Management of Pediatric Delirium in Pediatric Cardiac Intensive Care Patients: An International Survey of Current Practices

Staveski, Sandra; Pickler, Rita H.; Lin, Li; Shaw, Richard J.; Meinzen‐Derr, Jareen; Redington, Andrew N.; Curley, Martha A. Q.

doi:10.1097/pcc.0000000000001558

Cited by 35 publications

(29 citation statements)

References 32 publications

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“…Pediatric delirium in the Japanese pediatric ICU is still a relatively undiagnosed phenomenon, resulting in lapses of both diagnosis and management . For this reason, our study is the first to provide validation for the psCAM‐ICU tool, which could promote proper diagnosis of pediatric delirium as well as encourage the creation of screening and treatment guidelines to diagnose and manage this condition.…”

Section: Discussionmentioning

confidence: 91%

Verifying the Japanese version of the Preschool Confusion Assessment Method for the ICU (psCAM‐ICU)

Matsuishi

Hoshino

Shimojo

et al. 2019

Acute Medicine & Surgery

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Aim Pediatric delirium has been well investigated and its prevalence is reported to be from 20% to 44%. For pediatric intensive care settings, several validated assessment tools for diagnosing delirium, including the Preschool Confusion Assessment Method for the Intensive Care Unit (psCAM‐ICU), are available in English. However, validated assessment tools for identifying pediatric delirium are unavailable in Japanese. Therefore, the aim of this study is to verify the Japanese translation of the psCAM‐ICU. Methods We enrolled patients at the Pediatric ICU at University of Tsukuba Hospital (Tsukuba, Japan) from May 2017 to February 2019. Enrollment criteria included patients aged 6 months to 5 years, and we excluded coma patients scoring under −4 on the Richmond Agitation–Sedation Scale or suffering from stroke. Pediatric patient delirium was simultaneously evaluated by three medical workers (pediatric intensivist and researchers). Psychiatrists then verified these findings against criteria of the Diagnostic and Statistical Manual of Mental Disorders – 5th Edition. We evaluated criterion validity (sensitivity and specificity) and reliability using Cohen's κ coefficient. Results We made a total of 56 independent assessments of 19 patients (42% female) with an average age of 18 (±15) weeks. Mechanical ventilation was used at least once in 73% of patients and the positive rate of delirium was 54% in total observation. Overall, the psCAM‐ICU showed high sensitivity, specificity (sensitivity, 0.90 [95% confidence interval [CI], 0.80–0.94]; specificity, 0.93 [95% CI, 0.83–0.97]), and high reliability within the researcher assessments (κ = 0.92; 95% CI, 0.82–1.0). Conclusion We verified the psCAM‐ICU and it shows high validity and reliability.

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Section: Discussionmentioning

confidence: 91%

Verifying the Japanese version of the Preschool Confusion Assessment Method for the ICU (psCAM‐ICU)

Matsuishi

Hoshino

Shimojo

et al. 2019

Acute Medicine & Surgery

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“…Las intervenciones de confort físico incluyen las técnicas de promoción de sueño, técnicas de orientación, vigilancia diaria de catéteres, líneas e inmovilizaciones 21 , masajes, acupuntura, toque sanador 22 , disminución de la sedación, aumento de la movilidad, manejo del dolor, evaluación y retiro de medicación y evitar el uso de fármacos deliriogénicos 23 .…”

Section: Intervenciones De Confortunclassified

“…El confort social del paciente se puede mejorar permitiendo la presencia de la familia en la unidad21,22 y educando a la familia y los visitantes sobre el delirium en UCI 23 . Por último, para garantizar el confort ambiental se debe permitir la presencia de objetos familiares en la unidad, alternar ciclos de luzoscuridad 21 , y disminuir los estímulos visuales y sonoros para mejorar la calidad del sueño 22,23 . Algunos autores como Franken y Kawai diseñaron paquetes de intervenciones no farmacológicas orientadas al confort del paciente.…”

Section: Intervenciones De Confortunclassified

Rol de enfermería frente al delirium en unidad de cuidado intensivo pediátrico: Scoping Review

Cortés

Castaño²,

Robayo³

2022

Rev Cuid

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Introducción: El manejo integral de delirium tiene componentes de diferente índole y el rol de enfermería frente a éste puede ser difuso. Objetivo: Identificar en la literatura disponible los cuidados de enfermería no farmacológicos para niños hospitalizados en Unidad de Cuidado Intensivo Pediátrica que presenten delirium. Materiales y métodos: Se realizó una búsqueda estratégica en Web Of Science, Medline, Science Direct, Scielo, Biblioteca Virtual en Salud, LILACS y Open Grey utilizando los términos “nursing care”, “child OR children”, “delirium”, y “Pediatric Intensive Care Unit”. La extracción y análisis de los datos se dio por medio de una matriz. Resultados: Se identificaron 12 artículos que cumplían con los criterios de inclusión y se clasificaron en 4 categorías según la intervención principal desarrollada en el estudio: Abordaje investigativo, intervenciones de confort, intervenciones integrales, e intervenciones educativas. Discusión: El cuidado de enfermería frente al delirium comprende medidas preventivas o curativas que partendel paciente como centro y se extienden hasta su entorno y su familia. Las intervenciones de enfermería pueden estar interrelacionadas de manera que se sustentan y complementan entre ellas. Algunas actividades de cuidado pueden considerarse un indicador de calidad de la atención en salud. Conclusiones: Para abordar integralmente eldelirium pediátrico es necesario incidir sobre los factores individuales, ambientales y estructurales que contribuyen a su aparición. El cuidado de enfermería frente al delirium constituye una forma de proteger y promover el bienestar y el desarrollo inmediato y futuro de los niños. Como citar este artículo: Oostra Cortés Lidia Esther, Henao Castaño Ángela Maria, Motta Robayo Claudia Lorena. Rol de enfermería frente al delirium en unidad de cuidado intensivo pediátrico: Scoping Review. Revista Cuidarte. 2022;13(2): e2381. http://dx.doi.org/10.15649/cuidarte.2381

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“…Nevertheless, the implementation of delirium screening and prevention programs in adult and paediatric ICUs (PICU) is still challenging. This is especially so in critically ill children, in which regular monitoring of delirium with validated assessment tools was practiced in only 25% to 40% of PICUs 7,8 . Furthermore, there are many remaining research questions about the pharmacological and non‐pharmacological treatment of delirium.…”

mentioning

confidence: 99%

Delirium in adult and paediatric ICU patients: what is the way forward?

Ista

Nydahl

2021

Nursing in Critical Care

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Management of Pediatric Delirium in Pediatric Cardiac Intensive Care Patients: An International Survey of Current Practices

Cited by 35 publications

References 32 publications

Verifying the Japanese version of the Preschool Confusion Assessment Method for the ICU (psCAM‐ICU)

Verifying the Japanese version of the Preschool Confusion Assessment Method for the ICU (psCAM‐ICU)

Rol de enfermería frente al delirium en unidad de cuidado intensivo pediátrico: Scoping Review

Delirium in adult and paediatric ICU patients: what is the way forward?

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