Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Delirium in the intensive care unit: An under-recognized syndrome of organdysfunction
Autore:
Ely, EW; Siegel, MD; Inouye, SK;
Indirizzi:
Vanderbilt Univ, Med Ctr, Div Allergy Pulm Crit Care Med, Med Ctr E, Nashville, TN 37232 USA Vanderbilt Univ Nashville TN USA 37232 Med Ctr E, Nashville, TN 37232 USA Vanderbilt Univ, Sch Med, Ctr Hlth Serv Res, Dept Med, Nashville, TN 37212USA Vanderbilt Univ Nashville TN USA 37212 , Dept Med, Nashville, TN 37212USA Yale Univ, Sch Med, Div Pulm & Crit Care Med, Dept Internal Med, New Haven, CT USA Yale Univ New Haven CT USA are Med, Dept Internal Med, New Haven, CT USA Yale Univ, Sch Med, Div Geriatr, Dept Internal Med, New Haven, CT USA YaleUniv New Haven CT USA Geriatr, Dept Internal Med, New Haven, CT USA
Titolo Testata:
SEMINARS IN RESPIRATORY AND CRITICAL CARE MEDICINE
fascicolo: 2, volume: 22, anno: 2001,
pagine: 115 - 126
SICI:
1069-3424(2001)22:2<115:DITICU>2.0.ZU;2-S
Fonte:
ISI
Lingua:
ENG
Soggetto:
CRITICALLY ILL PATIENTS; MECHANICALLY VENTILATED PATIENTS; ELDERLY PATIENTS; OLDER PATIENTS; POSTOPERATIVE DELIRIUM; HOSPITALIZED ADULTS; PULMONARY-DISEASE; MEDICAL PATIENTS; COGNITIVE TEST; SERIOUSLY ILL;
Keywords:
delirium; aging; geriatrics; cognitive impairment; mechanical ventilation; sedatives; analgesics; respiratory diseases; critical care;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
96
Recensione:
Indirizzi per estratti:
Indirizzo: Ely, EW Vanderbilt Univ, Med Ctr, Div Allergy Pulm Crit Care Med, Med Ctr E, 6th Floor,Room 6109, Nashville, TN 37232 USA Vanderbilt Univ 6th Floor,Room 6109 Nashville TN USA 37232 232 USA
Citazione:
E.W. Ely et al., "Delirium in the intensive care unit: An under-recognized syndrome of organdysfunction", SEM RESP CR, 22(2), 2001, pp. 115-126

Abstract

The intensivist should think of delirium, or acute central nervous system dysfunction, as the brain's form of "organ dysfunction. " Delirium is extremely common in intensive care unit (ICU) patients due to factors such as comorbidity, critical illness, and iatrogenesis, This complication of hospitalstay is extremely hazardous in older persons and is associated with prolonged hospital stays, instirutionalization, and death. Neurologic dysfunctioncom promises patients' ability to be removed from mechanical ventilation or achieve full recovery and independence. Yet ICU nurses and physicians areusually unaware of the presence of hypoactive delirium and only recognize this disturbance in agitated patients (hyperactive delirium). More importantly, there are few studies that have included ICU patients in the assessment or prevention of delirium. This article reviews the definition and salient features of delirium, its primary risk factors, a newly validated instrument for delirium assessment that is being developed for ICU nurses and physicians, and pharmacological agents associated with the development of delirium and used in its management.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 18/01/20 alle ore 10:39:53