Recognition and Management of Delirium in the Neonatal Intensive Care Unit: Case Series From a Single-Center Level 4 Intensive Care Unit.
Stacey DornetteStephen DeptolaBrianna HemmannCharu VenkatesanDonnaMaria E CortezzoPublished in: Journal of child neurology (2024)
Delirium often goes unrecognized in neonates and children because of lack of experience in evaluating behavior and cognition, insufficient awareness of the prevalence, and nondistinctive symptoms in this population. Although there are increasing reports of the presence of delirium in neonates, there are few data to guide the pharmacologic treatment in this population. In this retrospective single-center case series, we present our experience using quetiapine to treat delirium in 9 medically complex neonates. Based on an extensive literature review, expert opinion, and institutional experience, we propose an approach for monitoring and treating delirium in neonates and infants.
Keyphrases
- cardiac surgery
- hip fracture
- low birth weight
- intensive care unit
- preterm infants
- acute kidney injury
- risk factors
- electronic health record
- emergency department
- case report
- multiple sclerosis
- big data
- cross sectional
- machine learning
- white matter
- preterm birth
- depressive symptoms
- physical activity
- mild cognitive impairment
- combination therapy
- smoking cessation
- replacement therapy