Intensive care delirium related to COVID-19: Risk factors, prevention and treatment policies

Year 2021, Volume: 8 Issue: 2, 152 - 155, 01.06.2021

Yeter Çuvadar , Ayşe Çuvadar

Abstract

The new type of corona virus, COVID-19, which causes SARS-CoV-2, emerged as a public health threat in December 2019 and was declared an epidemic by the World Health Organization in March 2020. Delirium is frequently encountered in intensive care patients; Organic brain syndrome or intensive care syndrome, which is defined as a form of psychosocial reactions involving hallucination, anxiety and anxiety. Given the early opinions about the physiopathology of the virus and the new interventions to treat critical patients, the prevention and management of delirium will be extremely challenging, especially in the intensive care unit. However, early diagnosis of patients with delirium is critical in COVID-19 patients because delirium formation may be an early
sign of worsening respiratory failure or the corona virus reaching the central nervous system. In this review, prevention policies will be discussed by determining the importance and potential risk factors of delirium that will develop during the difficulties associated with SARS -CoV-2 infection of healthcare professionals.

Keywords

COVID-19, Delirium, Intensive Care

COVID-19 ile ilişkili yoğun bakım deliryumu: Risk faktörleri, önleme ve tedavi politikaları

Abstract

Yeni tip koronavirüs, SARS-CoV-2'ye neden olan COVID-19, Aralık 2019'da bir halk sağlığı tehdidi olarak ortaya çıkmış ve Mart 2020'de Dünya Sağlık Örgütü tarafından bir salgın olarak ilan edilmiştir. Deliryum yoğun bakım hastalarında sık karşılaşılan; halüsinasyon, anksiyete ve kaygıyı içeren psikososyal reaksiyonların bir çeşidi olarak tanımlanmış organik beyin sendromu veya yoğun bakım sendromu’dur. Virüsün fizyopatolojine ve kritik hastaları tedavi etmek için ortaya çıkan yeni müdahalelere ilişkin erken görüşler göz önüne alındığında, deliryumun önlenmesi ve yönetimi, özellikle yoğun bakım ünitesinde son derece zorlayıcı olacaktır. Fakat deliryumlu hastaların erken teşhisi COVID-19 hastalarında kritik öneme sahiptir çünkü deliryum oluşumu, solunum yetmezliğinin kötüleşmesinin veya koronavirüsün merkezi sinir sistemine ulaştığının erken bir belirtisi olabilir. Bu derlemede, sağlık profesyonellerinin SARS-CoV-2 enfeksiyonu ile ilişkili zorluklar sırasında gelişecek deliryumun önemini ve potansiyel risk faktörlerini belirleyerek önleme politikaları tartışılacaktır.

Keywords

COVID-19, Deliryum, Yoğun Bakım

References

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