Réanimation

, Volume 20, Supplement 2, pp 617–620 | Cite as

Confusion et agitation en réanimation — Prise en charge

Enseignement Supérieur en Soins
  • 226 Downloads

Confusion and agitation in the intensive care unit — Management

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Références

  1. 1.
    Ely EW, Shintani A, Truman B, et al (2004) Delirium as a predictor of mortality in mechanically ventilated patients in the intensive care unit. JAMA 291:1753–1762CrossRefPubMedGoogle Scholar
  2. 2.
    Ouimet S, Kavanagh BP, Gottfried SB, Skrobik Y (2007) Incidence, risk factors and consequences of ICU delirium. Intensive Care Med 33:66–73CrossRefPubMedGoogle Scholar
  3. 3.
    Girard TD, Jackson JC, Pandharipande PP, et al (2010) Delirium as a predictor of long-term cognitive impairment in survivors of critical illness. Crit Care Med 38:1513–1520CrossRefPubMedGoogle Scholar
  4. 4.
    Ely EW, Gautam S, Margolin R, et al (2001) The impact of delirium in the intensive care unit on hospital length of stay. Intensive Care Med 27:1892–1900CrossRefPubMedGoogle Scholar
  5. 5.
    Milbrandt EB, Deppen S, Harrison PL, et al (2004) Costs associated with delirium in mechanically ventilated patients. Crit Care Med 32:955–962CrossRefPubMedGoogle Scholar
  6. 6.
    Bergeron N, Dubois MJ, Dumont M, et al (2001) Intensive Care Delirium Screening Checklist: evaluation of a new screening tool. Intensive Care Med 27:859–864CrossRefPubMedGoogle Scholar
  7. 7.
    Pun BT, Ely EW (2007) The importance of diagnosing and managing ICU delirium. Chest 132:624–636CrossRefPubMedGoogle Scholar
  8. 8.
    Iacobone E, Bailly-Salin J, Polito A, et al (2009) Sepsis-associated encephalopathy and its differential diagnosis. Crit Care Med 37:S331–S3S6CrossRefPubMedGoogle Scholar
  9. 9.
    Jaber S, Chanques G, Altairac C, et al (2005) A prospective study of agitation in a medical-surgical ICU: incidence, risk factors, and outcomes. Chest 128:2749–2757CrossRefPubMedGoogle Scholar
  10. 10.
    Caraceni A, Simonetti F (2009) Palliating delirium in patients with cancer. Lancet Oncol 10:164–172CrossRefPubMedGoogle Scholar
  11. 11.
    Pandharipande P, Cotton BA, Shintani A, et al (2008) Prevalence and risk factors for development of delirium in surgical and trauma intensive care unit patients. J Trauma 65:34–41CrossRefPubMedGoogle Scholar
  12. 12.
    Pandharipande P, Shintani A, Peterson J, et al (2006) Lorazepam is an independent risk factor for transitioning to delirium in intensive care unit patients. Anesthesiology 104:21–26CrossRefPubMedGoogle Scholar
  13. 13.
    Kress JP, Pohlman AS, O’Connor MF, Hall JB (2000) Daily interruption of sedative infusions in critically ill patients undergoing mechanical ventilation. N Engl J Med 342:1471–1477CrossRefPubMedGoogle Scholar
  14. 14.
    Kress JP, Gehlbach B, Lacy M, et al (2003) The long-term psychological effects of daily sedative interruption on critically ill patients. Am J Respir Crit Care Med 168:1457–1461CrossRefPubMedGoogle Scholar
  15. 15.
    Girard TD, Kress JP, Fuchs BD, et al (2008) Efficacy and safety of a paired sedation and ventilator weaning protocol for mechanically ventilated patients in intensive care (Awakening and Breathing Controlled trial): a randomised controlled trial. Lancet 371:126–134CrossRefPubMedGoogle Scholar
  16. 16.
    Jackson JC, Girard TD, Gordon SM, et al (2010) Long-term cognitive and psychological outcomes in the awakening and breathing controlled trial. Am J Respir Crit Care Med 182: 183–191CrossRefPubMedGoogle Scholar
  17. 17.
    Pandharipande PP, Pun BT, Herr DL, et al (2007) Effect of sedation with dexmedetomidine vs lorazepam on acute brain dysfunction in mechanically ventilated patients: the MENDS randomized controlled trial. JAMA 298:2644–2653CrossRefPubMedGoogle Scholar
  18. 18.
    Riker RR, Shehabi Y, Bokesch PM, et al (2009) Dexmedetomidine vs midazolam for sedation of critically ill patients: a randomized trial. JAMA 301:489–499CrossRefPubMedGoogle Scholar
  19. 19.
    Pandharipande PP, Sanders RD, Girard TD, et al (2010) Effect of dexmedetomidine versus lorazepam on outcome in patients with sepsis: an a priori-designed analysis of the MENDS randomized controlled trial. Crit Care 14:R38CrossRefPubMedGoogle Scholar
  20. 20.
    Inouye SK, Bogardus ST Jr, Charpentier PA, et al (1999) A multicomponent intervention to prevent delirium in hospitalized older patients. N Engl J Med 340:669–676CrossRefPubMedGoogle Scholar
  21. 21.
    Marcantonio ER, Flacker JM, Wright RJ, Resnick NM (2001) Reducing delirium after hip fracture: a randomized trial. J Am Geriatr Soc 49:516–522CrossRefPubMedGoogle Scholar
  22. 22.
    Lundstrom M, Olofsson B, Stenvall M, et al (2007) Postoperative delirium in old patients with femoral neck fracture: a randomized intervention study. Aging Clin Exp Res 19:178–186PubMedGoogle Scholar
  23. 23.
    Schweickert WD, Pohlman MC, Pohlman AS, et al (2009) Early physical and occupational therapy in mechanically ventilated, critically ill patients: a randomised controlled trial. Lancet 373:1874–1882CrossRefPubMedGoogle Scholar
  24. 24.
    Pohlman MC, Schweickert WD, Pohlman AS, et al (2010) Feasibility of physical and occupational therapy beginning from initiation of mechanical ventilation. Crit Care MedGoogle Scholar
  25. 25.
    no authors] (1999) Practice guideline for the treatment of patients with delirium. American Psychiatric Association. Am J Psychiatry 156:1–20Google Scholar
  26. 26.
    Meagher DJ (2001) Delirium: optimising management. BMJ 322:144–149CrossRefPubMedGoogle Scholar
  27. 27.
    Jacobi J, Fraser GL, Coursin DB, et al (2002) Clinical practice guidelines for the sustained use of sedatives and analgesics in the critically ill adult. Crit Care Med 30:119–141CrossRefPubMedGoogle Scholar
  28. 28.
    Fong TG, Tulebaev SR, Inouye SK (2009) Delirium in elderly adults: diagnosis, prevention and treatment. Nat Rev Neurol 5:210–220CrossRefPubMedGoogle Scholar
  29. 29.
    Devlin JW, Roberts RJ, Fong JJ, et al (2010) Efficacy and safety of quetiapine in critically ill patients with delirium: a prospective, multicenter, randomized, double-blind, placebo-controlled pilot study. Crit Care Med 38:419–427CrossRefPubMedGoogle Scholar
  30. 30.
    Girard TD, Pandharipande PP, Carson SS, et al (2010) Feasibility, efficacy, and safety of antipsychotics for intensive care unit delirium: the MIND randomized, placebo-controlled trial. Crit Care Med 38:428–437CrossRefPubMedGoogle Scholar
  31. 31.
    Sztrymf B, Chevrel G, Bertrand F, et al (2010) Beneficial effects of loxapine on agitation and breathing patterns during weaning from mechanical ventilation. Crit Care 14(3):R86CrossRefPubMedGoogle Scholar
  32. 32.
    Reade MC, O’sullivan K, Bates S, et al (2009) Dexmedetomidine vs haloperidol in delirious, agitated, intubated patients: a randomised open-label trial. Crit Care 13(3):R75CrossRefPubMedGoogle Scholar
  33. 33.
    Qassem Z, Milbrandt EB (2010) Clearing up the confusion: The results of two pilot studies of antipsychotics for ICU delirium. Crit Care 14:316CrossRefPubMedGoogle Scholar
  34. 34.
    Amato L, Minozzi S, Vecchi S, Davoli M (2010) Benzodiazepines for alcohol withdrawal. Cochrane Database Syst Rev 3: CD005063Google Scholar
  35. 35.
    Mayo-Smith MF, Beecher LH, Fischer TL, et al (2004) Management of alcohol withdrawal delirium. An evidence-based practice guideline. Arch Intern Med 164:1405–1412Google Scholar
  36. 36.
    Lucidarme O, Seguin A, Daubin C, et al (2010) Nicotine withdrawal and agitation in ventilated critically ill patients. Crit Care 14:R58CrossRefPubMedGoogle Scholar

Copyright information

© Société de réanimation de langue française (SRLF) 2011

Authors and Affiliations

  1. 1.Service de réanimation médicale et des maladies infectieusesParis cedexFrance

Personalised recommendations