Pediatrica intensiva: Art & Science of Pediatric Critical Care Delirium in #pedsICU feat. Chani Traube & Deb Long
Jun 21, 2021
Join experts Chani Traube, a pediatric intensivist from Weill Cornell, and Deb Long, a PICU nurse researcher from Queensland Children's Hospital, as they dive into the complexities of pediatric delirium. They discuss its high prevalence in critical care, the essential role of screening tools, and the intricacies of managing opiate withdrawal. Their insights highlight the importance of tailored treatment and collaborative care, emphasizing the need for interdisciplinary teamwork to enhance outcomes and support for young patients and their families.
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Routine Delirium Screening Is Vital
- Routinely screen all pediatric ICU patients for delirium twice daily using validated tools like the CAPD or CAPTI.
- Positive screening prompts timely medical assessment and tailored interventions to address underlying causes and reduce delirium duration.
Delirium Signals Underlying Cause
- Delirium always signals an underlying problem and requires finding the cause, not dismissal.
- Withdrawal can trigger hyperactive delirium but treating withdrawal alone does not resolve the delirium fully.
Screening Reduces Opiate Use
- Implementing delirium screening helps reduce opiate use and mechanical ventilation time by enabling earlier recognition and tailored treatment.
- Screening drives organic changes in sedation practices and patient outcomes.