Sarah LaHue

Clinical Outcomes Following Implementation of a Hospital-Wide, Multicomponent Delirium Care Pathway: A Before-After Quality Improvement Study

Sara LaHue, MD Assistant Professor of Clinical Neurology, University of California, San Francisco We cannot improve upon what we do not measure. While data suggests that more than 7 million adults in the United States develop delirium each year, this is likely an underestimate as delirium is poorly recognized without systematic screening.1 Delirium itself is […]

Christina Boncyk

The Consequences of Unwarranted Pharmacologic Treatment of ICU Delirium

Christina Boncyk, MD, MPH Assistant Professor of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN The generally positive results of older controlled studies evaluating antipsychotics for intensive care unit (ICU) delirium treatment helped potentiate the routine use of these agents in critically ill adults despite the serious limitations of these studies.1-3 While more recent publications of […]

Malissa Mulkey, PhD, APRN, CCNS, CCRN

Using Limited Lead Rapid Response EEG to Detect Delirium: A Proof-of-Concept Study

Malissa Mulkey, PhD, APRN, CCNS, CCRN Post-Doctoral Research Fellow, Indiana University Medical Center, Indianapolis, IN Based on the Diagnostic and Statistical Manual for Mental Disorders-Version 5 (DSM-V) delirium is defined as encompassing a reduction in attention, impairment in both cognition and memory and awareness.1 Historically, due to the high prevalence in the intensive care setting, […]

Dr. Leah Acker

Do more complex brain electrical signals protect against postoperative delirium?

Leah Acker, MD, PhD, Assistant Professor of Anesthesiology, Duke University Medical Center, Durham, NC Outside of the delirium field, less complex physiological output signals often are associated with increased risk of geriatric syndromes. For example, an increased risk of falls is associated with less complex musculoskeletal adjustment movements.1 Overall, less complex physiological signals are associated […]