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Intensive Care Med. 2022 Jun;48(6):743-745. doi: 10.1007/s00134-022-06707-z. Epub 2022 Apr 30.
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[Antipsychotic pharmacotherapy for delirious syndromes - only temporary, symptom-oriented and considering QTc time].[用于谵妄综合征的抗精神病药物治疗——仅为临时、以症状为导向且需考虑QTc间期]
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[Antipsychotic pharmacotherapy for delirious syndrome - only temporary, symptom- oriented and considering QTc time (short version)].[用于谵妄综合征的抗精神病药物治疗——仅为临时的、以症状为导向且考虑QTc间期(简短版)]
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Ugeskr Laeger. 2014 Sep 29;176(40).
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Gender differences in the use of atypical antipsychotic medications for ICU delirium.在重症监护病房谵妄中使用非典型抗精神病药物的性别差异。
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Are Antipsychotics Helpful for Preventing or Treating Delirium?抗精神病药物对预防或治疗谵妄有帮助吗?
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Perioperative glycemic control in patients undergoing cardiac surgery.心脏手术患者围手术期的血糖控制
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Reinforcement learning model for optimizing dexmedetomidine dosing to prevent delirium in critically ill patients.用于优化右美托咪定给药剂量以预防重症患者谵妄的强化学习模型
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Nursing Intervention to Prevent and Manage Delirium in Critically Ill Patients: A Scoping Review.预防和管理重症患者谵妄的护理干预:一项范围综述
Healthcare (Basel). 2024 Jun 1;12(11):1134. doi: 10.3390/healthcare12111134.
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Editorial: Insights in geriatric medicine: 2021.社论:老年医学洞察:2021年
Front Med (Lausanne). 2024 Jan 9;10:1347154. doi: 10.3389/fmed.2023.1347154. eCollection 2023.
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Future without delirium: not quite there yet but we can start by prescribing touch.无谵妄的未来:尚未完全实现,但我们可以从开具“触摸处方”开始。
Crit Care. 2022 Oct 27;26(1):332. doi: 10.1186/s13054-022-04147-1.

本文引用的文献

1
Prevalence and risk factors for delirium in critically ill patients with COVID-19 (COVID-D): a multicentre cohort study.新型冠状病毒肺炎(COVID-19)危重症患者谵妄的患病率及危险因素(COVID-D):一项多中心队列研究
Lancet Respir Med. 2021 Mar;9(3):239-250. doi: 10.1016/S2213-2600(20)30552-X. Epub 2021 Jan 8.
2
Pharmacological interventions for the treatment of delirium in critically ill adults.用于治疗重症成年患者谵妄的药物干预措施。
Cochrane Database Syst Rev. 2019 Sep 3;9(9):CD011749. doi: 10.1002/14651858.CD011749.pub2.
3
Haloperidol and Ziprasidone for Treatment of Delirium in Critical Illness.氟哌啶醇和齐拉西酮治疗危重病患者的意识障碍。
N Engl J Med. 2018 Dec 27;379(26):2506-2516. doi: 10.1056/NEJMoa1808217. Epub 2018 Oct 22.
4
Caring for Critically Ill Patients with the ABCDEF Bundle: Results of the ICU Liberation Collaborative in Over 15,000 Adults.用 ABCDEF 集束化方案关爱危重症患者:15000 多例成人患者的 ICU 解放协作研究结果。
Crit Care Med. 2019 Jan;47(1):3-14. doi: 10.1097/CCM.0000000000003482.
5
Clinical Practice Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU.成人 ICU 患者疼痛、躁动/镇静、谵妄、活动减少、睡眠障碍预防与管理临床实践指南。
Crit Care Med. 2018 Sep;46(9):e825-e873. doi: 10.1097/CCM.0000000000003299.
6
Effect of the use of earplugs and eye mask on the quality of sleep in intensive care patients: a systematic review.耳塞和眼罩对重症监护患者睡眠质量的影响:系统评价。
J Sleep Res. 2018 Jun;27(3):e12607. doi: 10.1111/jsr.12607. Epub 2017 Sep 25.
7
Detection and management of hyperactive and hypoactive delirium in older patients during hospitalization: a retrospective cohort study evaluating daily practice.老年住院患者谵妄的检测和管理:一项评估日常实践的回顾性队列研究。
Int J Geriatr Psychiatry. 2018 Nov;33(11):1521-1529. doi: 10.1002/gps.4690. Epub 2017 Feb 14.
8
The Efficacy of Earplugs as a Sleep Hygiene Strategy for Reducing Delirium in the ICU: A Systematic Review and Meta-Analysis.耳塞作为一种改善睡眠卫生以减少重症监护病房谵妄的策略的疗效:一项系统评价和荟萃分析。
Crit Care Med. 2016 May;44(5):992-9. doi: 10.1097/CCM.0000000000001557.
9
The implementation of a nonpharmacologic protocol to prevent intensive care delirium.实施一项预防重症监护病房谵妄的非药物方案。
J Crit Care. 2016 Feb;31(1):206-11. doi: 10.1016/j.jcrc.2015.09.031. Epub 2015 Oct 17.
10
Effectiveness of multicomponent nonpharmacological delirium interventions: a meta-analysis.多组分非药物性谵妄干预措施的有效性:一项荟萃分析。
JAMA Intern Med. 2015 Apr;175(4):512-20. doi: 10.1001/jamainternmed.2014.7779.

Less pharmacotherapy is more in delirium.

作者信息

Chou Shinn-Te, Pogach Melanie, Rock Laura K

机构信息

Lahey Hospital and Medical Center, Burlington, MA, USA.

St. Elizabeth's Medical Center, Brighton, MA, USA.

出版信息

Intensive Care Med. 2022 Jun;48(6):743-745. doi: 10.1007/s00134-022-06707-z. Epub 2022 Apr 30.

DOI:10.1007/s00134-022-06707-z
PMID:35487973
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9054501/
Abstract
摘要