当怀疑谵妄时,CAM-ICU 专门设计用于危重患者,包括机械通气患者。但是,工具开发人员建议每天执行一次或多次评估。CAM-ICU由四个CAM项目和一个评分算法组成,不同之处在于使用嵌入式短认知测试和是/否面试问题来评估注意力和无序思维。在一项包含 969 名患者的 9 项研究的 meta 分析中,CAM-IC...
CAM-ICU评估首先应进行镇静深度评估,推荐使用Richmond躁动镇静分级(Richmond agitation sedation scale, RASS)。处于深度镇静或不能唤醒状态的患者不能进行谵妄评估;如果患者能够唤醒,则继续进行下一步CAM-ICU评估(表4)。 表4.CAM-ICU诊断流程 第一步:先使用RASS评估患者镇静深度,如果评分为-4或-5则停止谵妄评估,若...
Assessment of ICU Delirium: CAM ICU Worksheet CAMVanderbilt University
共识6:推荐CAM、4AT、DRS用于谵妄评估;对未经精神科培训的医护人员,推荐采用4AT量表进行评估,对经过相关培训的人员推荐使用CAM、CAM-ICU和DRS-R-98;对谵妄患者,需进行相应辅助检查,以明确病因或触发因素。 共识7:推荐DSM-Ⅴ谵妄诊断标...
Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) Intensive Care Delirium Screening Checklist (ICDSC) Delirium symptom severity can be assessed by the Delirium Detection Scale (DDS) and the Memorial Delirium Assessment Scale (MDAS). See Workup for more detail. Management The goal...
The CAM-ICU is the most widely studied and validated diagnostic instrument. However, the accuracy of this tool may be less than ideal without adequate training of the providers applying it. The presence of delirium has important prognostic implications; in mechanically ventilated patients it is ...
The CAM-ICU is the most widely studied and validated diagnostic instrument. However, the accuracy of this tool may be less than ideal without adequate training of the providers applying it. The presence of delirium has important prognostic implications; in mechanically ventilated patients it is ...
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;29:1370-1379.http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&Dopt=r&uid=entrez/query.fcgi?cmd=Retrieve&...
Riekerk B, Pen EJ, Hofhuis JG, et al. Limitations and practicalities of CAM-ICU implementation, a delirium scoring system, in a Dutch intensive care unit. Intensive Crit Care Nurs 2009 Oct; 25(5): 242–9 PubMedGoogle Scholar Weinert CR, Mann HJ. The science of implementation: changing...
For observer B, (a nurse) the sensitivity was 83% and the specificity was 96%.The Spanish version of the CAM-ICU is a valid, reliable, and reproducible instrument that can be satisfactorily applied to diagnose delirium in Spanish-speaking ICU patients....