We evaluated test validity and reliability of the Pediatric Confusion Assessment Method for the ICU (pCAM-ICU), the Pediatric Anesthesia Emergence Delirium (PAED) scale, and our newly created pCAM-ICU severity scale (sspCAM-ICU) for the detection of delirium in PICU patients. We used daily repeated assessments in the same patient to mimic the use of scores in clinical routine.
We present the results of a prospective, non-interventional, observational cohort study that was conducted on two ICUs of a tertiary care medical centre. We assessed delirium monitoring and outcome parameters on a daily basis. Of 355 screened patients, we included 185 surgical ICU patients into our final analysis of which 87 were mechanically ventilated.Read More
The Intensive Care Unit is a potentially hostile environment to the vulnerable critically ill patient. In addition to the physical stress of illness, pain, sedation, interventions, and mechanical ventilation, there are psychological and psychosocial stressors perceived by these patients.
Teresa Nauber highlights the importance of delirium prevention strategies and the need for a person-centered ICU environment.
Data from our recently published survey indicate that awareness concerning a systematic management of delirium, sedation and analgesia in ICU patients is increasing. Fourty-four percent of ICUs that participated in our survey reported to routinely monitor for delirium with a validated score. Thirty-five percent had implemented validated scores for delirium, sedation and analgesia.Read More