13 results
Valproic Acid in the ICU for Agitation and Delirium
Up to 70% of ICU patients experience agitation
Valproic Acid in the ICU ... 70% of ICU patients ... efficacy Proposed ICU ... outside of the ICU ... #criticalcare
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
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
the ICU Triad ( ... Propofol infusion syndrome ... bradycardia • Ketamine ... #ICU #CriticalCare ... #diagnosis #management
Checklist for Evaluation of New-Onset Delirium in the ICU

Initial assessment 
 - 
Vital signs, neuro exam
in the ICU Initial ... if hypercapneic encephalopathy ... Evaluation #Workup #MICU ... #CriticalCare # ... Diagnosis
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
for Treatment of Delirium ... in the ICU Remove ... severe nocturnal agitation ... Management #Treatment #MICU ... #CriticalCare
Post-Intensive Care Syndrome (PICS)
Symptoms of PICS:
 - Physical Domain: Generalized weakness, Fatigue, Difficulty walking
 - Cognitive
RISK FACTORS - ICU ... screening (CAM-ICU ... #PICS #diagnosis ... #management #criticalcare ... #icu
Hypertension and Altered Mental Status (AMS) - Differential Diagnosis Framework

Hypertension:
 • Hypertensive emergency
 • Hypertensive encephalopathy
- Differential Diagnosis ... • Hypertensive encephalopathy ... • Cushing’s syndrome ... Seizures/NCSE • Delirium ... /agitation • CNS
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
Delirium in the ... ICU Defining ... theABofPharmaC #ICU ... #management #criticalcare ... #diagnosis
Causes of COVIDー19 ICU delirium
Restricted Visitation
 • Family Disconnected
 • Sense of Isolation
 • Disorientation
 •
Causes of COVIDー19 ICU ... disturbances #COVID19 #ICU ... #delirium #causes ... #coronavirus #diagnosis ... #criticalcare
Acute Altered Mental Status - Rapid Response Management

1) Ask while en route: vitals, hyper/hypoactive, POC glucose,
• Hyperactive (Agitation ... Hypoactive 3) Examine ... 4) Diagnosis and ... status #Management #criticalcare ... #encephalopathy