SCCM Resource Library-Pharmacologic Management Strategies

Video Transcription

Video Summary

In this video, the speaker, a professor and pharmacist, discusses prevention and pharmacologic strategies for delirium. The speaker emphasizes that drugs are often the cause of delirium, rather than the solution. The speaker recommends against routine use of benzodiazepines, minimizing sedation strategies whenever possible, and not routine use of haloperidol or atypical antipsychotics for preventing delirium. The speaker also discusses the use of dexmedetomidine as a sedative, noting that it has not been associated with altered sleep patterns like benzodiazepines. There is limited evidence regarding the role of melatonin in preventing delirium, with some studies showing no significant decrease in the development of delirium. The speaker also discusses the use of haloperidol and atypical antipsychotics for severe delirium, but emphasizes the need for baseline EKG and routine electrolyte monitoring due to the drugs' toxicity. The speaker concludes by recommending non-pharmacologic therapy and using drugs with caution and monitoring for adverse effects.

Asset Subtitle

Pharmacology, 2023

Asset Caption

Type: one-hour concurrent | Give Hugs, Not Drugs! Managing Pediatric Delirium (Pediatrics) (SessionID 1208596)

Meta Tag

Content Type Presentation

Knowledge Area Pharmacology

Learning Pathway Delirium and Sedation Managment

Membership Level Professional

Membership Level Select

Tag Pharmacology

Year 2023

Keywords

delirium

pharmacologic strategies

benzodiazepines

sedation strategies

non-pharmacologic therapy

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