NPR

How To Prevent Brain-Sapping Delirium In The ICU

People who suffer from prolonged delirium in the hospital are likely to develop long-term mental problems like dementia. Doctors have come up with techniques they say can reduce delirium in the ICU.
Randy and Karen O'Burke together at their son's home in Hendersonville, Tenn., last week. "Apparently, I'm pretty much of a miracle," Randy says.

If you are one of the 5.7 million Americans who ends up in the intensive care unit each year, you are at high risk of developing long-term mental effects like dementia and confusion. These mental problems can be as pronounced as those experienced by people with Alzheimer's disease or a traumatic brain injury and many patients never fully recover.

But research shows you are less likely to suffer those effects if the doctors and nurses follow a procedure that's gaining ground in ICUs nationwide.

The steps are part of a bundle of actions aimed at reducing delirium in ICU patients. Doctors define delirium as a usually temporary state of mental confusion characterized by a lack of focus, difficulty in understanding what's going on around you and, sometimes, hallucinations.

Following this checklist of actions can reduce the risk of mental impairment following at the Vanderbilt University Medical Center. (This post-ICU condition is separate from memory problems that can arise after heart surgery and general anesthesia in the elderly).

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