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PADIS Guidelines Teaching Slides: Delirium

These teaching slides address implementing the 2018 Clinical Practice Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU, known as the PADIS Guidelines. This presentation addresses implementing the portion of the guidelines related to delirium.

Questions addressed in this presentation include:

  • Which predisposing and precipitating risk factors are associated with delirium occurrence (i.e., incidence, prevalence, or daily transition), delirium duration, or severity in critically ill adults?
  • Can delirium be predicted in critically ill adults?
  • Should delirium be assessed using a valid tool (compared with not performing this assessment with a valid tool) in critically ill adults?
  • Does the level of arousal influence delirium assessments with a validated screening tool?
  • What are the short- and long-term outcomes of delirium in critically ill adults and are these causally related?
  • What are the short- and long-term outcomes of rapidly reversible delirium?
  • Should a pharmacologic agent (vs no use of this agent) be used to “prevent” delirium in all critically ill adults?
  • Should a pharmacologic agent (vs no use of this agent) be used to “treat subsyndromal delirium” in all critically ill adults with subsyndromal delirium?
  • Should a pharmacologic agent (vs no use of this agent) be used to treat delirium in all critically ill adults with delirium?
  • Should a single-component, nonpharmacologic strategy not solely focused on sleep improvement or early mobilization (vs no such strategy) be used to reduce delirium in critically ill adults?

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Categories: ICU Liberation,
Content Type: Presentations,