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Managing Pain, Anxiety and Delirium in the ICU

Nick Mark MD @nickmmark

#Pain #Anxiety #Delirium #CriticalCare #Comparison #Management
Managing Pain, Anxiety ... and Delirium in ... @nickmmark #Pain ... CriticalCare #Comparison #Management ... #Diagnosis #ICU
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
Pain, Agitation, ... and Delirium (PAD ... Critical Care Pain ... tool to assess pain ... #diagnosis #management
Post-Intensive Care Syndrome (PICS)
Symptoms of PICS:
 - Physical Domain: Generalized weakness, Fatigue, Difficulty walking
 - Cognitive
analgesics - Delirium ... treatments - Delirium ... ) - Pain assessment ... Syndrome #PICS #diagnosis ... #management #criticalcare
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
for Treatment of Delirium ... if uncontrolled pain ... #Delirium #Checklist ... #Management #Treatment ... #MICU #CriticalCare
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 ... Non-pharmacologic management ... management of delirium ... theABofPharmaC #ICU ... #diagnosis
Causes of COVIDー19 ICU delirium
Restricted Visitation
 • Family Disconnected
 • Sense of Isolation
 • Disorientation
 •
Causes of COVIDー19 ICU ... delirium Restricted ... Interventions • Fewer Pain ... #delirium #causes ... #coronavirus #diagnosis
Main types of autoimmune encephalitis in the ICU. 
Anti-NMDAR anti-N-methyl-d-aspartate receptor, ADEM acute disseminated encephalomyelitis, Anti-GFAP
Main types of autoimmune ... encephalitis in the ICU ... encephalitis #comparison #table ... #neurology #diagnosis
Acute Pancreatitis - Diagnosis and Management - GrepMed Handbook

Presentation: 
 • Epigastric abdominal pain (90%, characteristically
Pancreatitis - Diagnosis ... and Management ... Epigastric abdominal pain ... ileus), consider pain-dose ... ketamine (ICU);
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
: Pain control ... • If stable ... • Nonoperative managernent ... Radiology #XRay #Diagnosis ... #Management #Orthopedics
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
Pancreatitis management ... Pain control - ... gram Q6hr) and pain-dose ... limit them as able ... Pancreatitis #Checklist #Diagnosis