Delirium, defined as an acute fluctuating change in mental state, with consciousness and cognitive impairment, has been found to have a high incidence in hospitalised patients, as well as being associated with increased morbidity and mortality, prolonged stays in the intensive care unit (ICU) and in hospital and higher costs. However, delirium is not easy to detect, since its diagnosis is mainly clinical. Yet the importance of early diagnosis and possible prevention in the different clinical scenarios is clear, to improve patient prognosis. This review provides a practical approach to delirium management through: (a) its classification and diagnosis utilising validated tools and (b) the use of non-pharmacological protocols and of an early prediction model to identify high-risk patients, who are more likely to benefit from pharmacological prophylaxis

Delirium : Clinical approach and prevention / G. Mistraletti, P. Pelosi, E.S. Mantovani, M. Berardino, C. Gregoretti. - In: BEST PRACTICE & RESEARCH. CLINICAL ANAESTHESIOLOGY. - ISSN 1753-3740. - 26:3(2012 Sep), pp. 311-326. [10.1016/j.bpa.2012.07.001]

Delirium : Clinical approach and prevention

G. Mistraletti
Primo
;
E.S. Mantovani;
2012

Abstract

Delirium, defined as an acute fluctuating change in mental state, with consciousness and cognitive impairment, has been found to have a high incidence in hospitalised patients, as well as being associated with increased morbidity and mortality, prolonged stays in the intensive care unit (ICU) and in hospital and higher costs. However, delirium is not easy to detect, since its diagnosis is mainly clinical. Yet the importance of early diagnosis and possible prevention in the different clinical scenarios is clear, to improve patient prognosis. This review provides a practical approach to delirium management through: (a) its classification and diagnosis utilising validated tools and (b) the use of non-pharmacological protocols and of an early prediction model to identify high-risk patients, who are more likely to benefit from pharmacological prophylaxis
analgesia and sedation; antipsychotic therapy; critically ill patients; delirium prevention; intensive care unit (ICU) organisation
Settore MED/41 - Anestesiologia
set-2012
Article (author)
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/211355
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