18. Delirium and Sedation in the ICU

  1. Edward M. Manno MD, FCCM, FAAN, FAHA
  1. Jennifer A. Frontera MD

Published Online: 11 APR 2012

DOI: 10.1002/9781118297162.ch18

Emergency Management in Neurocritical Care

Emergency Management in Neurocritical Care

How to Cite

Frontera, J. A. (2012) Delirium and Sedation in the ICU, in Emergency Management in Neurocritical Care (ed E. M. Manno), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781118297162.ch18

Editor Information

  1. Neurological Intensive Care Unit Cleveland Clinic Cleveland, OH, USA

Author Information

  1. Neuroscience Intensive Care Unit, Departments of Neurosurgery and Neurology, Mount Sinai School of Medicine, New York, NY, USA

Publication History

  1. Published Online: 11 APR 2012
  2. Published Print: 11 MAY 2012

Book Series:

  1. Neurology in Practice

Book Series Editors:

  1. Robert A. Gross and
  2. Jonathan W. Mink

Series Editor Information

  1. Department of Neurology, University of Rochester Medical Center, Rochester, NY, USA

ISBN Information

Print ISBN: 9780470654736

Online ISBN: 9781118297162

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Keywords:

  • Delirium;
  • sedation;
  • ICU;
  • intensive care;
  • confusion

Summary

Delirium is defined by a fluctuating level of attentiveness and has been associated with increased ICU mortality and poor cognitive outcomes. Sedation use in the ICU can contribute to delirium. Limiting ICU sedation allows for the diagnosis of underlying acute neurological insults associated with delirium and leads to shorter mechanical ventilation time, shorter length of stay, and improved one-year mortality rates.