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OPENPediatrics

The D Element of the ICU Liberation Bundle: How to Assess, Prevent, and Manage Delirium

May 7, 2024
Explore the prevalence and impact of delirium in children in PICU. Learn about the evolution of delirium recognition and challenges in assessment. Discover strategies for preventing and managing delirium in critically ill patients. Understand the impact of ICU delirium on long-term recovery and quality of life.
23:44

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Quick takeaways

  • Delirium in PICU patients can lead to adverse outcomes, underscoring the importance of early screening and recognition.
  • Delirium management requires a multifaceted approach, including minimizing sedation and addressing environmental factors, avoiding sole reliance on pharmacological interventions.

Deep dives

Understanding the Prevalence and Impact of Delirium in PICUs

The podcast episode delves into the prevalence and impact of delirium in critically ill children, highlighting that up to 60% of patients on mechanical ventilation, especially the very young, may experience delirium. Delirium is associated with adverse outcomes such as prolonged mechanical ventilation, extended hospital stays, and lower quality of life post-discharge, emphasizing the importance of screening and early recognition to address this problem.

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