Clinical review: agitation and delirium in the critically ill--significance and management.

Détails

ID Serval
serval:BIB_30A89A930CEA
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Titre
Clinical review: agitation and delirium in the critically ill--significance and management.
Périodique
Critical Care
Auteur⸱e⸱s
Chevrolet J.C., Jolliet P.
ISSN
1466-609X (Electronic)
ISSN-L
1364-8535
Statut éditorial
Publié
Date de publication
2007
Peer-reviewed
Oui
Volume
11
Numéro
3
Pages
214
Langue
anglais
Notes
Publication types: Journal Article ; ReviewPublication Status: ppublish
Résumé
Agitation is a psychomotor disturbance characterized by a marked increase in motor and psychological activity in a patient. It occurs very frequently in the intensive care setting. It may be isolated, or accompanied by other mental disorders, such as severe anxiety and delirium. Frequently, agitation is a sign of brain dysfunction and, as such, may have adverse consequences, for at least two reasons. First, agitation can interfere with the patient's care and second, there is evidence demonstrating that the prognosis of agitated (and delirious) patients is worse than that of non-agitated (non-delirious) patients. These conditions are often under-diagnosed in the intensive care unit (ICU). Consequently, a systematic evaluation of this problem in ICU patients should be conducted. Excellent tools are presently available for this purpose. Treatment, including prevention, must be undertaken without delay, and the ICU physician should follow logical, strict and systematic rules when applying therapy.
Mots-clé
Critical Illness, Delirium/diagnosis, Delirium/therapy, Humans, Intensive Care/methods, Psychomotor Agitation/diagnosis, Psychomotor Agitation/therapy
Pubmed
Web of science
Open Access
Oui
Création de la notice
25/07/2013 14:06
Dernière modification de la notice
20/08/2019 13:15
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