Critical Matters Deep Dive in Delirium
17 snips
Jun 12, 2019 Wesley Ely, a professor of medicine at Vanderbilt University and co-director of the CIBS Center, dives into the critical impact of delirium on ICU patients. He discusses innovative assessment methods like the CAM-ICU and highlights the long-term cognitive risks, including dementia, following ICU stays. Ely emphasizes non-pharmacological strategies to enhance patient environments and improve outcomes, such as natural light and physical activity. Communication during patient transitions is also crucial, advocating for structured care approaches to manage delirium effectively.
AI Snips
Chapters
Books
Transcript
Episode notes
Fix Sensory Deprivation Fast
- Reintroduce patients' glasses and hearing aids promptly to reduce sensory deprivation and delirium.
- Small environmental fixes can rapidly reverse delirium in some cases.
Teach Delirium Across Units
- Teach delirium recognition to both ICU and floor nurses to preserve continuity after ICU transfer.
- Include CAM status in warm handoffs so receiving staff know how to manage brain dysfunction.
Prevent Delirium With ABCDEF Steps
- Prevent delirium using the ABCDEF bundle: manage pain, daily SAT/SBT, choose non-delirogenic drugs, monitor delirium, mobilize early, and involve family.
- Follow the bundle as a checklist to avoid skipping evidence-based steps.
