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Delirium in Critical Care

$32.00 USD

Part of Core Critical Care

  • Date Published: February 2012
  • availability: This ISBN is for an eBook version which is distributed on our behalf by a third party.
  • format: Adobe eBook Reader
  • isbn: 9781139199940

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  • 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.

    • Written in a comprehensive evidence-based style, using case reports and available web resources
    • Practical and clinically relevant, enabling detection and management of delirium in any ICU
    • Directed at monitoring and optimizing patients' brain function while on the ICU, increasing the potential to significantly improve patient outcomes
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    Reviews & endorsements

    '[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.' British Journal of Anaesthesia

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

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    Product details

    • Date Published: February 2012
    • format: Adobe eBook Reader
    • isbn: 9781139199940
    • contains: 25 b/w illus. 20 tables
    • availability: This ISBN is for an eBook version which is distributed on our behalf by a third party.
  • Table of Contents

    Foreword
    Part I. What is Delirium in Critical Care?:
    1. Delirium as acute brain failure
    2. DSM IV criteria
    3. History
    4. Terminology in critical care
    Part II. Delirium in Critical Care - How Common Is It?:
    5. Incidence and prevalence in different critical care populations
    6. Duration
    Part III. Delirium in Critical Care - What Does It Look Like?:
    7. Hyperactive, hypoactive, mixed motoric subtypes
    8. Clinical examples
    Part IV. Delirium in Critical Care - How Does It Happen?:
    9. Pathophysiology, including theories for septic encephalopathy, cortisol, modulation immune system
    Part V. Delirium in Critical Care - What Causes It?:
    10. Risk factors, predisposing and precipitating
    Part VI. Delirium in Critical Care - Why Is It Important?:
    11. Adverse outcomes
    12. Independent predictor mortality
    13. Association with long-term cognitive impairment
    14. Diagnosing new morbidity in patients
    15. Impact on relatives and family
    Part VII. Delirium in Critical Care - How Do We Diagnose It?:
    16. Screening tools, CAM-ICU, ICDSC and even NEECHAM (not useful in intubated patients)
    Part VIII. Delirium in Critical Care - How Do We Prevent It?:
    17. Multi-component interventions to minimise predisposing risk factors
    18. Drugs used for sedation
    Part IX. Delirium in Critical Care - How Do We Treat It?:
    19. Identifying and treating precipitating cause
    20. Antipsychotics
    21. Do we need to involve a psychiatrist?
    Part X. Delirium in Critical Care and the Law:
    22. Mental capacity and ability to make choices
    23. End of life care in delirious patients
    Part XI. Delirium in Critical Care - What's Its Future In Critical Care?:
    24. Routine screening in ICUs, early management
    25. New ways of giving old sedative drugs, new drugs
    26. Research into whether treating delirium, decreasing duration improves outcomes
    27. Follow up cognitive assessment
    Index.

  • Authors

    Valerie Page, Watford General Hospital
    Valerie Page is Consultant in Critical Care, Watford General Hospital, West Hertfordshire Hospitals NHS Trust, UK.

    E. Wesley Ely, Vanderbilt University School of Medicine
    Wesley Ely is Professor of Medicine, Division of Allergy, Pulmonary, and Critical Care Medicine, Vanderbilt University School of Medicine and Vanderbilt University Medical Center, Nashville, Tennessee, USA.

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