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Delirious conditions in surgical ICU – case report


Authors: J. Fulík 1;  P. Horák 1;  I. Picmausová 2;  J. Böhmová 1;  R. Vobořil 1
Authors place of work: Chirurgická klinika 1. lékařské fakulty Univerzity Karlovy a Fakultní nemocnice Bulovka, Praha 1;  Oddělení hygieny a epidemiologie Fakultní nemocnice Bulovka, Praha 2
Published in the journal: Rozhl. Chir., 2021, roč. 100, č. 10, s. 497-501.
Category: Case Report
doi: https://doi.org/10.33699/PIS.2021.100.10.497–501

Summary

Delirious conditions are encountered in daily practice in the surgical ward, especially in intensive care units (ICUs). An ordinary surgeon must deal with these conditions very often. The case report of a patient with alcoholic delirium is presented. For a comprehensive view of the issue, we present a simple communication on delirious situations in the ICU. Deliria are classified according to their manifestations, and their etiology is briefly described. For practice, an outline of examinations and treatments is provided which is fundamentally different for alcoholic and nonalcoholic delirium.

Keywords:

intensive care – delirium – alcoholic delirium


Zdroje

1. Anand A, MacLullich AMJ. Delirium in older adults. Medicine in Older adults 2020; 49(1):26−31. doi:10.1016/j. mpmed.2020.10.00.

2. Černá Pařízková R. Delirium v intenzivní péči. Vnitřní lékařství 2019. Vnitř Lék. 2019; 65(6):433−439.

3. Cortés-Beringola A, Vicent L, Martín-Asenjo M, et al. Diagnosis, prevention, and management of delirium in the intensive cardiac care unit. American Heart Journal 2021;232(2):164−176. doi:10.1016/j. ahj.2020.11.011.

4. Pandharipande P, Cotton BA, Shintani A, et al. Prevalence and risk factors for development of delirium in surgical and trauma intensive care unit patients. J Trauma 2008; 65(1):34−41. doi:10.1097/ TA.0b013e31814b2c4d.

5. Pecinovská O. Delirium u závislosti na návykových látkách. Neurologie pro praxi 2011. Neurol praxi. 2011;12(5):317:320.

6. Arumugam S, El-Menyar A, Al-Hassani A, et al. Delirium in the intensive care unit. J Emerg Trauma Shock 2017; 10(1):37-46. doi:10.4103/0974-2700.199520.

7. Káňová M, Burda M, Povová J. Delirium v intenzivní péči. Česká a slovenská neurologie a neurochirurgie 2015. Cesk Slov Neurol N. 2015;78/111(6):662– 667.

8. Wintermann GB, Weidner K, Strauss B, et al. Single assessment of delirium severity during postacute intensive care of chronically critically ill patients and its associated factors: post hoc analysis of a prospective cohort study in Germany. BMJ Open 2020; 10(10):e035733. doi:10.1136/ bmjopen-2019-035733.

Štítky
Surgery Orthopaedics Trauma surgery

Článok vyšiel v časopise

Perspectives in Surgery

Číslo 10

2021 Číslo 10
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