Abstract HTML Views: 145 PDF Downloads: 50 Total Views/Downloads: 195
Abstract HTML Views: 109 PDF Downloads: 42 Total Views/Downloads: 151
Delirium occurs as a pathophysiological state in connection with various diseases, particularly among patients
in critical care. Since it may be a life-threatening condition, any physician should be able to initiate correct assessment and
treatment of delirium. This review summarizes current knowledge on care of patients with delirium.
The symptoms of delirium contain primarily disturbance of consciousness, attention, cognition, and perception and may
comprise disturbance of psychomotor activity, emotions, and sleep. High prevalence of delirium is observed in critically
ill patients in intensive care units. It is thus necessary to monitor the comorbid conditions when patients are diagnosed
with delirium, especially since delirium is a prognostic factor for rise in morbidity and mortality. The identification of
underlying aetiology of delirium and immediate intervention and treatment for urgent general medical conditions should
be in the focus, and should be paralleled by measures ensuring patient’s safety and continuous monitoring.
Somatic interventions depend on underlying aetiology, and patient’s clinical as well as comorbid conditions, but they
mainly consist of treatment with high-potency neuroleptic drugs such as haloperidol. Interventions which reduce or
eliminate environmental factors contributing to an exacerbation and maintenance of delirium are strongly recommended.
Eventually, it is important to establish and maintain psychological support to the patient and his family regarding illness,
including post-delirium management.