术后谵妄:重症监护病房管理的文献综述

Cendy Legowo
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引用次数: 0

摘要

围手术期谵妄是一个广泛的问题,直接影响到主要临床结果。麻醉师必须了解如何定义和诊断谵妄,识别谵妄的高危患者,识别诱发因素,适当调整护理计划,并在术后急性期管理谵妄。谵妄是危重患者的一种器官功能障碍,与发病率的提高独立相关。近十年来,对住院病人(包括危重病人)谵妄的研究呈指数增长。这项研究强调需要对谵妄的机制进行解释,以帮助推进最终导致其预防和治疗的研究。在这项研究中,来自多国和多学科的临床医生,以及来自重症监护医学、精神病学、麻醉学、神经病学和药学等领域的研究人员寻求在重症监护病房(ICU)谵妄的管理方面进行合作。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Postoperative Delirium: A Literature Review of Management in Intensive Care Unit
Perioperative delirium is a wide-ranging problem that directly affects primary clinical results. The anesthesiologist must understand how to define and diagnose delirium, identify patients at high risk of delirium, identify predisposing factors to adjust the care plan appropriately, and manage delirium in the acute postoperative period. Delirium is an organ dysfunction in critically ill patients, independently associated with improved morbidity. Research on delirium in hospitalized patients (including critically ill patients) has increased exponentially in the last decade. This study emphasizes the need for a mechanistic explanation of delirium to help advance the research that ultimately leads to its prevention and treatment. In this study, multinational and multidisciplinary clinicians, and researchers from the fields of critical care medicine, psychiatry, anesthesiology, neurology, and pharmacy sought to collaborate in the management of delirium in the intensive care unit (ICU).
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