如何管理重症监护病房中的紧张症、帕金森症和痴呆症。

IF 3.5 3区医学 Q1 CRITICAL CARE MEDICINE

Current Opinion in Critical Care Pub Date : 2024-04-01 Epub Date: 2024-02-02 DOI:10.1097/MCC.0000000000001142

David Attali, Charlotte Calligaris, David Grabli, Arjen J C Slooter

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引用次数: 0

摘要

回顾的目的：神经退行性疾病和精神疾病的发病率不断上升，再加上他们的虚弱所带来的挑战，给重症监护病房（ICU）的重症监护医生带来了复杂的问题。这篇综述文章探讨了在重症监护病房护理紧张症、帕金森病（PD）和痴呆症患者的具体问题，并阐明了这些领域的最新进展：紧张症是一种可能危及生命的神经精神综合征，但其诊断率仍然很低，病因也多种多样。重症监护病房中的帕金森病患者在入院标准、多巴胺能治疗和呼吸护理方面面临着独特的挑战。痴呆会增加谵妄的风险。谵妄与长期认知功能障碍和痴呆有关。总结：虽然缺乏证据，但仍需进一步研究，以指导对患有这些合并症的 ICU 患者的治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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How to manage catatonia, Parkinson and dementia in ICU.

Purpose of review: The rising prevalence of neurodegenerative and mental disorders, combined with the challenges posed by their frailty, has presented intensivists with complex issues in the intensive care unit (ICU). This review article explores specific aspects of care for patients with catatonia, Parkinson's disease (PD), and dementia within the context of the ICU, shedding light on recent developments in these fields.

Recent findings: Catatonia, a neuropsychiatric syndrome with potentially life-threatening forms, remains underdiagnosed, and its etiologies are diverse. PD patients in the ICU present unique challenges related to admission criteria, dopaminergic treatment, and respiratory care. Dementia increases the risk of delirium. Delirium is associated with long-term cognitive impairment and dementia.

Summary: While evidence is lacking, further research is needed to guide treatment for ICU patients with these comorbidities.

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来源期刊

Current Opinion in Critical Care 医学-危重病医学

CiteScore

5.90

自引率

3.00%

发文量

172

审稿时长

6-12 weeks

期刊介绍： Current Opinion in Critical Care delivers a broad-based perspective on the most recent and most exciting developments in critical care from across the world. Published bimonthly and featuring thirteen key topics – including the respiratory system, neuroscience, trauma and infectious diseases – the journal’s renowned team of guest editors ensure a balanced, expert assessment of the recently published literature in each respective field with insightful editorials and on-the-mark invited reviews.