Pediatric Delirium: Recognition, Management, and Outcome
1Keck School of Medicine of University of Southern California, Departments of Psychiatry and Pediatrics, Children's Hospital Los Angeles, 4650 Sunset Boulevard, Los Angeles, CA, 90027, USA. sturkel@chla.usc.edu.
Insights
This review updates on pediatric delirium diagnosis and management. Early recognition and treatment are crucial, as prolonged delirium can lead to severe long-term issues in critically ill children.
Area of Science:
- Pediatric critical care medicine
- Neuroscience
- Psychiatry
Background:
- Pediatric delirium is a serious condition in critically ill children.
- Accurate diagnosis and management are essential for improving patient outcomes.
Purpose of the Study:
- To provide an updated overview of the diagnosis, management, and outcomes of pediatric delirium.
- To highlight the importance of early detection and intervention.
Main Methods:
- Literature review of recent studies on pediatric delirium.
- Synthesis of current diagnostic tools and management strategies.
Main Results:
- Various instruments exist to aid in the diagnosis of pediatric delirium.
- Management involves atypical antipsychotics, avoiding exacerbating agents.
- Prolonged delirium is associated with worse outcomes, including postintensive care syndrome and PTSD.
Conclusions:
- Effective diagnosis and treatment of underlying causes are paramount.
- Improving diagnosis and management of pediatric delirium is critical to mitigate long-term consequences.
Purpose Of Review:
This review seeks to provide an update on the diagnosis, management, and outcome of pediatric delirium.
Recent Findings:
Care of patients with delirium depends on correct diagnosis and treatment of its underlying cause. A variety of instruments are available to aid diagnosis. Management of delirium currently depends on atypical antipsychotics, while avoiding agents that may precipitate or exacerbate it. While most critically ill children survive delirium, many children die or have worsening function after their illness. The longer the duration of delirium, the more severe its subsequent problems including postintensive care syndrome and posttraumatic stress disorder. Possible serious long-term consequences emphasize the importance of efforts to improve diagnosis and outcome in critically ill children suffering from delirium.
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