Delirium is a hugely important topic in the #pedsICU with up to 90% of some patient populations being affected and impacts on disease severity, length of stay and quality of life, even months after discharge. It is related to underlying disease, but also to the drugs and abnormal environment that we expose our patients to.

Chani Traube and Deb Long are two of the foremost experts on pediatric delirium and offer countless pearls in this practice-changing conversation.

Pediatrica Intensiva season 3 is edited by Professor Karen Choong from McMaster University in Hamilton, Canada and co hosted by Drs Greg Kelly (Sydney Children’s Hospital Network), Peta Alexander (Boston Children’s Hospital) and Mike Clifford (Royal Children’s Hospital Melbourne)

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Selected references

  1. Silver, G. et al. Association Between Pediatric Delirium and Quality of Life After Discharge. Critical care medicine 48, 1829–1834 (2020).
  2. Traube, C. et al. Cornell Assessment of Pediatric Delirium: a valid, rapid, observational tool for screening delirium in the PICU*. Critical care medicine 42, 656–663 (2014).
  3. Pandharipande, P. P. et al. Long-Term Cognitive Impairment after Critical Illness. New England Journal of Medicine 369, 1306–1316 (2013).
  4. Mody, K. et al. Benzodiazepines and Development of Delirium in Critically Ill Children: Estimating the Causal Effect. Critical care medicine 46, 1486–1491 (2018).
  5. Silver, G. et al. Detecting pediatric delirium: development of a rapid observational assessment tool. Intensive Care Medicine 38, 1025–1031 (2012).
  6. Simone, S. et al. Implementation of an ICU Bundle. Pediatric Critical Care Medicine 18, 531–540 (2017).

Season 3, Episode 3
Published: June 21, 2021
Run time: 1:24

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Early Mobilization in the #pedsICU feat. Sapna Kudchadkar

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