Clinical Review: Agitation and Delirium in the Critically Ill – Significance and Management
Jean-Claude Chevrolet and Philippe Jolliet
Critical Care 2007, 11:214
Agitation is by definition a psychomotor disturbance characterized by a marker increase in patient's motor and psychological activity. It occurs very frequently in the intensive care setting. It may be isolated or accompanied by other mental disorders, such as severe anxiety and delirium. Frequently, agitation is a sign of brain dysfunction and may have adverse consequences, for at least two reasons. First, agitation can interfere with the patient’s care and, second, there is evidence demonstrating that the prognosis of agitated (and delirious) patients is worse than that of non-agitated (non-delirious) patients. These conditions are often underdiagnosed in the intensive care unit (ICU). Consequently, a systematic evaluation of this problem in ICU patients should be conducted. Excellent tools are presently available for this purpose. Treatment, including prevention, must be undertaken without delay, and the ICU physician should follow logical, strict and systematic rules when applying therapy.
A new frontier in critical care: saving the injuried brain.
Link veloci
Gestire il dolore
Flowchart doloreVNR
BPS
Gestire la sedazione
Flowchart sedaz/agitazRASS
Gestire il delirium
Flowchart DeliriumManuale CAM-ICU
Scheda di lavoro CAM-ICU
ICDSC
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