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A Journal on Anesthesiology, Resuscitation, Analgesia and Intensive Care

Official Journal of the Italian Society of Anesthesiology, Analgesia, Resuscitation and Intensive Care
Indexed/Abstracted in: Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 2,036

Frequency: Monthly

ISSN 0375-9393

Online ISSN 1827-1596


Minerva Anestesiologica 2015 March;81(3):333-41


Management of pediatric delirium in critical illness: a practical update

Van Tuijl S. G. L. 1, Van Cauteren Y. J. 1, Pikhard T. 1, Engel M. 2, Schieveld J. N. 1, 3

1 Division Child and Adolescent Psychiatry, Department of Psychiatry and Psychology, Maastricht University Medical Centre (MUMC+), Maastricht, the Netherlands;
2 Division of Pediatric Intensive Care, Department of Pediatrics, Maastricht University Medical Centre (MUMC+), Maastricht, the Netherlands;
3 Mutsaersstichting, Venlo &Koraalgroep, Sittard, the Netherlands

Pediatric delirium (PD) is an acute state of brain dysfunction and is often seen in the pediatric intensive care unit (PICU). There is a growing awareness of its clinical interdisciplinary importance. The aim of this article was to describe the three clinical presentations, to evaluate the differential diagnosis and to give a concise and practical update for the pharmacological and non-pharmacological treatment of PD at the PICU, based on recent literature and expert opinions. We discuss an interdisciplinary flow chart which helps the reader dealing with the diagnosis and management of any acute emotional and or behavioral disturbance, of which PD is a special case.

language: English


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