Sedation and Delirium SDL

Core SDL

• The Alfred ICU Sedation Guideline – via PROMPT
• Five tips for ICU delirium
• Five tips for ICU sedation
• LITFL CCC
  • Delirium in ICU
  • Sedation in ICU
  • De-escalation
  • Physical restraint
  • Chemical restraint

• How to perform CAM-ICU (3 min 30 sec video by Dr Valerie Page):

Other information (particularly useful for CICM trainees)

• Barr J, et al; American College of Critical Care Medicine. Clinical practice guidelines for the management of pain, agitation, and delirium in adult patients in the intensive care unit. Crit Care Med. 2013 Jan;41(1):263-306. doi: 10.1097/CCM.0b013e3182783b72. Review. PubMed PMID: 23269131.
• Reade MC, Finfer S. Sedation and delirium in the intensive care unit. N Engl J Med. 2014 Jan 30;370(5):444-54. doi: 10.1056/NEJMra1208705. Review. PubMed PMID: 24476433. [Full Text – requires NEJM access]
• LITFL CCC
  • Daily Interruptions of Sedation in Mechanically Ventilated Patients
  • Sleep and ICU
  • Sedatives and analgesics: propofol, lorazepam (TBC), midazolam, diazepam, ketamine, fentanyl, morphine, clonidine, dexmedetomidine, propofol infusion syndrome (PRIS)
  • Antipsychotics: haloperidol, droperidol (TBC), quetiapine (TBC), olanzapine
• Dr Michael Reade on Agitated Delirium (2012 lecture)
• See the Deranged Physiology Fellowship exam question bank for relevant past questions on these topics.