University of Utah School of Medicine, Department of Pediatrics, Division of Neonatology, Salt Lake City, UT, USA.
University of Utah School of Medicine, Department of Pediatrics, Division of Pediatric Behavioral Health and Psychiatry, Salt Lake City, UT, USA.
J Perinatol. 2024 Feb;44(2):157-163. doi: 10.1038/s41372-023-01767-5. Epub 2023 Sep 8.
Delirium in the NICU is an underrecognized phenomenon in infants who are often complex and critically ill. The current understanding of NICU delirium is developing and can be informed by adult and pediatric literature. The NICU population faces many potential risk factors for delirium, including young age, developmental delay, mechanical ventilation, severe illness, and surgery. There are no diagnostic tools specific to infants. The mainstay of delirium treatment is to treat the underlying cause, address modifiable risk factors, and supportive care. This review will summarize current knowledge and areas where more research is needed.
新生儿重症监护病房（NICU）中的谵妄是一种在经常处于复杂和危重状态的婴儿中未被充分认识的现象。目前对 NICU 谵妄的理解正在发展，并可以借鉴成人和儿科文献。NICU 人群面临许多谵妄的潜在危险因素，包括年龄小、发育迟缓、机械通气、重病和手术。目前尚无针对婴儿的特定诊断工具。谵妄治疗的主要方法是治疗根本原因、处理可改变的危险因素和支持性护理。本综述将总结当前的知识和需要进一步研究的领域。
