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Wild and Agitated After Acute Abdominal Surgery 

Wild and Agitated After Acute Abdominal Surgery
Chapter:
Wild and Agitated After Acute Abdominal Surgery
Source:
Neurocritical Care (2 ed.)
Author(s):

Eelco F. M. Wijdicks

, Alejandro A. Rabinstein

, Sara E. Hocker

, and Jennifer E. Fugate

DOI:
10.1093/med/9780190602659.003.0025

Delirium in a patient in the intensive acre unit (ICU) is a common complication of medical and surgical critical illness and it is associated with worse short-term and long-term clinical outcomes. Altered level and content of consciousness is never acceptable in a patient in the intensive care unit. If present, it deserves attention. This chapter discusses the recognition and treatment of ICU delirium. Standardized tools, such as the CAM-ICU score, should be used for the timely recognition of ICU delirium. Acute delirium is perhaps one of the most difficult disease states to handle well. Treating acute agitation may be time consuming for the nursing staff and the physician. Inadequate use of medication, such as sedatives and opiates, may lead to further complications and their use should be minimized as much as possible.

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