The Internet Book of Critical Care Podcast IBCC Episode 10 - Delirium
11 snips
Nov 7, 2018 This podcast discusses the identification, evaluation, and treatment of delirium. It covers the controversies surrounding atypical antipsychotics, regular use of melatonin, and the use of dexmedetomidine. Topics include the causes and evaluation of delirium, preventing delirium in the ICU, the use of antipsychotic drugs for agitated patients, and the use of Lansopine compared to haloperidol.
AI Snips
Chapters
Transcript
Episode notes
Delirium Defined Clearly
- Delirium is an acute brain dysfunction marked by inattention and fluctuating mental status.
- Unlike dementia, it typically involves waxing and waning symptoms including hallucinations and impaired conversation.
Phenotypes of Delirium
- Delirium has three phenotypes: hyperactive, hypoactive, and mixed delirium.
- Hypoactive delirium is often missed because patients appear withdrawn or drowsy and don't cause a disturbance.
Screen but Prioritize Prevention
- Screen ICU patients for delirium using tools like CAM-ICU but be aware evidence for improved outcomes is limited.
- Focus on universal prevention strategies for all ICU patients rather than just treating identified delirium.