ICU Delirium is a clinically relevant form of Organ Dysfunction in the Critically Ill ✓ Increased...

ICU Delirium is a clinically relevant ICU Delirium is a clinically relevant form of Organ Dysfunction in the form of Organ Dysfunction in the

Critically IllCritically Ill✓Increased Increased mortalitymortality✓Increased Increased LOS at ICULOS at ICU✓Increased Increased costscosts✓Possibly increased Possibly increased complication ratecomplication rate

Implementation of Dutch Implementation of Dutch ICU Delirium GuidelineICU Delirium Guideline

Adherence to Dutch Adherence to Dutch ICU Delirium Guideline?ICU Delirium Guideline?

Dutch ICU Delirium Dutch ICU Delirium GuidelineGuideline

Prevention, Screening, TreatmentPrevention, Screening, Treatment

Effects of Improved Adherence Effects of Improved Adherence to Guideline (Before-After to Guideline (Before-After

Design)?Design)?✓Mortality?Mortality?✓LOS at ICU?LOS at ICU?✓Costs?Costs?✓Complications?Complications?✓Delirium Incidence?Delirium Incidence?

AimAim✓Improved Outcome after ICU Improved Outcome after ICU treatmenttreatment

Center-Tailored Center-Tailored Implementation of Implementation of

GuidelineGuideline

Barrier-and-Barrier-and-Facilitator AnalysisFacilitator Analysis

GuidelineGuideline

Phase I: Is there anImplementation-Problem?

GuidelineGuideline

Perfectamundo?Perfectamundo?

GuidelineGuideline

Perfectamundo?Perfectamundo?

GuidelineGuideline

ImIm-Perfectamundo!-Perfectamundo!

GuidelineGuideline

Phase I: Is there anImplementation-Problem

GuidelineGuideline

Phase I: Is there anImplementation-Problem: YES!?

GuidelineGuideline

Phase II: Effects ofImplementation

GuidelineGuideline

GuidelineGuidelineBarrier-and-Barrier-and-Facilitator AnalysisFacilitator Analysis

GuidelineGuideline

GuidelineGuidelineBarrier-and-Barrier-and-Facilitator AnalysisFacilitator Analysis

GuidelineGuideline

1.Current Practices1.Current Practices

2.Survey and Focusgroup 2.Survey and Focusgroup interviewsinterviews

3.Development and Description of a Tailored 3.Development and Description of a Tailored Implementation Strategy for an ICU Delirium Implementation Strategy for an ICU Delirium

GuidelineGuidelineEffects of Improved Adherence Effects of Improved Adherence

to Guideline (Before-After to Guideline (Before-After Design)?Design)?

✓Mortality?Mortality?✓LOS at ICU?LOS at ICU?✓Costs?Costs?✓Complications?Complications?✓Delirium Incidence?Delirium Incidence?

GuidelineGuideline

1.Current Practices1.Current Practices

2.Survey and Focusgroup 2.Survey and Focusgroup interviewsinterviews

3.Development and Description of a Tailored 3.Development and Description of a Tailored Implementation Strategy for an ICU Delirium Implementation Strategy for an ICU Delirium

GuidelineGuideline

5.Cost-effectiveness of a 5.Cost-effectiveness of a Tailored Implementation of Tailored Implementation of

an ICUan ICUDelirium GuidelineDelirium Guideline

4.Effect of a Tailored Implementation of an 4.Effect of a Tailored Implementation of an ICUICU

Delirium Guideline on Complications and Delirium Guideline on Complications and MortalityMortality

ICU Delirium is a clinically relevant form of Organ Dysfunction in the Critically Ill ✓ Increased...

Documents

Transcript of ICU Delirium is a clinically relevant form of Organ Dysfunction in the Critically Ill ✓ Increased...

ICU Pain, Agitation, and Delirium Care Bundle

ICU Delirium and sedation: understanding their role in long-term … · 2019-09-27 · ICU Delirium and sedation: understanding their role in long-term patient outcomes Yoanna Skrobik

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Delirium Prevention and Treatment: Current Evidence Gaps · • Cohort studies suggest patient’s taking a statin at the time of ICU admission have reduced ICU delirium Page VJ et

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ICU Delirium Prevention and Treatment: Medication ... Safety and...ICU Delirium Prevention and Treatment: Medication-Associated Implications John W. Devlin, PharmD, FCCP, ... Wang

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Coma-Delirium in ICU/CCM Board review

Management of Delirium - Management of Delirium Final - 2.pdfHypoactive Delirium • Study of 300 ED patients >65y at Vanderbilt, all screened for delirium by CAM-ICU • 8.3% had

Yoanna Skrobik MD FRCP(c) MSc. FCCP Clinician Scientist ... · (Intensive Care Delirium Screening Checklist) CAM-ICU (Confusion Assessment Method-ICU) Delirium nomenclature Delirium

SCCM's New ICU Pain, Agitation, and Delirium Clinical Practice Guidelines Faculty Disclosures

Delirium in the ICU - Pitt · Subsyndromal delirium • Pts that fall short of the diagnos_c threshold for delirium (ICDSC ≥ 4) • ICU paents without delirium compared to those

Delirium in the Intensive Care Unit (ICU): a guide for …Delirium a guide for patients and families How can you help prevent and manage delirium? in the Intensive Care Unit (ICU)