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Published on: February 6, 2021
Insights
Pediatric delirium, once overlooked, is now understood in intensive care. This review covers its causes, recognition tools, and management for children.
Area of Science:
- Pediatric critical care medicine
- Neuroscience
- Child psychology
Background:
- Delirium is a recognized condition in adult intensive care.
- Pediatric intensive care unit (PICU) delirium is a growing area of research.
- Delirium can occur outside the PICU and is often under-recognized.
Purpose of the Study:
- To review the current understanding of pediatric delirium.
- To discuss the pathophysiology, screening tools, and management strategies for pediatric delirium.
Main Methods:
- Literature review of pediatric delirium research.
- Synthesis of existing data on risk factors, recognition, and treatment.
- Discussion of screening tools and management approaches.
Main Results:
- Increased understanding of pediatric delirium risk factors.
- Development of specific recognition and management strategies for children.
- Recognition of delirium's relevance beyond the PICU.
Conclusions:
- Pediatric delirium is increasingly studied and understood.
- Effective screening and management protocols are crucial for pediatric patients.
- Awareness of delirium in pediatric care settings is essential for timely intervention.
Abstract:
Delirium has long been recognized within the adult intensive care world, but it is only within the past decade that its presence and prevalence in the context of pediatric intensive care has been studied. There is now a greater understanding of risk factors for delirium, a better selection of methods to recognize it, and treatment specifically directed to pediatric patients. An understanding of delirium is also relevant to pediatricians practicing outside of the intensive care unit, as delirium can present in other care environments, where it remains under-recognized. The purpose of this article is to review pediatric delirium by discussing its pathophysiology, the tools available to screen patients, and current prevention and management approaches. [.
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