Episode #5: The Big Picture of ICU Delirium
Dr. Wes Ely is known as the ICU delirium expert. In this episode, he shares with us what led him to start his research into delirium. His team developed the CAM scoring tool and the ABCDEF Bundle that are guiding a powerful metamorphosis towards humane care throughout the critical care world. He gives us the BIG picture of the long-term effects of ICU delirium.
Resources Referenced:
Hipp, D., & Ely, W. (2012). Pharmacological and nonpharmacological management of delirium in critically ill patients. The American Society for Experimental NeuroTherapeutics, Inc., 9(1). https://www.ncbi.nlm.nih.gov/pubmed/?term=Pharmacological+and+nonpharmacological+management+of+delirium+in+critically+ill+patients.
Morris, P., Berry, M., Files, D., Thompson, J., Hauser, J., Flores, L., Dhar, S., Chmelo, E., Lovato, J., Case L., Bakhru, R., Sarwal, A., Parry, S., Campbell, P., Mote, A., Winkelman, C., Hite, R., Nicklas, B., Chatterjee, A., & Young, M. (2016) Standardized rehabilitation and hospital length of stay among patient with acute respiratory failure: a randomized clinical trial. Journal of American Medical Association, 315(24), 2694–702. https://www.ncbi.nlm.nih.gov/pubmed/?term=Standardized+rehabilitation+and+hospital+length+of+stay+among+patient+with+acute+respiratory+failure%3A+a+randomized+clinical+trial
Moss, M., Nordon-Craft, Malone, D., Van Pelt, D., Frankel, S., Warner, M., Kriekels, W., McNulty, M., Fairclough, D., & Schenkman, M. (2016) A randomized trial of an intensive physical therapy program for patients with acute respiratory failure. American Journal of Respiratory Critical Care Medicine, 193(10). https://www.ncbi.nlm.nih.gov/pubmed/26651376
Pun, B., Balas, M., Daly, B., Thompson, J., Aldrich, J., Barr, J., Byrum, D., Carson, S., Devlin, J., Engel, H., Esbrook, C., Hargett, K., Harmon, L., Hielsbery, C., Jackson, J., Kelly, T., Kumar, V., Millner, L., Morse, A., Perme, C., Posa, P., Puntillo, K., Schweickert, W., Stollings, J., Tan, A., McGowan, D., & Ely, W. (2019). Caring for critically ill patients with the abcdef bundle: results of the icu liberation collaborative in over 15,000 adults. Critical Care Medicine, 47(1). https://www.ncbi.nlm.nih.gov/pubmed/30339549
Schaller, S., Anstey, M., Blobner, M., Edrich, T., Grabitz, S., Gradwohl-Matis, I., Heim, M., Houle, T., Kurth, T., Latronico, N., Lee, J., Meyer, M., Peponis, T., Talmor, D., Velmahos, G., Waak, K., Walz, J., Zafonte, R., & Eikermann, M. (2016). Early, goal directed mobilization in the surgical intensive care unit: a randomized controlled trial. Lancet, 388(10052), 1377–1388. https://www-sciencedirect-com.ezproxy.lib.utah.edu/science/article/pii/S0140673616316373#sec1
Schweickert, W., Pohlman, M., Pohlman, A., Migos, C., Pawlik, A., Esbrooke, C., Spears, L., Miller, M., Franczk, M., Deprizio, D., Schmidt, G., Bowman, A., Barr, A., McCallister, K., Hall, J., & Kress, J. (2009) Early physical and occupational therapy in mechanically ventilated critically ill patients: a randomized controlled trial. Lancet, 373(9678), 1874–82. https://www-sciencedirect-com.ezproxy.lib.utah.edu/science/article/pii/S0140673609606589
(A wonderful compilation of Dr. Ely’s published work):https://wag.app.vanderbilt.edu/PublicPage/Faculty/Details/29490
