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  3. Delirium in Critical Care
  • Cited by 12
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    • Publisher:
      Cambridge University Press
      Publication date:
      05 December 2011
      17 February 2011
      ISBN:
      9780511997389
      DOI:
      https://doi.org/10.1017/CBO9780511997389
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      • Subjects:
      Anesthesia, Intensive Care, Pain Management, Medicine
      Series:
      Core Critical Care
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    • Selected: Digital
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    Subjects:
    Anesthesia, Intensive Care, Pain Management, Medicine
    Series:
    Core Critical Care
    Information

    Book description

    Delirium is a common clinical problem in critical care patients, with up to 80% of patients experiencing at least one episode during their time on a critical care unit. It is associated with significantly adverse outcomes for patients, including death and long-term cognitive impairment equivalent to at least a mild dementia. This clinical handbook explains why delirium goes unrecognised in most ICUs and describes simple tools the bedside clinician can use to detect it, even in the ventilated patient. It is in an easy-to-read format and illustrated with figures, case reports and patient testimony. This book contains all you need to know in order to prevent, diagnose and manage delirium in your patients. Delirium in Critical Care is essential reading for all members of the intensive care multidisciplinary team, including senior and junior physicians, and nurses.

    Reviews

    '[This book] … is aimed at the '… trainee intensivist or anaesthetist …' but would be an invaluable read for any member of the multidisciplinary team … It was my bedtime reading for two nights and I couldn't put it down! I highly recommend it to anyone involved in caring for patients in critical care.'

    Source: British Journal of Anaesthesia

    '… an easy-to-read summary of a vital clinical problem.'

    Source: Doody's Notes

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    Contents

    Contents
    References
    Selected references
    Lipowski, ZJ. Delirium: Acute Confusional States. New York, Oxford University Press, 1990.
    Inouye, SKet al. Nurse recognition of delirium and its symptoms: comparison of nurse and researcher ratings. Archives of Internal Medicine 2001; 161: 2467–73.
    Eijk, MMet al. Comparison of delirium assessment tools in a mixed intensive care unit. Critical Care Medicine 2009; 37: 1881–5.
    Spronk, PEet al. Occurrence of delirium is severely underestimated in the ICU during daily care. Intensive Care Medicine 2009; 35: 1276–80.
    Grassi, Let al. Depression or hypoactive delirium? A report of ciprofloxacin-induced mental disorder in a patient with chronic obstructive pulmonary disease. Psychotherapy and Psychosomatics 2001; 70: 58–9.
    Dunn, WFet al. Iatrogenic delirium and coma: a near miss. Chest 2008; 133: 1217–20.
    Spiller, JA and Keen, JC.Hypoactive delirium: assessing the extent of the problem for inpatient specialist palliative care. Palliative Medicine 2006; 20: 17–23.
    Angles, EMet al. Risk factors for delirium after major trauma. American Journal of Surgery 2008; 196: 864–70.
    Luetz, Aet al. Different assessment tools for intensive care unit delirium: which score to use. Critical Care Medicine 2010; 38: 409–18.
    Inouye, SKet al. A multicomponent intervention to prevent delirium in hospitalized older patients. New England Journal of Medicine 1999; 340: 669–76.
    Coyle, Net al. Delirium as a contributing factor to “crescendo” pain: three case reports. Journal of Pain and Symptom Management 1994; 9: 44–7.
    Breitbart, W and Alici, Y.Agitation and delirium at the end of life: “we couldn't manage him”. Journal of the American Medical Association 2008; 300: 2898–910.
    Annas, GJ.The last resort – the use of physical restraints in medical emergencies. New England Journal of Medicine 1999; 341: 1408–12.
    Reddy, Set al. Opioids masquerading as delirium in a patient with cancer pain and obstructive sleep apnea. Journal of Palliative Medicine 2008; 11: 1043–5.

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