SCCM Resource Library-Effect of ICU Therapeutics in Older Adults: COVID and Beyond

Video Transcription

Video Summary

In this video, the speaker discusses challenges with pharmacotherapy in critically ill elderly patients. They highlight that the elderly population is growing and that these patients often have comorbidities and are more vulnerable to poor outcomes. They discuss the relationship between frailty and outcomes such as delirium, hospital length of stay, and mortality. The speaker also emphasizes the importance of medication optimization in the ICU, considering factors such as changes in fluid status, renal or hepatic function, and pharmacokinetics and dynamics in the elderly. They discuss the impact of sedatives and analgesics on outcomes, such as delirium and cognitive function, and highlight the need for minimizing these medications and implementing best practices. They also discuss considerations for antimicrobial therapy, including dose adjustments and pharmacodynamics. The speaker concludes by discussing the challenges of polypharmacy in the ICU and the importance of appropriate prescribing and deprescribing, including the use of interventions such as electronic decision support.

Asset Subtitle

Neuroscience, 2023

Asset Caption

Type: one-hour concurrent | Care of the Older ICU Patient in the COVID Era and Beyond (SessionID 1192501)

Meta Tag

Content Type Presentation

Knowledge Area Neuroscience

Learning Pathway Delirium and Sedation Managment

Membership Level Professional

Membership Level Select

Tag Delirium

Year 2023

Keywords

pharmacotherapy

elderly patients

frailty

medication optimization

ICU

polypharmacy

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