Music intervention to prevent delirium among older patients admitted to a trauma intensive care unit and a trauma orthopaedic unit

Johnson, Kari; Fleury, Julie; McClain, Darya

doi:10.1016/j.iccn.2018.03.007

Cited by 34 publications

(83 citation statements)

References 50 publications

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“…145 The importance of family involvement in cognitive rehabilitation has been recognized in other types of brain injury 146 and may provide a promising avenue for reducing the burden of brain injury due to delirium in ICU patients. 144,147 Other methods for creating comforting environments include music-based therapies, which can improve physiologic measures associated with delirium 148 and have been recognized as potentially beneficial during critical illness and at the end of life. 149 Such interventions are the subject of ongoing study.…”

Section: Family Engagement and Empowermentmentioning

confidence: 99%

Prevention and Management of Delirium in the Intensive Care Unit

Mart

Roberson

Salas

et al. 2020

Semin Respir Crit Care Med

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Delirium is a debilitating form of brain dysfunction frequently encountered in the intensive care unit (ICU). It is associated with increased morbidity and mortality, longer lengths of stay, higher hospital costs, and cognitive impairment that persists long after hospital discharge. Predisposing factors include smoking, hypertension, cardiac disease, sepsis, and premorbid dementia. Precipitating factors include respiratory failure and shock, metabolic disturbances, prolonged mechanical ventilation, pain, immobility, and sedatives and adverse environmental conditions impairing vision, hearing, and sleep. Historically, antipsychotic medications were the mainstay of delirium treatment in the critically ill. Based on more recent literature, the current Society of Critical Care Medicine (SCCM) guidelines suggest against routine use of antipsychotics for delirium in critically ill adults. Other pharmacologic interventions (e.g., dexmedetomidine) are under investigation and their impact is not yet clear. Nonpharmacologic interventions thus remain the cornerstone of delirium management. This approach is summarized in the ABCDEF bundle (Assess, prevent, and manage pain; Both SAT and SBT; Choice of analgesia and sedation; Delirium: assess, prevent, and manage; Early mobility and exercise; Family engagement and empowerment). The implementation of this bundle reduces the odds of developing delirium and the chances of needing mechanical ventilation, yet there are challenges to its implementation. There is an urgent need for ongoing studies to more effectively mitigate risk factors and to better understand the pathobiology underlying ICU delirium so as to identify additional potential treatments. Further refinements of therapeutic options, from drugs to rehabilitation, are current areas ripe for study to improve the short- and long-term outcomes of critically ill patients with delirium.

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Section: Family Engagement and Empowermentmentioning

confidence: 99%

Prevention and Management of Delirium in the Intensive Care Unit

Mart

Roberson

Salas

et al. 2020

Semin Respir Crit Care Med

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“…B. nach Schädel-Hirn-Trauma, Reanimation mit hypoxischer Schädigung, Alkoholentzug) oder durch indi- [23]. Ähnlich positive Effekte bei Delirpatienten durch Musikbeschallung wurden auch in anderen prospektivkontrollierten Studien nachgewiesen [22,24].…”

Section: Bedeutung Von Musik Bei Delirunclassified

“…Khan und Mitarbeiter wiesen kürzlich bei 117 Patienten, die auf einer Intensivstation wegen Delir behandelt wurden, in einer kontrollierten randomisierten Studie nach, dass eine Musikbeschallung über eine Stunde 2‑mal täglich zu einer signifikanten Steigerung von delirfreien Tagen führte [ 23 ]. Ähnlich positive Effekte bei Delirpatienten durch Musikbeschallung wurden auch in anderen prospektiv-kontrollierten Studien nachgewiesen [ 22 , 24 ].…”

Section: Bedeutung Von Musik Bei Delirunclassified

Effekte von Musik in der Intensivmedizin

Trappe

2020

Med Klin Intensivmed Notfmed

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“…We updated the search prior to publication in February 2019 and identified two new eligible papers published after the original search date. 36,37 There were not incorporated as neither paper altered the conclusions of the review.…”

Section: Updated Searchmentioning

confidence: 99%