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Delirmanagement in der Intensivmedizin

Nichtmedikamentöse Therapieoptionen

Management of delirium in the intensive care unit

Non-pharmacological therapy options

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Medizinische Klinik - Intensivmedizin und Notfallmedizin Aims and scope Submit manuscript

Zusammenfassung

Hintergrund

Nichtmedikamentöse Interventionen werden in der Prävention und Therapie des Delirs eingesetzt.

Fragestellung

Überprüfung der Effektivität von nichtmedikamentösen Therapieoptionen.

Methodik

Auswertung von Übersichtsarbeiten und Studien mit Formulierung von Empfehlungen für die klinische Praxis.

Ergebnisse

Hohe Effektivität in der Delirprävention und Therapie haben Reorientierung, Förderung der geistigen Aktivität, frühe Physiotherapie, Vermeidung von Polypharmazie und Schlafentzug sowie adäquate Kommunikation.

Schlussfolgerungen

Nichtmedikamentöse Interventionen haben einen hohen Stellenwert in der Prävention und Therapie des Delirs.

Abstract

Background

Non-pharmacological intervention strategies are used in the prevention and therapy of delirium.

Objectives

Investigation of the effectiveness of non-pharmacological therapy options.

Methods

Analysis of review articles and studies in order to make recommendations for the clinical practice.

Results

Reorientation, promotion of mental activities, adequate communication, early physiotherapy and avoidance of both polypharmacy and sleep deprivation have a high impact on the prevention and therapy of delirium.

Conclusion

Non-pharmacological intervention strategies are very important in the prevention and therapy of delirium.

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Authors and Affiliations

  1. Klinik für Anästhesiologie, operative Intensivmedizin und Schmerztherapie, Sankt Elisabeth Hospital Gütersloh, Stadtring Kattenstroth 130, 33332, Gütersloh, Deutschland

    N. Zoremba Ph.D.

Authors
  1. N. Zoremba Ph.D.
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Correspondence to N. Zoremba Ph.D..

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Interessenkonflikt

N. Zoremba gibt an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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M. Buerke, Siegen

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Zoremba, N. Delirmanagement in der Intensivmedizin. Med Klin Intensivmed Notfmed 112, 320–325 (2017). https://doi.org/10.1007/s00063-015-0123-y

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  • DOI: https://doi.org/10.1007/s00063-015-0123-y

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