Delirium is an acute brain dysfunction accompanied by change or fluctuation of basal mental status, loss of attention with disorganized thinking, or altered level of consciousness. Alt...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Serbian Society of Anesthesiologists and Intensivists
2021-01-01
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| Series: | Serbian Journal of Anesthesia and Intensive Therapy |
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| Online Access: | https://scindeks-clanci.ceon.rs/data/pdf/2217-7744/2021/2217-77442103061R.pdf |
| _version_ | 1819159639557668864 |
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| author | Ratković Sanja Rajković Marija Hadžibegović Adi Jovanović Nemanja Dimić Nemanja Stanisavljević Jovana |
| author_facet | Ratković Sanja Rajković Marija Hadžibegović Adi Jovanović Nemanja Dimić Nemanja Stanisavljević Jovana |
| author_sort | Ratković Sanja |
| collection | DOAJ |
| description | Delirium is not only a mental change but also a complex clinical syndrome with multiple pathophysiological changes. Delirium is an acute brain dysfunction accompanied by change or fluctuation of basal mental status, loss of attention with disorganized thinking, or altered level of consciousness. Although healthcare professionals realize the importance of recognizing delirium, it frequently goes unrecognized in the intensive care unit. Acute delirium is associated with increased mortality, morbidity, length of stay, and healthcare costs in intensive care units and hospitals. The consequences of delirium are long-term cognitive impairment, functional disability, post-discharge cognitive dysfunction, and institutionalization. Critical illness-related delirium can affect the diagnosis and treatment of primary diseases and disappears with the improvement of primary diseases. In the intensive care unit, delirium has been reported in 40% to 60% of non-ventilated patients and up to 50% to 80% of critically ill patients undergoing mechanical ventilation. Recent investigations have shown that delirium is preventable in 30-40% of cases. Available sedation and delirium monitoring instruments allow clinicians to recognize these forms of brain dysfunction. Multiple management strategies such as ABCDE, eCASH, and ESCAPE are helpful to prevent and treat delirium and improve the prognosis of critically ill patients. |
| first_indexed | 2024-12-22T16:43:45Z |
| format | Article |
| id | doaj.art-11233b19fc5a411696f4de28cfecbf51 |
| institution | Directory Open Access Journal |
| issn | 2466-488X |
| language | English |
| last_indexed | 2024-12-22T16:43:45Z |
| publishDate | 2021-01-01 |
| publisher | Serbian Society of Anesthesiologists and Intensivists |
| record_format | Article |
| series | Serbian Journal of Anesthesia and Intensive Therapy |
| spelling | doaj.art-11233b19fc5a411696f4de28cfecbf512022-12-21T18:19:47ZengSerbian Society of Anesthesiologists and IntensivistsSerbian Journal of Anesthesia and Intensive Therapy2466-488X2021-01-01433-4617210.5937/sjait2104061R2217-77442103061RDelirium in the intensive care unitRatković Sanja0Rajković Marija1Hadžibegović Adi2https://orcid.org/0000-0003-4956-3093Jovanović Nemanja3Dimić Nemanja4Stanisavljević Jovana5Klinički centar Srbije, Centar za anesteziologiju i reanimatologiju, Beograd, SerbiaKlinički centar Srbije, Centar za anesteziologiju i reanimatologiju, Beograd, SerbiaKlinički centar Srbije, Centar za anesteziologiju i reanimatologiju, Beograd, SerbiaKlinički centar Srbije, Klinika za neurohirurgiju, Beograd, SerbiaKliničko bolnički centar "Dr Dragiša Mišović - Dedinje", Beograd, SerbiaKlinički centar Srbije, Centar za anesteziologiju i reanimatologiju, Beograd, SerbiaDelirium is not only a mental change but also a complex clinical syndrome with multiple pathophysiological changes. Delirium is an acute brain dysfunction accompanied by change or fluctuation of basal mental status, loss of attention with disorganized thinking, or altered level of consciousness. Although healthcare professionals realize the importance of recognizing delirium, it frequently goes unrecognized in the intensive care unit. Acute delirium is associated with increased mortality, morbidity, length of stay, and healthcare costs in intensive care units and hospitals. The consequences of delirium are long-term cognitive impairment, functional disability, post-discharge cognitive dysfunction, and institutionalization. Critical illness-related delirium can affect the diagnosis and treatment of primary diseases and disappears with the improvement of primary diseases. In the intensive care unit, delirium has been reported in 40% to 60% of non-ventilated patients and up to 50% to 80% of critically ill patients undergoing mechanical ventilation. Recent investigations have shown that delirium is preventable in 30-40% of cases. Available sedation and delirium monitoring instruments allow clinicians to recognize these forms of brain dysfunction. Multiple management strategies such as ABCDE, eCASH, and ESCAPE are helpful to prevent and treat delirium and improve the prognosis of critically ill patients.https://scindeks-clanci.ceon.rs/data/pdf/2217-7744/2021/2217-77442103061R.pdfdeliriumcritical carediagnosismanagementrisk factors |
| spellingShingle | Ratković Sanja Rajković Marija Hadžibegović Adi Jovanović Nemanja Dimić Nemanja Stanisavljević Jovana Delirium in the intensive care unit Serbian Journal of Anesthesia and Intensive Therapy delirium critical care diagnosis management risk factors |
| title | Delirium in the intensive care unit |
| title_full | Delirium in the intensive care unit |
| title_fullStr | Delirium in the intensive care unit |
| title_full_unstemmed | Delirium in the intensive care unit |
| title_short | Delirium in the intensive care unit |
| title_sort | delirium in the intensive care unit |
| topic | delirium critical care diagnosis management risk factors |
| url | https://scindeks-clanci.ceon.rs/data/pdf/2217-7744/2021/2217-77442103061R.pdf |
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