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Related Concept Videos

Hospitals-II00:59

Hospitals-II

Hospitals provide inpatient and outpatient services. Inpatient services provide care to patients that stay in the hospital for an extended period, ranging from days to months. Examples of inpatient services include intensive care units, hospital wards, or surgeries. Outpatient services provide care to patients who come to a hospital for a diagnostic or treatment but do not stay overnight —for example, diagnostic tests, surgical procedures, or health education.
Nurses that work in hospitals have...
Increased Intracranial Pressure l: Introduction01:14

Increased Intracranial Pressure l: Introduction

Intracranial hypertension is a sustained elevation of intracranial pressure (ICP) above 22 mm Hg. In supine adults, normal ICP is ~7–15 mm Hg.The rigid, nonexpandable cranium contains three components—brain tissue, blood, and cerebrospinal fluid (CSF)—that total ~1,700 mL in a typical adult: 1,400 mL brain (~80%), 150 mL blood (~10%), and 150 mL CSF (~10%). According to the Monro–Kellie doctrine, total intracranial volume is effectively fixed. When one component expands, CSF and venous blood...
Hospitals-I01:28

Hospitals-I

Hospitals offer medical and surgical care to the sick and injured, along with accommodation while they recover. At the same time, they also provide outpatient, emergency, psychiatric, and rehabilitation services to meet various community needs. In addition to providing medical care, hospitals also act as hubs for medical research and training. Hospitals use clinical procedures and evidence-based practice standards to deliver patient care. To deliver safe and efficient care, a nurse must stay up...
Standards of Care II01:19

Standards of Care II

Nurses bear specific legal responsibilities under several federal statutes, including:
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
Pleural Effusion II: Symptoms and Management01:28

Pleural Effusion II: Symptoms and Management

Pleural Effusion Overview
A pleural effusion is the abnormal collection of fluid between the parietal and visceral pleura layers of tissue that form the lining of the lungs and chest cavity. It can occur independently or due to surrounding parenchymal diseases, such as infection, malignancy, or inflammatory conditions.
Clinical Manifestations:

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Related Experiment Video

Updated: May 25, 2026

Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies
10:38

Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies

Published on: January 16, 2019

ICU delirium: an update.

Shirley F Jones1, Margaret A Pisani

  • 1Scott and White Healthcare/Texas A&M Health Science Center, Temple, Texas 76508, USA. shjones@swmail.sw.org

Current Opinion in Critical Care
|February 11, 2012
PubMed
Summary
This summary is machine-generated.

Intensive care unit (ICU) delirium is common and leads to poor outcomes. Early detection and protocol-driven management, including reduced sedative use, are crucial for improving patient neurocognitive health.

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Last Updated: May 25, 2026

Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies
10:38

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Published on: January 16, 2019

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09:36

Halogenated Agent Delivery in Porcine Model of Acute Respiratory Distress Syndrome via an Intensive Care Unit Type Device

Published on: September 24, 2020

Area of Science:

  • Critical Care Medicine
  • Neuroscience
  • Geriatrics

Background:

  • Delirium is a frequent and serious complication in the intensive care unit (ICU).
  • ICU delirium is linked to significant adverse outcomes and long-term neurocognitive impairments.
  • Improved recognition and management strategies are essential.

Purpose of the Study:

  • To review recent literature on intensive care unit (ICU) delirium.
  • To examine risk factors, detection methods, management strategies, and long-term impacts.
  • To highlight the importance of protocol-driven care.

Main Methods:

  • Literature review of recent evidence on ICU delirium.
  • Analysis of risk factors, detection tools, and treatment options.
  • Emphasis on evidence-based management protocols.

Main Results:

  • Recent evidence clarifies risk factors and persistence of ICU delirium.
  • Detection tools are available but have limitations in practice.
  • Long-term neurocognitive deficits are associated with ICU delirium.
  • Protocol-driven sedation and ventilator management can reduce negative outcomes.
  • Evidence for haloperidol is not robust; atypical antipsychotics show limited benefit.
  • Reducing sedative use, especially benzodiazepines, is emphasized.

Conclusions:

  • ICU delirium is often underrecognized and underdiagnosed.
  • Readily available detection tools can aid in identification.
  • Further research into risk factors is needed for targeted management.
  • Management should focus on prevention and evidence-based therapies.