Delirium during Weaning from Mechanical Ventilation
| Autor: | Pitágoras Augusto Piana, Carlos Eduardo de Albuquerque, Amaury Cezar Jorge, Beatriz Fernandes Toccolini, Nicolle Lamberti Costa, Péricles Almeida Delfino Duarte, Erica Fernanda Osaku, Sandy Teixeira Nogueira, Cleverson Marcelo Pilatti, Maria Fernanda Cândia, Caroline Covatti, Marcela Aparecida Leite, Claudia Rejane Lima de Macedo Costa, Suely Mariko Ogasawara |
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| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
medicine.medical_specialty
Under sedation Article Subject medicine.medical_treatment Critical Care and Intensive Care Medicine behavioral disciplines and activities law.invention law mental disorders Medicine Weaning Intensive care medicine Mechanical ventilation business.industry Incidence (epidemiology) lcsh:Medical emergencies. Critical care. Intensive care. First aid lcsh:RC86-88.9 Intensive care unit nervous system diseases Assessment methods Emergency medicine Delirium SOFA score medicine.symptom business Research Article |
| Zdroj: | Critical Care Research and Practice, Vol 2014 (2014) Critical Care Research and Practice |
| ISSN: | 2090-1313 2090-1305 |
| Popis: | Background. We compare the incidence ofdeliriumbefore and after extubation and identify the risk factors and possible predictors for the occurrence ofdeliriumin this group of patients.Methods. Patients weaned from mechanical ventilation (MV) and extubated were included. The assessment ofdeliriumwas conducted using the confusion assessment method for the ICU and completed twice per day until discharge from the intensive care unit.Results. Sixty-four patients were included in the study, 53.1% of whom presented withdelirium. The risk factors ofdeliriumwere age (P=0.01), SOFA score (P=0.03), APACHE score (P=0.01), and a neurological cause of admission (P=0.01). The majority of the patients began withdeliriumbefore or on the day of extubation. Hypoactivedeliriumwas the most common form.Conclusion. Acute (traumatic or medical) neurological injuries were important risk factors in the development ofdelirium. During the weaning process,deliriumdeveloped predominantly before or on the same day of extubation and was generally hypoactive (more difficult to detect). Therefore, while planning early prevention strategies, attention must be focused on neurological patients who are receiving MV and possibly even on patients who are still under sedation. |
| Databáze: | OpenAIRE |
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