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Intensive Care Unit Delirium and Intensive Care Unit-Related Posttraumatic Stress Disorder
Annachiara Marra1, Pratik P Pandharipande2, Mayur B Patel3
1Division of Allergy, Pulmonary and Critical Care Medicine, Center for Health Services Research, University of Naples Federico II, Vanderbilt University Medical Center, 1215 21st Avenue South, Medical Center East, Suite 6100, Nashville, TN 37232-8300, USA.
Abstract:
Delirium is one of the most common behavioral manifestations of acute brain dysfunction in the intensive care unit (ICU) and is a strong predictor of worse outcome. Routine monitoring for delirium is recommended for all ICU patients using validated tools. In delirious patients, a search for all reversible precipitants is the first line of action and pharmacologic treatment should be considered when all causes have been ruled out, and it is not contraindicated. Long-term morbidity has significant consequences for survivors of critical illness and for their caregivers. ICU patients may develop posttraumatic stress disorder related to their critical illness experience.
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