
Pourquoi le délirium est-il si important ?






La meilleure façon de dépister le délirium est d’utiliser un outil de dépistage basé sur des données probantes et validées par des pairs, tel que le CAM-ICU.
Le meilleur membre de l’équipe pour identifier et traiter le délire est l’infirmière de chevet.
Voici un résumé de ce que propose la Society of Critical Care Medicine pour lutter contre le délirium.
References
References
1. Pandharipande, P.P., et al. “Long-Term Cognitive Impairment after Critical Illness: NEJM.” New England Journal of Medicine, 3 Oct. 2013, www.nejm.org/doi/full/10.1056/NEJMoa1301372.
2. Spronk PE, Riekerk B, Hofhuis J, Rommes JH. Occurrence of delirium is severely underestimated in the ICU during daily care. Intensive Care Med. 2009;35(7):1276–1280. doi:10.1007/s00134-009-1466-8
3. Ely EW, Shintani A, Truman B, et al. Delirium as a predictor of mortality in mechanically ventilated patients in the intensive care unit. JAMA. 2004;291(14):1753–1762. doi:10.1001/jama.291.14.1753
4. Barr J, Fraser GL, Puntillo K, et al. Clinical practice guidelines for the management of pain, agitation, and delirium in adult patients in the intensive care unit. Crit Care Med. 2013;41(1):263–306. doi:10.1097/CCM.0b013e3182783b72
5. ICU Delirium. Monitoring Delirium in the ICU. https://www.icudelirium.org/medical-professionals/delirium/monitoring-delirium-in-the-icu
6. Inouye SK, van Dyck CH, Alessi CA, Balkin S, Siegal AP, Horwitz RI. Clarifying confusion: the confusion assessment method. A new method for detection of delirium. Ann Intern Med. 1990;113(12):941–948. doi:10.7326/0003-4819-113-12-941
7. Arumugam, S., El-Menyar, A., Al-Hassani, A., Strandvik, G., Asim, M., Mekkodithal, A., Mudali, I., & Al-Thani, H. (2017). Delirium in the Intensive Care Unit. Journal of emergencies, trauma, and shock, 10(1), 37–46. https://doi.org/10.4103/0974-2700.199520
8. Burry L, Rose L, McCullagh IJ, Fergusson DA, Ferguson ND, Mehta S. Daily sedation interruption versus no daily sedation interruption for critically ill adult patients requiring invasive mechanical ventilation. Cochrane Database Syst Rev. 2014;2014(7):CD009176. Published 2014 Jul 9. doi:10.1002/14651858.CD009176.pub2
9. Aitken LM, Bucknall T, Kent B, Mitchell M, Burmeister E, Keogh SJ. Protocol-directed sedation versus non-protocol-directed sedation to reduce duration of mechanical ventilation in mechanically ventilated intensive care patients. Cochrane Database Syst Rev. 2015;1:CD009771. Published 2015 Jan 7. doi:10.1002/14651858.CD009771.pub2
10. Aitken LM, Bucknall T, Kent B, Mitchell M, Burmeister E, Keogh SJ. Protocol-directed sedation versus non-protocol-directed sedation in mechanically ventilated intensive care adults and children. Cochrane Database Syst Rev. 2018;11(11):CD009771. Published 2018 Nov 12. doi:10.1002/14651858.CD009771.pub3
11. Adler, Joseph, and Daniel Malone. “Early mobilization in the intensive care unit: a systematic review.” Cardiopulmonary physical therapy journal vol. 23,1 (2012): 5-13.
12. Dirkes SM, Kozlowski C. Early Mobility in the Intensive Care Unit: Evidence, Barriers, and Future Directions. Crit Care Nurse. 2019;39(3):33–42. doi:10.4037/ccn2019654
13. Marra, Annachiara et al. “The ABCDEF Bundle in Critical Care.” Critical care clinics vol. 33,2 (2017): 225-243. doi:10.1016/j.ccc.2016.12.005
14. Kamdar, Biren B et al. “Sleep deprivation in critical illness: its role in physical and psychological recovery.” Journal of intensive care medicine vol. 27,2 (2012): 97-111. doi:10.1177/0885066610394322