Anaesthesia & ICU
ICU Delirium Management
PADIS bundle, CAM-ICU screening, non-pharmacological + pharmacological (avoid benzodiazepines).
Source: PADIS Guidelines 2018; ICS
Used in: Delirium & Cognitive Impairment
Step 1 of ~3
info
Recognise — CAM-ICU
CAM-ICU 2× daily in ALL ICU patients:
1. Acute change / fluctuation in mental status.
2. Inattention.
3. Altered consciousness OR disorganised thinking.
1 + 2 + (3 or 4) = positive CAM-ICU.
Prevalence 30–80%; ↑ mortality, LOS, long-term cognitive dysfunction.
Related
Curated clinical cross-links plus same-class fallbacks.
Drugs
- Insulin (IV Infusion — ICU Glucose Control) · Insulin — ICU Glucose Management
- Sodium Chloride 3% (Hypertonic Saline) · Hypertonic Electrolyte Solution — ICP/Hyponatraemia Management
- Migalastat · Pharmacological chaperone (α-galactosidase A)
- Sodium Chloride 0.9% Nasal Irrigation / Spray · Nasal irrigation / saline decongestant (non-pharmacological adjunct)
- Haloperidol (Delirium) · Typical Antipsychotic (Butyrophenone)
- Methotrexate (Ectopic) · Antimetabolite (Ectopic Pregnancy Management)
Pathways
- Difficult Airway Algorithm (DAS) · DAS 2015; Royal College of Anaesthetists
- Anaphylaxis Under Anaesthesia · AAGBI 2018; NAP6
- Malignant Hyperthermia · AAGBI 2011; MHAUS
- Local Anaesthetic Systemic Toxicity (LAST) · AAGBI 2010; ASRA 2017
- Spinal Anaesthesia Hypotension Management · AAGBI; ASA
- Postoperative Nausea & Vomiting · Society for Ambulatory Anesthesia 2020; AAGBI
Decision support only. Always apply local guidelines and clinical judgement.