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>Revistas >Medicina Crítica >Año 2007, No. 1


Carrillo ER, Carrillo CJR
Delirio en el enfermo grave
Rev Asoc Mex Med Crit y Ter Int 2007; 21 (1)

Idioma: Español
Referencias bibliográficas: 42
Paginas: 38-44
Archivo PDF: 69.37 Kb.


Texto completo




RESUMEN

El delirio se define como una alteración de la conciencia con inatención acompañado de alteraciones cognitivas y/o perceptuales que se desarrollan en un corto periodo de tiempo (horas o días) y fluctúa con el tiempo. Numerosos estudios han descrito la incidencia, prevalencia e impacto en los costos con respecto a los pacientes en enfermerías y hospitales, pero pocas investigaciones prospectivas se han enfocado en grupos tratados específicamente en las unidades de terapia intensiva. Muchos estudios han confirmado que el delirio ocurre en 60% al 80% de los pacientes con ventilación mecánica, aunque 2 estudios han demostrado menor prevalencia en un grupo en una UTI con enfermedades menos severas. Sólo el 5% de 912 médicos encuestados en el 2001 y 2002 afirman el monitoreo del delirio en la UTI, aunque la Society of Critical Care Medicine ha recomendado el monitoreo de rutina para el delirio en todos los pacientes de la UTI. El delirio es un factor independiente de mayor estancia en las UTI’s. Este trabajo revisa la definición y clasificaciones del delirio, sus principales factores de riesgo, un nuevo método validado para la medición del delirio en la UTI que pueden utilizar médicos y enfermeras, además de los agentes farmacológicos asociados con el desarrollo de delirio y los usados en su manejo farmacológico.


Palabras clave: Delirio, haloperidol, UTI, CAM-UTI.


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>Revistas >Medicina Crítica >Año2007, No. 1
 

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