Delirium
Delirium is an abrupt change in the brain that causes mental confusion and emotional disruption. It makes it difficult to think, remember, sleep, pay attention, and more. You might experience delirium during alcohol withdrawal, after surgery, or with dementia.
Cluster Number:
Wiki Number: W052
Diagnosis: Delerium
US Patients: 1-2%, more with age
World Patients:
Sex Ratio:
Age Onset: most after 65
Brain Area: imbalance in dopamine and serotonin
Symptoms: confusion for hours or days, disorientation, disorganized thinking, uncontrolled muscles
Progression:
Causes: drug withdrawal, too much alcohol, prior dementia, sepsis-illness
Medications: haliperidol and other antipsychotics; 60% death rate in hospitalized elders with delerium, increases dementia X13.
Therapies: Maximize oxygen, hydration, feeding, pain control, control of other factors affecting the brain
YouTube Video: Understanding Delirium
Amazon or Library Book: Delirium
Delirium: Screening, Prevention, and Diagnosis – A Systematic Review of the Evidence
Click the book to link or order from Amazon.
Click the book to link or order from Amazon.
4 CURRENT ARTICLES
FROM PUBMED
The world-wide medical research
reports chosen for each diagnosis
Clicking each title opens the
PubMed article’s summary-abstract.
- Impact of Prolonged Continuous Ketamine Infusions in Critically Ill Children: A Prospective Cohort Studyby Paulo Sérgio Lucas da Silva on May 19, 2024
CONCLUSION: The use of ketamine infusion in PICU patients may be associated with an increased rate of adverse events, especially delirium. High-quality studies are needed before ketamine can be broadly recommended or adopted earlier in the sedation protocol.
- Mitigating firearm risks in older adults with delirium through preventive measuresby Yuqi Cui on May 18, 2024
No abstract
- A scoping review of incidence and assessment tools for post-intensive care syndrome following cardiac surgeryby Emily K Phillips on May 18, 2024
CONCLUSION: This scoping review identified a literature gap specific to the incidence and inconsistency of assessment tools for post-intensive care syndrome in cardiac surgery patients.
- The effect of deep and awake extubation on emergence agitation after nasal surgery: a randomized controlled trialby Lulu Suo on May 18, 2024
CONCLUSIONS: Extubation under deep anesthesia can significantly reduce emergence agitation after nasal surgery under general anesthesia without increasing the incidence of adverse events.