Das Delir auf Intensivstationen

Ein Überblick für Pflegekräfte und Ärzte
  • A. Luetz
  • B. Weiss
  • H. Held
  • C.D. SpiesEmail author
CME Zertifizierte Fortbildung


Das Delir ist eine der häufigsten akuten Organdysfunktionen während einer intensivmedizinischen Behandlung. Seine Inzidenz ist mit 50% bei nichtbeatmeten und bis zu 80% bei beatmeten Patienten sehr hoch. Im Rahmen der klinischen Routineversorgung von kritisch kranken Patienten bleibt es, insbesondere wegen der mangelhaften Implementierung valider Messinstrumente, häufig unerkannt. Ein Delir ist mit einer verlängerten Beatmungsdauer, einer verlängerten Krankenhausverweildauer, erhöhten Komplikationsraten, wie nosokomialen Infektionen, und einer erhöhten Mortalität assoziiert. Maßnahmen zur verbesserten Diagnostik und Behandlung können nur erfolgreich sein, wenn Ärzte, Pflegekräfte und medizinisches Personal eng zusammenarbeiten und Strategien gemeinsam umsetzen.


Delir Intensivstationen Analgosedierung Monitoring Delirprävention 

Delirium in the intensive care unit

Overview for nurses and physicians


Delirium is a severe but frequent organ dysfunction in intensive care units (ICU) affecting nearly 80% of mechanically ventilated patients and up to 50% of non-ventilated patients. Although guidelines for diagnosis and treatment of delirium exist it often remains underdiagnosed due to the lack of implementation of these guidelines. Therefore, the chance of a positive outcome for patients can be significantly reduced. Delirium results in longer mechanical ventilation, extended hospital stay, more nosocomial infections and an increased mortality. Measures which improve the frequency of diagnosis and increase the quality of treatment will only be successful if physicians, nursing staff and other medical staff on ICUs realize strategies together and raise their awareness on delirium.


Delirium Intensive care units Analgesia Monitoring Prevention 



Der korrespondierende Autor gibt für sich und seine Koautoren an, dass kein Interessenkonflikt besteht.


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Copyright information

© Springer-Verlag 2012

Authors and Affiliations

  1. 1.Klinik für Anästhesiologie mit Schwerpunkt operative IntensivmedizinCharité-Universitaetsmedizin Berlin, Campus Virchow-Klinikum BerlinDeutschland
  2. 2.Klinik für Anästhesiologie mit Schwerpunkt operative IntensivmedizinCharité-Universitaetsmedizin Berlin, Campus MitteBerlinDeutschland

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