Intensive Care Unit Delirium and Intensive Care Unit-Related Posttraumatic Stress Disorder

Surg Clin North Am. 2017 Dec;97(6):1215-1235. doi: 10.1016/j.suc.2017.07.008. Epub 2017 Oct 5.

Abstract

Delirium is one of the most common behavioral manifestations of acute brain dysfunction in the intensive care unit (ICU) and is a strong predictor of worse outcome. Routine monitoring for delirium is recommended for all ICU patients using validated tools. In delirious patients, a search for all reversible precipitants is the first line of action and pharmacologic treatment should be considered when all causes have been ruled out, and it is not contraindicated. Long-term morbidity has significant consequences for survivors of critical illness and for their caregivers. ICU patients may develop posttraumatic stress disorder related to their critical illness experience.

Keywords: Brain dysfunction; Critical illness; Delirium; ICU-related PTSD; Intensive care unit; Long-term cognitive impairment; Posttraumatic stress disorder.

Publication types

  • Review

MeSH terms

  • Antipsychotic Agents / therapeutic use
  • Brain Diseases / etiology
  • Cognition Disorders / etiology
  • Conscious Sedation
  • Critical Care / psychology*
  • Critical Illness / psychology*
  • Delirium / etiology*
  • Delirium / therapy
  • Early Ambulation / methods
  • Exercise Therapy / methods
  • Family
  • Humans
  • Pain Measurement
  • Stress Disorders, Post-Traumatic / etiology*
  • Ventilator Weaning

Substances

  • Antipsychotic Agents