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Rivista di Anestesia, Rianimazione, Terapia Antalgica e Terapia Intensiva

Official Journal of the Italian Society of Anesthesiology, Analgesia, Resuscitation and Intensive Care
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Minerva Anestesiologica 2015 March;81(3):333-41

lingua: Inglese

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.

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