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Assessment and Management of the Delirious Patient in the Intensive Care Unit

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Key Topics in Management of the Critically Ill

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Abstract

Delirium is common in critical care patients and is challenging to diagnose. This account describes delirium risk factors, diagnostic criteria, screening tools and the consequences of delirium for patients including long-term cognitive impairment. It outlines currently available non-pharmacological and pharmacological management interventions to reduce and manage delirium symptoms.

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Abbreviations

CAM-ICU:

Confusion Assessment Method for the Intensive Care Unit

DSM-5 :

Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition

ICDSC:

Intensive Care Delirium Screening Checklist

NICE:

National Institute for Health and Care Excellence

PAD:

Pain, Agitation and Delirium

RASS:

Richmond Agitation Sedation Score

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Authors and Affiliations

  1. Department of Anaesthesia, Watford General Hospital, Vicarage Road, Watford, WD18 0HB, UK

    Valerie J. Page MB, BCh, FRCA, FFICM & Annalisa Casarin

Authors
  1. Valerie J. Page MB, BCh, FRCA, FFICM
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  2. Annalisa Casarin
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Corresponding author

Correspondence to Valerie J. Page MB, BCh, FRCA, FFICM .

Editor information

Editors and Affiliations

  1. Anaesthesia and Intensive Care Medicine, Chelsea and Westminster Hospital, London, United Kingdom

    Marcela P. Vizcaychipi

  2. Cardiothoracic Anaesthesia and Intensive, St George's Hospital, London, United Kingdom

    Carlos M. Corredor

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Page, V.J., Casarin, A. (2016). Assessment and Management of the Delirious Patient in the Intensive Care Unit. In: Vizcaychipi, M., Corredor, C. (eds) Key Topics in Management of the Critically Ill. Springer, Cham. https://doi.org/10.1007/978-3-319-22377-3_2

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  • DOI: https://doi.org/10.1007/978-3-319-22377-3_2

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-22376-6

  • Online ISBN: 978-3-319-22377-3

  • eBook Packages: MedicineMedicine (R0)

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