Delirium in Critical Care

Front Cover
Cambridge University Press, Feb 17, 2011 - Medical
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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.
 

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Contents

Chapter 1 What is delirium in critical care?
1
Chapter 2 How common is delirium in critical care?
14
Chapter 3 What does delirium look like in critical care?
27
Chapter 4 Delirium in critical care how does it happen?
45
Chapter 5 Delirium what causes it? Risk factors
68
Chapter 6 Delirium in critical care why is it important?
94
Chapter 7 Delirium in critical care how do we diagnose it?
109
Chapter 8 How to prevent delirium?
139
Chapter 9 Treatment of delirium in critical care
153
Chapter 10 Mental capacity and restraints
180
Chapter 11 Endoflife care
191
Chapter 12 What is the future?
202
SELECTED References
208
Index
210
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About the author (2011)

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

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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