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Delirium

CAM and CAM-ICU

Confusion Assessment Method. Delirium is a common feature of critical illness and can manifest in hypo-active or hyper-active forms. CAM-ICU has been shown to be useful in screening for delirium in ventilated patients who cannot verbalise. In the Follow-Up setting either the more formal CAM - also known as mini-mental state and serial 7’s – or CAM-ICU may detect delirium.

ICU Delirium and Cognitive Impairment Study Group website:
www.icudelirium.org

Wes Ely's excellent and comprehensive website of delirium and brain dysfunction in critically ill patients.

Clinical Research:

Pisani MA, Araujo KL, Van Ness PH et al.
A research algorithm to improve detection of delirium in the intensive care unit.
Crit Care. 2006;10(4):R121.

Ely EW, Margolin R, Francis J et al.
Evaluation of delirium in critically ill patients: validation of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU).
Crit Care Med. 2001 Jul;29(7):1370-9.

Ely EW, Inouye SK, Bernard GR et al. Delirium in mechanically ventilated patients: validity and reliability of the confusion assessment method for the intensive care unit (CAM-ICU). JAMA. 2001 Dec 5;286(21):2703-10.



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