Neurocritical Care

, Volume 14, Issue 3, pp 463–474 | Cite as

Delirium and Sedation in the ICU

Review

Abstract

Delirium is defined by a fluctuating level of attentiveness and has been associated with increased ICU mortality and poor cognitive outcomes in both general ICU and neurocritical care populations. Sedation use in the ICU can contribute to delirium. Limiting ICU sedation allows for the diagnosis of underlying acute neurological insults associated with delirium and leads to shorter mechanical ventilation time, shorter length of stay, and improved 1 year mortality rates. Identifying the underlying etiology of delirium is critical to developing treatment paradigms.

Keywords

Delirium Sedation ICU Intensive care Confusion Neurocritical care 

Notes

Conflict of interest

None.

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Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.Neuroscience Intensive Care Unit, Departments of Neurosurgery and NeurologyMount Sinai School of MedicineNew YorkUSA

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