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Höchter, D.; Tomasi, R.; Dossow, Vera von (2016): Das Delir – Prophylaxe und Behandlung. In: Anästhesiologie & intensivmedizin, Vol. 57: pp. 24-30
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Delirium is the most common disorder of consciousness in the intensive care unit as well as in the perioperative setting. Delirium in critically ill patients is of great importance as it adds significantly to the burden of care and is associated with worse outcome. There are some simple and well validated scores to detect/diagnose a delirium. These assessment tools are part of the German S3-guideline for analgesia, sedation and delirium management. In addition, delirium monitoring is also part of the ABCDE-bundles of the American guidelines. Detection of risk factors on the one hand, as well as a reduction of iatrogenic risks on the other hand play a pivotal role in delirium prevention. The therapy is symptom-oriented and includes the management of hallucinations, anxiety and agitation and reducing sympathetic tone. It is essential that physicians and nurses are familiar with the delirium assessment and that treatment algorithms are implemented in standard patient care.