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Intensivmedizin up2date 2008; 4(4): 309-316
DOI: 10.1055/s-2008-1077557
DOI: 10.1055/s-2008-1077557
Allgemeine Prinzipien der Intensivmedizin
© Georg Thieme Verlag KG Stuttgart · New York
Das ICU-Delir – die sekundäre Psychose auf der Intensivstation
Weitere Informationen
Publikationsverlauf
Publikationsdatum:
06. November 2008 (online)
![](https://www.thieme-connect.de/media/intensiv-u2d/200804/lookinside/thumbnails/10.1055-s-2008-1077557-1.jpg)
Kernaussagen
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Delirante Patienten sind länger auf der Intensivstation und sterben häufiger.
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Prophylaktische Strategien können ein Delir verhindern.
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Schmerz und Sedierung/Bewusstseinstrübung = Delir
Literatur
- 1 Saß H, Wittchen H U, Zaudig M, Houben I. Diagnostische Kriterien DSM-IV-TR. Göttingen; Hogrefe 2003
- 2 McGuire B, Basten C, Ryan C, Gallagher J. Intensive care unit syndrome: a dangerous misnomer. Arch Intern Med. 2000; 160 906-909
- 3 Pun B, Ely E. The importance of diagnosing and managing ICU delirium. Chest. 2007; 132 624-636
- 4 Ely E, Siegel M, Inouye S. Delirium in the intensive care unit: an under-recognized syndrome of organ dysfunction. Seminars in Respiratory and Critical Care Medicine. 2001; 22 115-126
- 5 Sessler C, Gosnell M, Grap M. et al . The Richmond Agitation-Sedation Scale: validity and reliability in adult intensive care unit patients. American Journal of Respiratory and Critical Care Medicine. 2002; 166 1338-1344
- 6 Peterson J, Pun B, Dittus R. et al . Delirium and its motoric subtypes: a study of 614 critically ill patients. Journal of the American Geriatrics Society. 2006; 54 479-484
- 7 Plaschke K, von Haken R, Scholz M. et al . Comparison of the confusion assessment method for the intensive care unit (CAM-ICU) with the Intensive Care Delirium Screening Checklist (ICDSC) for delirium in critical care patients gives high agreement rate(s). Int Care Med. 2008; 34 431-436
- 8 Polderman K. Screening methods for delirium: don’t get confused!. Int Care Med. 2007; 33 3-5
- 9 Ouimet S, Kavanagh B, Gottfried S, Skrobik Y. Incidence, risk factors and consequences of ICU delirium. Int Care Med. 2007; 33 66-73
- 10 Ely E, Shintani A, Truman B. et al . Delirium as a predictor of mortality in mechanically ventilated patients in the intensive care unit. JAMA. 2004; 291 1753-1762
- 11 Pisani M, Murphy T, Van Ness P, Araujo K, Inouye S. Characteristics associated with delirium in older patients in a medical intensive care unit. Arch Intern Med. 2007; 167 1629-1634
- 12 Dubois M. Delirium in an intensive care unit: a study of risk factors. Intensive Care Medicine. 2001; 27 1297-1304
- 13 Heymann A, Sander M, Krahne D. et al . Hyperactive delirium and blood glucose control in critically ill patients. Journal of International Medical Research. 2007; 35 666-677
- 14 Inouye S, Boggardus S J, Charpentier P. et al . A multicomponent intervention to prevent delirium in hospitalized older patients. N Engl J Med. 1999; 340 669-676
Prof. Dr. Rolf Biniek
Rheinische Kliniken Bonn
Abteilung Neurologie
Kaiser-Karl-Ring 20
53111 Bonn
Telefon: 0228 5512155
Fax: 0228 5512376
eMail: rolf.biniek@lvr.de