The fully updated second edition of this popular handbook concisely summarises all current knowledge about delirium in critically ill patients and describes simple tools the bedside clinician can use to prevent, diagnose and manage delirium. Chapters discuss new developments in assessing risk and diagnosis, crucial discoveries regarding delirium and long-term cognitive outcomes, and dangers of sedation and death. Updated management advice reflects new evidence about antipsychotics and delirium. This book explains how to minimise the risks of delirium, drugs to avoid, drugs to use and when to use them, as well as current theories regarding pathophysiology, different motoric subtypes leading to missed diagnosis, and the adverse impact of delirium on patient outcomes. While there are still unanswered questions, this edition contains all the available answers. Illustrated with real-life case reports, Delirium in Critical Care is essential reading for trainees, consultants and nurses in the ICU and emergency department.
- Maintains the first edition's evidence-based approach and engaging writing style, bringing the text to life with patient case histories
- Includes practical instruction about screening for delirium
- Updated throughout to bring the second edition in line with current knowledge and recent evidence, including new developments in assessing risk and diagnosis, discoveries regarding delirium and long-term cognitive outcomes, and dangers of sedation and death
Foreword David K. Menon
A patient testimony
1. What is delirium in critical care?
2. How common is delirium in critical care?
3. What does delirium look like in critical care?
4. Delirium in critical care - how does it happen?
5. Delirium - what causes it? Risk factors
6. Delirium in critical care - why is it important?
7. Delirium in critical care - how do we diagnose it?
8. How to prevent delirium?
9. Treatment of delirium in critical care
10. Mental capacity and restraints
11. End of life care
12. What's the future?
ABOUT THE AUTHORS
Valerie J. Page, Watford General Hospital
Valerie J. Page is Consultant in Critical Care, Watford General Hospital, West Hertfordshire Hospitals NHS Trust, UK.
E. Wesley Ely, Vanderbilt University, Tennessee
E. Wesley Ely is Professor of Medicine, Division of Allergy, Pulmonary and Critical Care Medicine, Vanderbilt University School of Medicine
and Vanderbilt University Medical Center, Nashville, Tennessee, USA.
David K. Menon