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Difficult Delirium Drug Decisions: Should Antipsyc ...
Difficult Delirium Drug Decisions: Should Antipsychotics Be Used or Avoided?
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Video Transcription
Video Summary
The video discusses the use of antipsychotic drugs for the prevention and treatment of delirium in ICU patients. Delirium is a common problem in ICU patients and can be difficult to diagnose due to its various subtypes. Delirium increases both patient and provider risks for harm and can lead to poor long-term outcomes. The use of antipsychotics for delirium treatment has been studied, but early studies failed to consistently demonstrate benefits in meaningful outcomes such as mortality and length of stay. A meta-analysis of adult inpatients with delirium also showed no significant difference in outcomes when comparing antipsychotics to placebo. Antipsychotics have a high side effect profile and may not provide significant benefits. Other drugs such as IV acetaminophen, propofol, and dexmedetomidine have also been studied, but the evidence is insufficient to make conclusions. The video concludes that there is no recommendation for routine use of antipsychotics for delirium prevention or treatment, and non-pharmacologic therapies should be considered.
Asset Subtitle
Neuroscience, Pharmacology, 2023
Asset Caption
Type: two-hour concurrent | Treatments on Autopilot (SessionID 1119558)
Meta Tag
Content Type
Presentation
Knowledge Area
Neuroscience
Knowledge Area
Pharmacology
Learning Pathway
Delirium and Sedation Managment
Membership Level
Professional
Membership Level
Select
Tag
Delirium
Tag
Psychopharmacology
Year
2023
Keywords
antipsychotic drugs
delirium
ICU patients
diagnosis
non-pharmacologic therapies
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