SCCM Resource Library-Controversies in Delirium: This Drug, That Drug, No Drugs at All!

Video Transcription

Video Summary

The speakers discussed the use of non-pharmacological interventions for the prevention and treatment of delirium in critically ill adults. They emphasized the importance of multi-component interventions that target both predisposing and precipitating risk factors. The ABCDEF bundle, which includes many non-pharmacological interventions, was highlighted as an effective protocol for delirium prevention. Other interventions discussed included reorientation strategies, family voice recordings, psychological educational interventions, and sleep hygiene measures. The speakers also mentioned the importance of creating an ICU environment that supports non-pharmacological interventions, such as reducing noise and providing space for mobility. They acknowledged the challenge of evaluating individual components of non-pharmacological interventions and highlighted the need for more research in this area. Overall, they concluded that non-pharmacological interventions play a crucial role in the prevention and treatment of delirium in the ICU setting.

Asset Subtitle

Neuroscience, Pharmacology, 2020

Asset Caption

The Society of Critical Care Medicine's Critical Care Congress features internationally renowned faculty and content sessions highlighting the most up-to-date, evidence-based developments in critical care medicine. This is a presentation from the 2020 Critical Care Congress held February 16-19, 2020, in Orlando, Florida, USA.

Learning Objectives

Identify sedatives and analgesics appropriate for prevention and treatment of ICU delirium
Recognize situations and specific patients for whom antipsychotics are appropriate treatment for ICU delirium
Design environmental and behavioral approaches to decrease delirium incidence in the ICU

Ideal Sedatives and Analgesics to Prevent and Treat ICU Delirium

John W. Devlin

Antipsychotics in the Treatment and Prevention of ICU Delirium

Pamela L. Smithburger

Nonpharmacologic Therapies to Prevent and Treat ICU Delirium

Juliane Jablonski

Meta Tag

Content Type Presentation

Knowledge Area Neuroscience

Knowledge Area Pharmacology

Knowledge Level Intermediate

Knowledge Level Advanced

Membership Level Select

Membership Level Professional

Membership Level Associate

Tag Delirium

Tag Psychopharmacology

Year 2020

Keywords

non-pharmacological interventions

delirium prevention

multi-component interventions

ABCDEF bundle

reorientation strategies

family voice recordings

psychological educational interventions

sleep hygiene measures

ICU environment

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