Dexmedetomidine allowed earlier extubation of ventilated ICU patients with agitated delirium, a new randomized trial found. ... other forms of delirium, or those who are not intubated, the authors said.
A large proportion of inpatients have delirium, but in most, it goes unrecognized. ... Huang said.“ Either way, the study demonstrated that delirium can be prevented in some patients.”.
Six percent of patients had cognitive impairment at baseline, and 74% developed delirium while in the hospital. ... range and diverse diagnoses, and detailed data were collected about delirium and sedative exposure as risk factors, the authors noted.
Preventing delirium in the ICU doesn't have to involve sophisticated medical interventions. ... The ABCDEF bundle (Awakening and Breathing Coordination to free patients from sedation and mechanical ventilation, Choosing drugs to reduce risk of delirium,
One review focused on use of antipsychotics for the prevention of delirium and included 14 randomized controlled trials. ... For second-generation antipsychotics, there was limited evidence supporting lower delirium incidence in the postoperative setting.
An elderly patient admitted for pneumonia aspirates while on a feeding tube and subsequently develops delirium and problems with mobility and cognition.
Results were published online May 7 by Critical Care Medicine. Seventy-seven percent of patients (n=588) developed delirium. ... Prehospital statin use had no association with delirium, regardless of sepsis or study day.
Marcantonio said. As such, recognizing delirium is critical. Dr. Marcantonio recommended using the“ Confusion Assessment Method” (CAM), which involves four features. ... A physical examination is also important, as delirium can be a sign of a more
The reference standard assessment found that 21% of patients had delirium, and of these, 88% had hypoactive or normal psychomotor features. ... Twenty-four percent of patients were found to have delirium, according to the 3D-CAM.
Nonpharmacological, multicomponent interventions appeared to be effective at reducing delirium and preventing falls in hospitalized older patients, a study found. ... The authors called the effect of intervention strategies on delirium incidence“