[术后谵妄与认知功能障碍。重症监护病房谵妄的常规监测]
[Postoperative delirium and cognitive deficit. Routine delirium monitoring in the intensive care unit].
作者信息
Günther Ulf, Putensen Christian
机构信息
Klinik für Anästhesiologie und Operative Intensivmedizin, Universtätsklinikum Bonn.
出版信息
Anasthesiol Intensivmed Notfallmed Schmerzther. 2010 Feb;45(2):118-22; quiz 123-6. doi: 10.1055/s-0030-1248147. Epub 2010 Feb 12.
PMID:20155642
Abstract
Up to 92% of patients in ICU develop delirium, which may be missed without routinely monitoring. Delirium monitoring, though, is often deemed time consuming and dispensable, as mere clinical judgement is considered sufficient. This paper describes the general pitfalls during the introducing of a delirium screening tool and provides tips for daily delirium monitoring.
摘要
重症监护病房（ICU）中高达92%的患者会出现谵妄，若不进行常规监测，可能会被漏诊。然而，谵妄监测通常被认为既耗时又不必要，因为仅靠临床判断就被认为足够了。本文描述了引入谵妄筛查工具过程中的常见陷阱，并提供了日常谵妄监测的小贴士。
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