tailieunhanh - Báo cáo khoa học: "Clinical review: Agitation and delirium in the critically ill – significance and management"

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: Clinical review: Agitation and delirium in the critically ill – significance and management. | Available online http content 11 3 214 Review Clinical review Agitation and delirium in the critically ill -significance and management Jean-Claude Chevrolet and Philippe Jolliet Hôpital Cantonal Universitaire rue Micheli-du-Crest CH 1211 Geneva 4 Switzerland Corresponding author Jean-Claude Chevrolet Published 17 May 2007 This article is online at http content 11 3 214 2007 BioMed Central Ltd Critical Care 2007 11 214 doi cc5787 Abstract 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 underdiagnosed 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. Introduction Agitation is a psychomotor disturbance characterized by a marked increase in both motor and psychological activities often accompanied by a loss of control of action and a disorganization of thought. This problem is driven by frequently occurring situations in the intensive care unit ICU such as anxiety and delirium. Therefore it is fairly common in the ICU setting particularly in older patients and it may be caused by numerous factors linked both to the disease itself metabolic .