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Management of Pediatric Delirium in Pediatric Cardiac Intensive Care Patients
- Source :
- Pediatric Critical Care Medicine. 19:538-543
- Publication Year :
- 2018
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2018.
-
Abstract
- Objectives The purpose of this study was to describe how pediatric cardiac intensive care clinicians assess and manage delirium in patients following cardiac surgery. Design Descriptive self-report survey. Setting A web-based survey of pediatric cardiac intensive care clinicians who are members of the Pediatric Cardiac Intensive Care Society. Patient or subjects Pediatric cardiac intensive care clinicians (physicians and nurses). Interventions None. Measurement and main results One-hundred seventy-three clinicians practicing in 71 different institutions located in 13 countries completed the survey. Respondents described their clinical impression of the occurrence of delirium to be approximately 25%. Most respondents (75%) reported that their ICU does not routinely screen for delirium. Over half of the respondents (61%) have never attended a lecture on delirium. The majority of respondents (86%) were not satisfied with current delirium screening, diagnosis, and management practices. Promotion of day/night cycle, exposure to natural light, deintensification of care, sleep hygiene, and reorientation to prevent or manage delirium were among nonpharmacologic interventions reported along with the use of anxiolytic, antipsychotic, and medications for insomnia. Conclusions Clinicians responding to the survey reported a range of delirium assessment and management practices in postoperative pediatric cardiac surgery patients. Study results highlight the need for improvement in delirium education for pediatric cardiac intensive care clinicians as well as the need for systematic evaluation of current delirium assessment and management practices.
- Subjects :
- Adult
Male
Health Knowledge, Attitudes, Practice
medicine.medical_specialty
Health Personnel
medicine.medical_treatment
Psychological intervention
MEDLINE
Intensive Care Units, Pediatric
Critical Care and Intensive Care Medicine
behavioral disciplines and activities
Young Adult
03 medical and health sciences
0302 clinical medicine
Surveys and Questionnaires
Intensive care
mental disorders
medicine
Humans
030212 general & internal medicine
Practice Patterns, Physicians'
Young adult
Antipsychotic
Sleep hygiene
business.industry
Delirium
030208 emergency & critical care medicine
Middle Aged
nervous system diseases
Cardiac surgery
Pediatrics, Perinatology and Child Health
Emergency medicine
Female
medicine.symptom
business
Subjects
Details
- ISSN :
- 15297535
- Volume :
- 19
- Database :
- OpenAIRE
- Journal :
- Pediatric Critical Care Medicine
- Accession number :
- edsair.doi.dedup.....dab08160baafbdbb603c98ea3fbddf21