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Delirium audio book5/8/2023 In hospitals, listening to music has been associated with lower heart rates, blood pressures, and serum cortisol levels, and less anxiety, postoperative pain, and sedative exposure. Music may be an ideal nonpharmacological intervention that could begin to address this gap. 11 Scalable, low-burden, and effective interventions are clearly needed to manage patients’ symptoms and reduce the burden of delirium. 7- 11 These multicomponent protocols are limited by low adherence greater adherence was associated with increased patient-reported pain. This creates a perpetuating cycle of pain, anxiety, sedation, and delirium.Įfforts to prevent and manage delirium in the ICU have had mixed results: pharmacological interventions have not changed delirium outcomes, whereas bundled protocols emphasizing judicious pain control, avoidance of oversedation, delirium monitoring, daily ventilator liberation trials, mobility, and family involvement have reduced delirium. 1- 6 An intubated patient also experiences pain, anxiety, and physiological stress, which are usually treated with sedatives- themselves risk factors for delirium. Patients receiving mechanical ventilation are at high risk for delirium, a syndrome of acute brain failure associated with prolonged stays in an intensive care unit (ICU), high health care costs, and high mortality.
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