PedsCrit
ICU Liberation with Dr. Kristina Betters & Dr. Brooke Light -- Part 2
Dec 9, 2024
Dr. Kristina Betters, a pediatric intensivist and delirium researcher at Vanderbilt University, joins aspiring intensivist Dr. Brooke Light to discuss vital topics in pediatric critical care. They delve into the challenges of diagnosing delirium in young patients, highlighting the importance of screening tools. The duo advocates for early mobility interventions tailored to developmental needs and emphasizes family involvement in the ICU to enhance recovery. Their insights on implementing ICU bundles reveal how even partial strategies can lead to improved outcomes.
34:19
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Quick takeaways
- Utilizing validated screening tools like CAPD and PCAM is essential for accurately diagnosing delirium in pediatric patients.
- Implementing early mobility protocols and engaging families significantly enhance recovery outcomes and reduce risks in pediatric ICU settings.
Deep dives
Understanding Delirium in Pediatric ICU Patients
Delirium is defined as a disturbance of consciousness accompanied by inattention and cognitive or perceptual disturbances that develop over a short time. Diagnosing delirium in pediatric patients is particularly challenging, as validated screening tools like the CAPD and PCAM are necessary to assess their mental state accurately. Many signs that might resemble delirium, such as withdrawal or pain, can lead to misdiagnosis if not assessed properly. This highlights the importance of utilizing these tools consistently, regardless of the patient’s level of care, to avoid overlooking a common condition affecting up to 50% of severely ill pediatric patients.
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