Peter Nydahl
@nydahlpeter.bsky.social
📤 336
📥 83
📝 109
RN, MScN, PhD. Critical Care and beyond. All views are my own
Virtual reality for delirium: immersive training courses promote empathy and expertise in delirium management among registered nurses
authors.elsevier.com/sd/article/S...
by amazing first author
@lamesii.bsky.social
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https://authors.elsevier.com/sd/article/S0964-3397(25)00229-0
7 months ago
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What if patients or families are clinicians themselves and ‘One of Us’? Do you feel pressured or judged when treating patients or relatives with medical knowledge? Do you change your communication or care style? Is it fair?
healthmanagement.org/c/icu/issuea...
7 months ago
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Consensus paper: Implementing Artificial Intelligence in Critical Care Medicine: a consensus of 22
ccforum.biomedcentral.com/articles/10....
Thanks to
@criticalcarereviews.com
8 months ago
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reposted by
Peter Nydahl
Alasdair MacLullich
8 months ago
The 2024 Lancet Commission stated that there are multiple preventable risk factors for
#dementia.
Addressing these factors may reduce future risk but there is a lack of interventional studies.
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reposted by
Peter Nydahl
Intensive Care Society
8 months ago
🌅 What a way to start Day 2 of
#SOA25
! A huge thank you to everyone who took part in this morning’s 5K Fun Run – an energetic and inspiring start to the day 🏃♀️🏃♂️💨 Delegates are now refreshed, refuelled, and ready for another packed programme exploring the future of intensive care. Let’s go! 👏
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reposted by
Peter Nydahl
Laura Breach
9 months ago
@david-mcwilliams.bsky.social
@rehablegendlou.bsky.social
@christinaj1956.bsky.social
@theacprc.bsky.social
@cc-sn.bsky.social
add a skeleton here at some point
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reposted by
Peter Nydahl
Alasdair MacLullich
8 months ago
"Have you been having a difficult time?" "Is anything making you frightened?" "Is there anything I can do to help you right now?" ➡️ High value, quick questions to help those with
#delirium
&
#dementia
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reposted by
Peter Nydahl
Alasdair MacLullich
8 months ago
Quality statements from the excellent Australian
#Delirium
Clinical Care Standard
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Stay tuned for the 5th session of the international ICU Diary Conference on Tuesday, July 8th: PICS and Aftercare/Follow-up US CST 7:00 a.m., Central Europe CEST 2:00 p.m., Australia AEST 9 p.m. Register for free here:
www.icu-diary.org/styled/
and spoiler for July 15th
8 months ago
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Biomarkers for intensive care unit-acquired weakness: a systematic review for prediction, diagnosis and prognosis Ten biomarkers were identified and categorized into five mechanisms, some with high predictive and diagnostic accuracy
annalsofintensivecare.springeropen.com/articles/10....
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Biomarkers for intensive care unit-acquired weakness: a systematic review for prediction, diagnosis and prognosis - Annals of Intensive Care
Background Intensive care unit-acquired weakness (ICU-AW) is a common and debilitating complication in critically ill patients, significantly affecting both short- and long-term outcomes. The existing...
https://annalsofintensivecare.springeropen.com/articles/10.1186/s13613-025-01500-9
8 months ago
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In a dutch survey with 80 ICU survivors, 80% reported having dreams on ICU, 73% reported “life-like” dreams, 49% had negative dreams, and 55% could not distinguish between dream and reality. Please, ask your patients for their dreams and WRITE ICU DIARIES!
pubmed.ncbi.nlm.nih.gov/40603708/
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Dream Experiences During Intensive Care Unit Stay: Occurrence, Content, Vividness and Associated Factors - PubMed
ICU nurses should be aware of the occurrence and psychological burden of vivid negative dreams in ICU patients. Providing anticipatory support may help patients process these experiences during recove...
https://pubmed.ncbi.nlm.nih.gov/40603708/
8 months ago
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In a cohort of 928 patients for elective surgery, long-term benzodiazepine use was associated with post-operative delirium, but not premedication with benzodiazepines
journals.lww.com/ejanaesthesi...
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Long-term and pre-operative benzodiazepine use in older... : European Journal of Anaesthesiology | EJA
its onset, as it can significantly delay recovery from surgery. Benzodiazepines are among the most frequently prescribed medications, particularly for female individuals. They have a depressant effect...
https://journals.lww.com/ejanaesthesiology/fulltext/2025/08000/long_term_and_pre_operative_benzodiazepine_use_in.5.aspx
8 months ago
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Next session of the virtual, international Conference on ICU Diaries will be tomorrow, Tuesday, July 1st CST 7:00 a.m., BST 1:00 p.m. CEST 2:00 p.m., AEST 9 p.m. Session IV: Lived Experiences of Diaries of Patients and Relatives Register here for free:
us06web.zoom.us/meeting/regi...
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Welcome! You are invited to join a meeting: Virtual International Conference on ICU Diaries 2025: July 1st: Lived Experiences of Diaries by Patients and Relatives. After registering, you will receive ...
Gain powerful insights into the impact of ICU diaries through real-life experiences. Hear from patients, families, and healthcare professionals about how diaries foster healing, and join a Q&A to deep...
https://us06web.zoom.us/meeting/register/c7yVQfhhTVKP0tr8XVrGYQ
8 months ago
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In a pilot RCT with 45 ICU patients with severe brain injuries and MV>48h, recorded family voices supporting weaning trials ("breath in and out", "you can do it") vs sham led to reduced weaning time.
academic.oup.com/braincomms/a...
8 months ago
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Muscle weakness after critical illness: unravelling biological mechanisms and clinical hurdles Excellent review. Thanks to
@criticalcarereviews.com
ccforum.biomedcentral.com/articles/10....
8 months ago
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In 311 children after cardiac surgery, prevelance of delirium was 40.2 %, and several risk factor could be identified
www.nature.com/articles/s41...
8 months ago
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reposted by
Peter Nydahl
Sabina Mason
9 months ago
Delighted to be involved in this publication that champions **families are always welcome**, fostering compassionate & holistic care.
#FamilyCenteredCare
#CriticalCare
#ICU
#FamiliesAlwaysWelcome
add a skeleton here at some point
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reposted by
Peter Nydahl
Nursing in Critical Care Journal
8 months ago
Call for Papers: The Journal of Nursing in Critical Care is now accepting articles for its upcoming special issue: ✨ Humanizing and Elevating Critical Care: The Power of Families ✅ Submit today:
onlinelibrary.wiley.com/page/journal...
@baccnuk.bsky.social
@nydahlpeter.bsky.social
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International ICU Diary Conference Stay tuned for the next session: digital ICU Diaries Tuesday, June 24th, CST 7:00 a.m., BST 1:00 p.m., CEST 2:00 p.m., AEST 9 p.m. Free registration:
icu-diary.org/styled/
Bild
8 months ago
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After waiting for 11 months, sending frequent reminders and multiple suggestions for further reviewers, we withdraw our manuscript from submission to BMC Public Health. This is unbearable.
9 months ago
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Expert consensus on research priorities for the prevention of delirium in adult ICU patients Free full text:
authors.elsevier.com/a/1lGVt3RG-M...
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https://authors.elsevier.com/a/1lGVt3RG-Mm6H-
9 months ago
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Tomorrow, Tuesday June 17th, will be second session of the International ICU Diary Conference: Diaries Diary implementation in special settings CST 7:00 a.m. UK: BST 1:00 p.m. CEST 2:00 p.m. AEST 9 p.m. Register here
www.icu-diary.org/styled/
9 months ago
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reposted by
Peter Nydahl
Louise Gallie
9 months ago
Join us for an exciting series of virtual sessions all about ICU
#PatientDiaries
! From Lived experience, expertise, and innovation, each week, a 90-minute session will focus on the importance of
#ICUPatientDiaries
To join in, visit:
www.icu-diary.org/styled/
@nydahlpeter.bsky.social
#ICU
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The ICU Diary Conference will start tomorrow June 10: Introduction to ICU Diaries June 17: Diaries in Special Settings June 24: Digital ICU Diaries July 1: Lived Experiences of Diaries of Patients & Relatives July 8: PICS and Aftercare/Follow-up Register
www.icu-diary.org/styled/
9 months ago
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The
@icurehab.bsky.social
literature list is updated again! More than 4,000 titles about early mobilization, patient outcomes, teamwork, dysphagia, nutrition, and more! All summarized in a word file with links. For free. Thanks to Dale M. Needham
icurehabnetwork.org/resources/
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Resources & Helpful Links – ICURehabNetwork.org
https://icurehabnetwork.org/resources/
9 months ago
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Just wow, a must-read: ESAIC Mellin-Olsen declaration on diversity, equity and inclusion
journals.lww.com/ejanaesthesi...
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ESAIC Mellin-Olsen declaration on diversity, equity and... : European Journal of Anaesthesiology | EJA
An abstract is unavailable.
https://journals.lww.com/ejanaesthesiology/fulltext/2025/07000/esaic_mellin_olsen_declaration_on_diversity,.1.aspx
9 months ago
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Short report how the German Society for Specialised Critical Care Nursing implemented Family-Centered Care in more than 300 ICUs, and progressing: Families are always welcome! Open access by
@niccjournal.bsky.social
onlinelibrary.wiley.com/doi/10.1111/...
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<em>Nursing in Critical Care</em> | BACCN Journal | Wiley Online Library
Involving family members in the daily care of intensive care unit (ICU) patients can increase family satisfaction and improve ICU patient outcomes. The presence of families in the ICU is a quality i...
https://onlinelibrary.wiley.com/doi/10.1111/nicc.70074
9 months ago
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In the TEAM trial with 733 adult ICU patients from 6 countries, early mobilization was delivered on higher level and by more staff hours, but was not shown as cost effective in term of QALY, compared to usual care.
pubmed.ncbi.nlm.nih.gov/40439527/
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The Cost-Effectiveness of Early Active Mobilization During Mechanical Ventilation in the ICU: An Economic Evaluation Alongside the Treatment of Mechanically Ventilated Adults With Early Activity and M...
Our trial-based analysis found no evidence that higher-dose early active mobilization is a cost-effective intervention compared with usual care mobilization for mechanically ventilated adult ICU patie...
https://pubmed.ncbi.nlm.nih.gov/40439527/
9 months ago
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Robotic assisted mobilization as a tool to convince staff shortages?
pubmed.ncbi.nlm.nih.gov/40414562/
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ROBotic-assisted Early Mobilization in Ventilated Surgical Critically ill Patients (ROBEM-I) - a randomized, controlled, outcome-assessor-blinded pilot study - PubMed
ClinicalTrials.gov, registration number NCT04423796.
https://pubmed.ncbi.nlm.nih.gov/40414562/
9 months ago
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The epidemiology of social isolation and loneliness among family and unpaid caregivers of older adults: "it is critical to understand the complexities of social isolation and loneliness experienced by caregivers"
pubmed.ncbi.nlm.nih.gov/40411495/
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The epidemiology of social isolation and loneliness among family and unpaid caregivers of older adults: Findings from the National Study of Caregiving - PubMed
This study provides new population-based insights into the prevalence and distinct correlates of social isolation and loneliness among family and unpaid caregivers of older adults. Given the essential...
https://pubmed.ncbi.nlm.nih.gov/40411495/
9 months ago
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Hard, but helpful stuff: A Dutch clinical practice guideline for paediatric palliative care incl recommendations on psychosocial care including preloss and bereavement care
bmcpalliatcare.biomedcentral.com/articles/10....
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A Dutch clinical practice guideline for paediatric palliative care: a systematic review and recommendations on psychosocial care including preloss and bereavement care - BMC Palliative Care
Background Children with life-threatening and life-limiting conditions and their families are confronted with many uncertainties, incremental losses, and difficult decisions. Attentiveness to psychoso...
https://bmcpalliatcare.biomedcentral.com/articles/10.1186/s12904-025-01763-w
9 months ago
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Impact of patient diaries on children, families, and healthcare professionals in paediatric intensive care settings: A scoping review
www.sciencedirect.com/science/arti...
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Impact of patient diaries on children, families, and healthcare professionals in paediatric intensive care settings: A scoping review
The aim of this scoping review was to understand the current landscape, features, and volume of evidence that address the review question: what is the…
https://www.sciencedirect.com/science/article/pii/S096433972500148X
9 months ago
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In 8,880 ICU patients' records, accidental removal of medical devices happened in 6.4% (n=376). Of these, 44% nasoenteral catheters, 11.4% central venous catheter, 9% bladder catheter, and others
#patientsafety
pubmed.ncbi.nlm.nih.gov/40408176/
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Incidence and Risk Factors for Accidental Removal of Medical Devices in an Intensive Care Unit: A Retrospective Cohort - PubMed
The incidence rate of ARMD is similar to those reported in previous studies. However, the results pointed to new risk factors for the occurrence of ARMD, such as chronic kidney disease and length of s...
https://pubmed.ncbi.nlm.nih.gov/40408176/
9 months ago
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Kids visitations in the ICU. Ten recommendations for child-friendly visiting policies in critical care.
@esicm.bsky.social
Podcast with M. Brauchle & P. Nydahl
www.esicm.org/esicm-talk-k...
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Kids visitations in the ICU. Ten recommendations for child-friendly visiting policies in critical care - ESICM
Your Intensive Care Bites on the go!
https://www.esicm.org/esicm-talk-kids-visitations-in-icu/
9 months ago
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Stepped wedge cluster randomised controlled trial to assess the impact of a decision support tool for physical restraint use in intensive care units (ARBORea Study): a study protocol. A device-based approach, interesting:
bmjopen.bmj.com/content/15/5...
9 months ago
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reposted by
Peter Nydahl
Nursing in Critical Care Journal
10 months ago
🩺 Call for Papers – Special Issue Reminder! 📅 Don’t miss your chance to contribute to this important conversation. Submission deadline: Wednesday, 1 October 2025 ✅ Submit your manuscript today:
onlinelibrary.wiley.com/page/journal...
#CallForPapers
@baccnuk.bsky.social
@nydahlpeter.bsky.social
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Discontinuing antipsychotics after hospitalization in 13,712 older adults was associated with reduced rehospitalization and mortality. Recommendations for withdrawal in discharge letters are crucial
pubmed.ncbi.nlm.nih.gov/40366701/
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Health Outcomes of Discontinuing Antipsychotics After Hospitalization in Older Adults - PubMed
Based on 2 nationwide US cohorts including older adults without psychiatric disorders, APM discontinuation was associated with reduced risks of all-cause rehospitalization and mortality, suggesting th...
https://pubmed.ncbi.nlm.nih.gov/40366701/
10 months ago
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Coming soon: International Day of Nursing (created with Sora)
10 months ago
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In a retrospective analysis of 84 ICU patients with delirium, a monotherapy vs. combination of antipsychotics was not associated with reduced duration of delirium, but increased mortality (sicker in monotherapy?)
pubmed.ncbi.nlm.nih.gov/40326011/
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A Comparison of Monotherapy and Combination Therapy With Antipsychotic Medications for Intensive Care Unit Delirium: A Retrospective Cohort Study - PubMed
In patients with ICU delirium, there was no difference in duration of delirium among patients receiving monotherapy compared with combination therapy with antipsychotics, though they may be sicker and...
https://pubmed.ncbi.nlm.nih.gov/40326011/
10 months ago
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In 7,514 ICU patients, low-dose ketamine was strongly associated with an increased risk of hallucinations.
link.springer.com/article/10.1...
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Association of low-dose ketamine with hallucinations in critically ill patients: a target trial emulation - Intensive Care Medicine
Purpose Ketamine use is a potentially modifiable risk factor for hallucinations. We aimed to use target trial emulation to investigate the association between low-dose ketamine and development of hall...
https://link.springer.com/article/10.1007/s00134-025-07926-w
10 months ago
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Analgosedation and delirium practices in critically ill patients in the Pan-American and Iberian setting, and factors associated with oversedation after the COVID-19 pandemic: 25% of 1008 respondents perceived oversedation after the pandemic
pubmed.ncbi.nlm.nih.gov/39894710/
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Analgosedation and delirium practices in critically ill patients in the Pan-American and Iberian setting, and factors associated with oversedation after the COVID-19 pandemic: Results from the PANDEMI...
Oversedation has adverse effects on critically ill patients. The Analgosedation and Delirium Committee of the FEPIMCTI (Pan-American and Iberian Federation of Critical Care Medicine and Intensive Care...
https://pubmed.ncbi.nlm.nih.gov/39894710/
10 months ago
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The importance of the presence of chosen family in preventing peri-operative delirium
journals.lww.com/ejanaesthesi...
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The importance of the presence of chosen family in... : European Journal of Anaesthesiology | EJA
An abstract is unavailable.
https://journals.lww.com/ejanaesthesiology/fulltext/2025/06000/the_importance_of_the_presence_of_chosen_family_in.2.aspx
10 months ago
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One-year outcomes in sepsis: a prospective multicenter cohort study in Japan incl 339 patients by Keibun Liu and team: congratulations!
jintensivecare.biomedcentral.com/articles/10....
10 months ago
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Epidemiology and assessments of delirium in nursing homes and rehabilitation facilities: a cross-country perspective (it is around 12%)
link.springer.com/article/10.1...
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Epidemiology and assessments of delirium in nursing homes and rehabilitation facilities: a cross-country perspective - European Geriatric Medicine
Purpose Delirium represents a significant healthcare challenge in long-term care settings. This study aims to investigate the epidemiology of delirium in long-term care facilities (LTCFs) across various countries, examining point prevalence and assessment methods. Methods This descriptive analysis included data from 94 surveys conducted in LTCFs on World Delirium Awareness Day (WDAD), March 15th, 2023. Group comparisons were made between rehabilitation facilities (RFs) and nursing homes (NHs). Results Of the participating units/wards, primarily from Europe and Australia, 65 were RFs and 29 were NHs. The overall reported delirium point prevalence was approximately 12%, with higher rates in RFs than in NHs. While most units/wards reported using a validated delirium detection tool, notable differences emerged in the frequency of assessments, the personnel conducting them, and delirium awareness interventions across settings. Conclusion Despite the well-documented impact of delirium on residents, the international variability in clinical practices within LTCFs highlights the current inadequacy in adopting effective and consistent strategies to address this condition.
https://link.springer.com/article/10.1007/s41999-025-01207-x
10 months ago
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Delirium prevalence, interventions and barriers in intensive care units in German-speaking countries: A retrospective cross-sectional secondary analysis of the WDAD 2023 study Great team!
doi.org/10.1111/nicc...
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<em>Nursing in Critical Care</em> | BACCN Journal | Wiley Online Library
Background The prevalence of delirium in intensive care units (ICUs) is high and has a major impact on patient outcomes. Aim To describe delirium assessment instruments, prevalence, interventions ...
https://doi.org/10.1111/nicc.70041
10 months ago
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Haloperidol is not the “one drug fits all” solution in the treatment of delirium Letter in Critical Care
doi.org/10.1186/s130...
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Haloperidol is not the “one drug fits all” solution in the treatment of delirium - Critical Care
https://doi.org/10.1186/s13054-025-05413-8
10 months ago
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Agitation in critical care "is characterised by excessive motor activity, emotional tension, cognitive impairment, and disruption of care, often accompanied by aggression and changes in vital signs." Excellent paper
pubmed.ncbi.nlm.nih.gov/40277282/
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Patient Agitation in the Intensive Care Unit: A Concept Analysis - PubMed
This concept analysis was developed with input from a patient representative.
https://pubmed.ncbi.nlm.nih.gov/40277282/
10 months ago
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reposted by
Peter Nydahl
Share your delirium success story with us! What are your achievements in delirium management? Implementation, teaching, helping patients and families, or other? We want to know: what makes delirium care successful? Please share your experiences with us
www.surveymonkey.com/r/WDAD2025
11 months ago
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reposted by
Peter Nydahl
Nursing in Critical Care Journal
11 months ago
📢 Call for Papers: We're delighted to announce a special issue on Family-Centred Care in Critical Care Nursing guest-edited by Prof. Anne-Sylvie Ramelet and Dr. Peter Nydahl. 👉 More info & submissions:
onlinelibrary.wiley.com/page/journal/1…
@baccnuk.bsky.soci
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#Nursing
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CALL FOR PAPERS Humanizing and Elevating Critical Care: The Power of Families We welcome original studies, quality improvement papers, service evaluation, education projects, literature reviews, commentaries, and more
@niccjournal.bsky.social
onlinelibrary.wiley.com/page/journal...
11 months ago
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