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Delirium management in critically ill patients
Enrique Calvo-Ayala1, Babar Khan2
1Division of Pulmonary, Allergy, Critical Care, Occupational and Sleep Medicine, Department of Medicine, Indiana University School of Medicine, Indianapolis, IN.
Delirium is common in critically ill patients, leading to worse outcomes like longer hospital stays and higher mortality. Early recognition and management are crucial but often missed.
Area of Science:
- Critical Care Medicine
- Neuroscience
- Geriatrics
Background:
- Delirium is a frequent and serious complication in critically ill patients.
- It is associated with adverse outcomes, including prolonged intensive care unit (ICU) and hospital stays, increased institutionalization, higher costs, and mortality.
- Despite its impact, delirium is underdiagnosed.
Purpose of the Study:
- To provide an overview of the pathophysiology, diagnosis, and management of delirium.
- To emphasize the importance of early recognition and appropriate management in critically ill patients.
Main Methods:
- This article is a review and overview.
- It synthesizes current knowledge on delirium in the critically ill.
Main Results:
- Delirium significantly worsens patient prognosis and outcomes.
- Current rates of delirium diagnosis remain low.
- Validated tools and timely interventions are essential.
Conclusions:
- Effective management of delirium in critically ill patients requires early detection and intervention.
- Further emphasis on diagnostic tools and treatment strategies is needed to improve patient outcomes.
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