Pediatric Delirium: a Review of Current Diagnosis and Management in the Intensive Care Setting

Abstract

Purpose of Review

We describe preventative management, current screening tools, and treatment strategies for pediatric intensive care unit (PICU) delirium.

Recent Findings

While there is ongoing research regarding medication efficacy for the treatment of delirium, there has been an increased emphasis on screening and prevention strategies.

Summary

PICU delirium is an underappreciated diagnosis that is associated with increased morbidity and increased length of stay. Strategies to minimize risk of delirium, early recognition of delirium, and mitigation strategies combined with education and engagement of both medical staff and families are of utmost importance. Identification of efficacious medications for the treatment of delirium is ongoing.

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References

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Correspondence to Kevin Couloures.

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Gu, S., Couloures, K. Pediatric Delirium: a Review of Current Diagnosis and Management in the Intensive Care Setting. Curr Pediatr Rep (2020). https://doi.org/10.1007/s40124-020-00222-9

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Keywords

  • Pediatric
  • Delirium
  • Screening
  • Non-pharmacologic interventions
  • Benzodiazepines
  • Opiates