tailieunhanh - Báo cáo y học: "Routine delirium monitoring in a UK critical care unit"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Routine delirium monitoring in a UK critical care unit. | Available online http content 13 1 R16 Open Access Routine delirium monitoring in a UK critical care unit Valerie J Page1 Sachin Navarange1 Sibu Gama2 and Danny F McAuley3 1 Department of Anaesthetics Watford General Hospital Vicarage Road Watford WD19 4DZ UK 2Department of Anaesthetics Inkosi Albert Luthuli Central Hospital Private Bag X03 Mayville 4038 South Africa intensive Care Society Co-Director of Research Centre for Infection and Immunity School of Medicine Dentistry and Biomedical Sciences The Queen s University of Belfast Grosvenor Road Belfast BT12 6BN Northern Ireland UK Corresponding author Valerie J Page Received 9 Sep 2008 Revisions requested 28 Oct 2008 Revisions received 26 Nov 2008 Accepted 9 Feb 2009 Published 9 Feb 2009 Critical Care 2009 13 R16 doi cc7714 This article is online at http content 13 1 R16 2009 Page et al. licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Delirium in the intensive care unit ICU is associated with increased morbidity and mortality. Using an assessment tool has been shown to improve the ability of clinicians in the ICU to detect delirium. The confusion assessment method for the ICU CAM-ICU is a validated delirium-screening tool for critically ill intubated patients. The aim of this project was to establish the feasibility of routine delirium screening using the CAM-ICU and to identify the incidence of delirium in a UK critical care unit. Methods Routine CAM-ICU monitoring was implemented in a mixed critical care unit in January 2007 following a two-month educational and promotional campaign. Guidelines for the management of delirium were introduced. During a two-month prospective audit in September .