title: Stuck Inside a Cloud: Optimizing Sedation to Reduce ICU-Associated Delirium in Geriatric Patients.
abstract: Elderly population account for more than 50% of all intensive care admissions, and during their stay, up to 87% of them suffer from delirium. There is a large body of evidence demonstrating increased mortality and worse cognitive function for elderly patients who become delirious during their intensive care unit stay. Although the cause of delirium is multifactorial, inappropriate and outdated sedation methods are preventable causes. We review the current best evidences and provide what we believe are the best sedation strategies that are in line with the Society of Critical Care Medicine's Pain, Agitation and Delirium best practice guideline to reduce the incidence of intensive care unit-associated delirium.
authors.affiliation: Department of Anesthesiology and Critical Care Medicine, Memorial Sloan Kettering Cancer Center, and New York University College of Nursing, New York (Mr Chen); and New York University College of Nursing at College of Dentistry, and New York Presbyterian Weill Cornell Hospital and Hospital for Special Surgery New York City, New York (Mr Lim).
authors.forename: Leon
authors.initials: L
authors.lastname: Chen
authors.forename: Fidelindo A
authors.initials: FA
authors.lastname: Lim
mesh_terms: D000368:Aged; D064648:Critical Care Nursing; D003693:Delirium / Q000188:drug therapy* / Q000209:etiology; D006801:Humans; D006993:Hypnotics and Sedatives / Q000627:therapeutic use*; D007362:Intensive Care Units; D059408:Pain Management; D011446:Prospective Studies; D012121:Respiration, Artificial
chemical_list: D006993:Hypnotics and Sedatives