Strøm Thomas, Pande-Rolfsen Guri, Hagen Christine, Toft Palle
Anaestesi og Intensiv Afdeling V, Odense Universitetshospital, DK-5000 Odense, Denmark.
Ugeskr Laeger. 2009 Oct 19;171(43):3094-7.
Interest in and the quantity of publications on delirium in critically ill patients have grown increasingly over the last decade. Critically ill patients have traditionally been sedated to facilitate mechanical ventilation. This practice impeded the recognition of delirium in the critically ill patients, and consequently the disorder was underdiagnosed. Delirium in the critically ill patients is associated with increased morbidity and mortality. Less sedation, guided by protocols with daily wake up trials, and validated delirium scoring systems, have improved the opportunities to diagnose and monitor delirium in the critically ill patients.
在过去十年中，对危重症患者谵妄的研究兴趣和相关出版物数量都在不断增加。传统上，危重症患者会接受镇静以利于机械通气。这种做法妨碍了对危重症患者谵妄的识别，因此该病症未得到充分诊断。危重症患者的谵妄与发病率和死亡率增加有关。减少镇静，通过每日唤醒试验方案和经过验证的谵妄评分系统进行指导，改善了诊断和监测危重症患者谵妄的机会。
