An intensivist on a learning frenzy. Caring for the critically ill using evidence-based medicine.
Haldol is an antipsychotic that we frequently use in the ICU for delirium.But the truth is that the data behind using it is not as robust as we would like.Earlier today, there was a paper published in the NEJM that attempted to find its effects on delirium.Hat tip to the authors. Read these data for …
Continue reading Haldol (Haloperidol) in the ICU: One-Minute Journal Club
Unfortunately, delirium in ICU and critically ill patients is a quite common problem that we are having trouble making progress on controlling. It is quite frustrating when I am caring for a patient who has recovered from their main life-threatening insult to be left encephalopathic and the family constantly asking "what's wrong". The most common …
Continue reading Delirium in the ICU & Critically Ill Patients
I have great disdain for delirium. Natural light brings me great joy. Today, for example, the sun isn't shining bright. The day is cloudy and gloomy. I am, in turn, a little grouchy. Daylight savings is coming and I'm already upset about it. I can turn on the light but it won't be the same. …
Continue reading Delirium in Mechanically Ventilated Patients: Let the Natural Light in!
Team, I'll get to making this whole post prettier in the AM when I have some rest under my belt. I saw everyone chiming in on bedsideroundz’ page how they provide versed/midazolam for sedation in their critically ill patients and I had no choice but to put off my bedtime for a few hours and …
Continue reading Minimize Benzodiazepine Use for Sedation in the ICU
We are all trying to combat delirium by all possible means. Getting pts their glasses and hearing aides. Keeping the lights on during the day. Having family around to speak to them. We’ve also had recent trials which have been quite disappointing using medications. Could there be a good cheap medication to prevent #delirium? This …
Continue reading Melatonin on Delirium in Hospitalized Patients
