eISSN: None / ISSN: None
Register
Login
Netharland Journal of Critical Care
2020, Volume 28, Issue 3 : 126-133
Review
Delirium in the ICU – a structured review of promising diagnostic and therapeutic approaches: Next steps in ICU delirium
Smit L.
 ,
Van Der Jagt M.
Abstract
Background: The purpose of this review is to provide a structured overview of emerging diagnostic and therapeutic modalities for delirium in critically ill patients. Methods: Literature searches were carried out to identify relevant articles for both diagnostic and therapeutic approaches other than those included in the 2018 Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU guidelines, including prospective and retrospective studies. Results: Regarding diagnostic approaches seven articles were included. The Neelon and Champagne (NEECHAM) Confusion Scale, Stanford Proxy Test for Delirium (S-PTD), and DelApp- ICU yielded excellent diagnostic performances. We included seven articles studying different therapies. Some therapies showed potential to decrease the burden of delirium, using different pathophysiological pathways than antipsychotics. Conclusion: Alternative screening tools may help in ICU delirium detection, either as replacement or combined with the Confusion Assessment Method for ICU (CAM-ICU) and Intensive Care Delirium Screening Checklist (ICDSC), and other therapies than antipsychotics may reduce delirium burden, but further studies are required. © 2020, Netherlands Society of Intensive Care. All rights reserved.
Keywords
Critical care
Critical care outcomes
Critical illness
Delirium
Diagnosis
Intensive care unit
Therapeutics
License
Copyright (c) Netharland Journal of Critical Care
Creative Commons Attribution License Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
All papers should be submitted electronically. All submitted manuscripts must be original work that is not under submission at another journal or under consideration for publication in another form, such as a monograph or chapter of a book. Authors of submitted papers are obligated not to submit their paper for publication elsewhere until an editorial decision is rendered on their submission. Further, authors of accepted papers are prohibited from publishing the results in other publications that appear before the paper is published in the Journal unless they receive approval for doing so from the Editor-In-Chief.
Neth. J. Crit. Care open access articles are licensed under a Creative Commons Attribution-ShareAlike 4.0 International License. This license lets the audience to give appropriate credit, provide a link to the license, and indicate if changes were made and if they remix, transform, or build upon the material, they must distribute contributions under the same license as the original.
Recommended Articles
Right ventricular failure: Is it relevant for the intensivist?
van Dijk D.
96-97
Neuropsychological Predictors of Violent Criminal Behavior
Raymond H. Ellis, 
Shruti Banerjee, 
Kazuo Takayama
1-6
Postoperative renal replacement therapy after hydroxyethyl starch infusion: A meta-analysis of randomised trials
Wilkes M.M., 
Navickis R.J.
4-9
Pocus series: Focused transoesophageal echocardiography, a view from the inside
Elzo Kraemer C.V., 
López Matta J.E., 
Friedericy H.J., 
Elzo Kraemer A.X., 
Tuinman P.R., 
van Westerloo D.J., 
Boogers J.M.J.
130-139
Netharland Journal of Critical Care journal thumbnail
Volume 28, Issue 3
Downloads
pdf Download PDF xml Download XML
Citations
1658 Views
0 Downloads
Share this article
Share icon
Share on Facebook Share on LinkedIn
Share on Twitter
Indexations
Useful Links
Submit Article Peer Review Process Advertising Policy Guidelines for Reviewers Manuscript Submission Guide for Authors Guide for Editor Editorial Policies Publication Ethics Policy Research Ethics Policy Human and Animal Rights Authorship and Contributorship Informed Consent Policy Conflicts of Interest Preservation Policy Generative AI Policy Data Sharing Policy Open Access Statement Content Licensing Copyright and Permission Quality Control System Policy of Screening for Plagiarism Process Policy of Dealing with Allegations of Research Misconduct Corrections and Retractions Complaints and Appeals Data and Reproducibility Contact Us
Visits in the last year
View statistics
Netharland Journal of Critical Care
Resources
About Us Contact Us Apply for Editor Apply for Reviewer Team Members
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives (CC BY-NC-ND) license. Open Access Publication.
Copyright © None. All rights reserved.
Privacy Policy
|
Terms and Conditions
|
Copyright Policy
|
Cookie Preference