CAM-ICU Delirium Test
June 2, 2010 1 Comment
Blog Post and YouTube video by Valerie Page, UK national clinical lead in ICU delirium
ICU delirium is associated with adverse outcomes particularly long-term cognitive impairment, effectively at the very least a mild dementia and second that it will usually go undiagnosed unless we screen for it. To diagnose and manage delirium does not require equipment, money or a great deal of training. If we can modify the incidence or duration of delirium “delirium dose” there is the potential for improving patient’s outcomes, particularly brain function.
ICU delirium is very common particularly in patients on ventilators and distressing to patients, staff and relatives. It has previously been thought to be inevitable or benign but if we can modify it by diagnosing it and managing it we can potentially make a real difference to patient outcomes. Death of an ICU patient is a tragedy but dementia is a disaster.
This youtube video effectively demonstrates how to screen for ICU delirium. For more information, Valerie Page and Wesley Ely will be publishing a text on Delirium in Critical Care, available from January 2011