title: Delirium in intensive care unit patients under noninvasive ventilation: a multinational survey.
abstract: OBJECTIVE
  To conduct a multinational survey of intensive care unit professionals to determine the practices on delirium assessment and management, in addition to their perceptions and attitudes toward the evaluation and impact of delirium in patients requiring noninvasive ventilation.
  
  
  METHODS
  An electronic questionnaire was created to evaluate the profiles of the respondents and their related intensive care units, the systematic delirium assessment and management and the respondents' perceptions and attitudes regarding delirium in patients requiring noninvasive ventilation. The questionnaire was distributed to the cooperative network for research of the Associação de Medicina Intensiva Brasileira (AMIB-Net) mailing list and to researchers in different centers in Latin America and Europe.
  
  
  RESULTS
  Four hundred thirty-six questionnaires were available for analysis; the majority of the questionnaires were from Brazil (61.9%), followed by Turkey (8.7%) and Italy (4.8%). Approximately 61% of the respondents reported no delirium assessment in the intensive care unit, and 31% evaluated delirium in patients under noninvasive ventilation. The Confusion Assessment Method for the intensive care unit was the most reported validated diagnostic tool (66.9%). Concerning the indication of noninvasive ventilation in patients already presenting with delirium, 16.3% of respondents never allow the use of noninvasive ventilation in this clinical context.
  
  
  CONCLUSIONS
  This survey provides data that strongly reemphasizes poor efforts toward delirium assessment and management in the intensive care unit setting, especially regarding patients requiring noninvasive ventilation.
authors.affiliation: Hospital Copa D'Or, Rio de Janeiro, RJ, Brasil.
authors.forename: Lilian Maria Sobreira
authors.initials: LM
authors.lastname: Tanaka
authors.affiliation: Instituto D'Or de Pesquisa e Ensino, Rio de Janeiro, RJ, Brasil.
authors.forename: Jorge Ibrain Figueira
authors.initials: JI
authors.lastname: Salluh
authors.affiliation: Programa de Pós-graduação em Ciências da Saúde, Unidade Acadêmica de Ciências da Saúde, Universidade do Extremo Sul Catarinense, Criciúma, SC, Brazil.
authors.forename: Felipe
authors.initials: F
authors.lastname: Dal-Pizzol
authors.affiliation: Hospital Universitário Prof. Edgar Santos, Faculdade de Medicina da Bahia, Universidade Federal da Bahia, Salvador, BA, Brazil.
authors.forename: Bruna Brandão
authors.initials: BB
authors.lastname: Barreto
authors.affiliation: Hospital Universitário Prof. Edgar Santos, Faculdade de Medicina da Bahia, Universidade Federal da Bahia, Salvador, BA, Brazil.
authors.forename: Ricardo
authors.initials: R
authors.lastname: Zantieff
authors.affiliation: Departamento de Medicina, Hospital Clinico, Universidad de Chile, Independencia, Chile.
authors.forename: Eduardo
authors.initials: E
authors.lastname: Tobar
authors.affiliation: Departamento de Terapia Intensiva e Unidade de Ventilação não invasiva, Hospital Morales Meseguer, Murcia, Espanha.
authors.forename: Antonio
authors.initials: A
authors.lastname: Esquinas
authors.affiliation: Hospital Universitário Prof. Edgar Santos, Faculdade de Medicina da Bahia, Universidade Federal da Bahia, Salvador, BA, Brazil.
authors.forename: Lucas de Castro
authors.initials: Lde C
authors.lastname: Quarantini
authors.affiliation: Hospital Universitário Prof. Edgar Santos, Faculdade de Medicina da Bahia, Universidade Federal da Bahia, Salvador, BA, Brazil.
authors.forename: Dimitri
authors.initials: D
authors.lastname: Gusmao-Flores
mesh_terms: D001291:Attitude of Health Personnel; D003422:Critical Care; D003693:Delirium / Q000175:diagnosis / Q000628:therapy*; D019538:Health Care Surveys; D006801:Humans; D007362:Intensive Care Units; D063087:Noninvasive Ventilation