12 results
Managing Pain, Anxiety and Delirium in the ICU

Nick Mark MD @nickmmark

#Pain #Anxiety #Delirium #CriticalCare #Comparison #Management
and Delirium in ... the ICU Nick ... #CriticalCare # ... Comparison #Management ... #Diagnosis #ICU
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 ... theABofPharmaC #ICU ... #management #criticalcare
Valproic Acid in the ICU for Agitation and Delirium
Up to 70% of ICU patients experience agitation
Valproic Acid in the ICU ... Up to 70% of ICU ... efficacy Proposed ICU ... outside of the ICU ... criticalcare
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
) in the ICU Addressing ... the ICU Triad ( ... : assess (CAM-ICU ... #PAD #ICU #CriticalCare ... #diagnosis #management
Post-Intensive Care Syndrome (PICS)
Symptoms of PICS:
 - Physical Domain: Generalized weakness, Fatigue, Difficulty walking
 - Cognitive
RISK FACTORS - ICU ... screening (CAM-ICU ... ) - Pain assessment ... #criticalcare # ... icu
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
Vasopressors and Inotropes ... common in OR; in MICU ... #management #criticalcare ... summary #comparison #table ... #pharmacology #
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
in the ICU Remove ... if uncontrolled pain ... sleeping, administer pharmacologic ... #Management #Treatment ... #MICU #CriticalCare
Causes of COVIDー19 ICU delirium
Restricted Visitation
 • Family Disconnected
 • Sense of Isolation
 • Disorientation
 •
19 ICU delirium ... Interventions • Fewer Pain ... disturbances #COVID19 #ICU ... #delirium #causes ... coronavirus #diagnosis #criticalcare
Vasopressors Table 
Rough properties by Target Receptor, Heart Rate/Inotropy, Systemic Vascular Resistance, Cardiac Output, Blood Pressure,
Vasopressors Table ... Vascular Resistance, Main ... Uses, Peripheral ... #Pharmacology # ... Effect #Management
ICU Pre-Rounding Bundle Checklist
VITALS: trends!
 • Important to know if the pt is getting better or
ICU Pre-Rounding ... goal (+/- CAM-ICU ... @EmmGeezee #ICU ... Bundle #Checklist #CriticalCare ... #Management