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Managing Pain, Anxiety and Delirium in the ICU

Nick Mark MD @nickmmark

#Pain #Anxiety #Delirium #CriticalCare #Comparison #Management
Pain, Anxiety and Delirium ... in the ICU Nick ... #CriticalCare # ... Comparison #Management ... #Diagnosis #ICU
Delirium Overview

 • What is Delirium?
 • Types of Delirium
 • Common Causes
 • Reversible Causes
• Common Causes ... • Reversible Causes ... • Non-Pharm Management ... #diagnosis #management ... #differential
Delirium in the ICU

Defining delirium
Types of delirium
Consequences of delirium
Reversible causes of delirium
Drug-induced delirium
Non-pharmacologic management of delirium
Pharmacologic
ICU Defining ... causes of delirium ... management of delirium ... #management #criticalcare ... #diagnosis
Checklist for Evaluation of New-Onset Delirium in the ICU

Initial assessment 
 - 
Vital signs, neuro exam
Evaluation of New-Onset Delirium ... in the ICU Initial ... - CBC with differential ... #CriticalCare # ... Diagnosis
Post-Intensive Care Syndrome (PICS)
Symptoms of PICS:
 - Physical Domain: Generalized weakness, Fatigue, Difficulty walking
 - Cognitive
analgesics - Delirium ... treatments - Delirium ... Syndrome #PICS #diagnosis ... #management #criticalcare ... #icu
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
Agitation, and Delirium ... it should not cause ... dissociative drug, it causes ... #PAD #ICU #CriticalCare ... #diagnosis #management
Causes of COVIDー19 ICU delirium
Restricted Visitation
 • Family Disconnected
 • Sense of Isolation
 • Disorientation
 •
19 ICU delirium ... #delirium #causes ... #differential # ... coronavirus #diagnosis ... #criticalcare
Sepsis - Diagnosis and Management
Life-threatening organ dysfunction caused by a dysregulated host response to infection
SEPTIC SHOCK
Sepsis - Diagnosis ... organ dysfunction caused ... likelihood of prolonged ICU ... #SIRS #criticalcare ... #icu
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Hypoxemia - Workup and Management ... Differential Diagnosis ... edema), Lung Exam, POCUS ... #Management #treatment ... #criticalcare
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... Diagnosis Framework ... findings based on cause ... #Diagnosis #table ... #comparison #criticalcare