SCCM Resource Library-Resuscitating the Letter D: Assess, Prevent, and Treat Delirium

Video Transcription

Video Summary

ICU delirium is a clinical syndrome characterized by changes in mental state, inattention, and altered consciousness. It can have serious impacts on patients, including longer hospital stays and increased mortality. The COVID-19 pandemic has worsened the prevalence of ICU delirium due to factors such as deep sedation, restricted family visitation, and organizational issues. Critically ill COVID-19 patients are particularly at risk due to the combination of systemic inflammation, sedation, and prolonged ventilation. Delirium management involves routine assessment using tools like CAM ICU and ICDSC, as well as non-pharmacological strategies such as effective pain management, minimizing sedation, and early mobilization. However, there are barriers to implementing these strategies, including staffing shortages and lack of buy-in and support from staff and leadership. Overcoming these barriers requires intensivist-led teams, cross-training, and virtual communication with families to improve bundle performance. Future strategies for delirium management include continuous brain function monitors, personalized sedation strategies, ICU redesign, and ensuring the delivery of ICU liberation bundle to all patients.

Asset Subtitle

Quality and Patient Safety, Neuroscience, 2023

Asset Caption

Type: two-hour concurrent | Resuscitating the ICU Liberation Bundle Following COVID-19 (SessionID 9990088)

Meta Tag

Content Type Presentation

Knowledge Area Quality and Patient Safety

Knowledge Area Neuroscience

Learning Pathway Delirium and Sedation Managment

Membership Level Professional

Membership Level Select

Tag Guidelines

Tag Delirium

Year 2023

Keywords

ICU delirium

COVID-19 pandemic

delirium management

sedation

bundle performance

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