[Delirium-assessment, prevention and treatment : Task in the interprofessional intensive care unit team].
Carsten HermesT OttensP KnitterO HaussM BellgardtV von DossowPublished in: Medizinische Klinik, Intensivmedizin und Notfallmedizin (2022)
Postoperative delirium is a challenge for patients, relatives, nurses, physicians, and healthcare systems. Delirium is associated with increased mortality, longer hospitalization, reduced quality of life, and higher average treatment costs. Consequently, the most recent version of the German Guideline on Analgesia, Sedation and Delirium Management in Intensive Care Medicine (DAS Guideline 2020) emphasizes the importance of delirium prevention. In particular, nonpharmacological interventions play a special role in this regard for basically all patients receiving intensive care. The DAS Guideline stresses the importance of regular systematic screening with validated instruments to recognize developing delirium early and take the appropriate measures in time, as the duration of delirious conditions influences both mortality and quality of life. If delirium manifests, intervention must be immediate and symptom-oriented.
Keyphrases
- cardiac surgery
- hip fracture
- healthcare
- intensive care unit
- randomized controlled trial
- acute kidney injury
- cardiovascular events
- ejection fraction
- newly diagnosed
- disease activity
- palliative care
- type diabetes
- cardiovascular disease
- prognostic factors
- patients undergoing
- patient safety
- patient reported
- ultrasound guided