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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
management of delirium ... management of delirium ... #Delirium #pharmacology ... #management #criticalcare ... #diagnosis
Causes of COVIDー19 ICU delirium
Restricted Visitation
 • Family Disconnected
 • Sense of Isolation
 • Disorientation
 •
19 ICU delirium ... Interventions • Fewer Pain ... #ICU #delirium ... #coronavirus #diagnosis ... #criticalcare
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
Pain, Agitation, ... No pharmacologic ... (Haldol) - No pharmacologic ... #PAD #ICU #CriticalCare ... #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
COVID-19 - A Seattle Intensivist's One-Page Cheat-Sheet on COVID-19 v2.7 Updated March 26 2020

(v2.7) incorporating newer
in the ICU, now ... COVID-19 • Virus ... #Management #Summary ... #Coronavirus #CriticalCare ... : Marino's The ICU
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
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
with presence of pulmonary ... #algorithm #management ... #cardiology #treatment ... #icu #clinical ... #pharmacology