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J Pediatr Intensive Care 2022; 11(02): 130-137
DOI: 10.1055/s-0040-1721507
Original Article

Evaluation of Pediatric Delirium Awareness and Management in Pediatric Intensive Care Units in Turkey

Capan Konca 
1   Division of Pediatric Intensive Care Unit, Department of Pediatrics, Tepecik Training and Research Hospital, Izmir, Turkey
,
Ayse Berna Anil
2   Departmentof Pediatric Intensive Care, School of Medicine, Izmir Katip Celebi University, Izmir, Turkey
,
Emine Pinar Küllüoglu
1   Division of Pediatric Intensive Care Unit, Department of Pediatrics, Tepecik Training and Research Hospital, Izmir, Turkey
,
Doga Luleyap
1   Division of Pediatric Intensive Care Unit, Department of Pediatrics, Tepecik Training and Research Hospital, Izmir, Turkey
,
Murat Anil
3   Department of Pediatrics, School of Medicine, Izmir Democracy University, Izmir, Turkey
,
Mehmet Tekin
4   Department of Pediatrics, School of Medicine, Inonu University, Malatya, Turkey
› Author Affiliations Funding None.
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Abstract

Delirium has been associated with prolonged pediatric intensive care unit (PICU) stay and mechanical ventilation times as well as high hospital costs and mortality rates. This work aimed to examine pediatric delirium awareness and delirium management in Turkey. A total of 19 physicians responsible for their respective PICUs completed the survey. Most of the units (57.9%) did not use any assessment tool. Varying measures were applied in different units to reduce the prevalence of delirium. The number of units that continuously measured noise was very low (15.8%). Eye mask and earpiece usage rates were also very low. In pharmacological treatment, haloperidol, dexmedetomidine, benzodiazepines, and atypical antipsychotics were the most preferred options. Some units have reached a sufficient level of pediatric delirium awareness and management. However, insufficiencies in delirium awareness and management remain in general.

Keywords

Awareness - delirium - management - pediatric - Turkey

Authors' Contributions

C.K., A.B.A., and D.L. supported in literature search. C.K., M.A., and E.P.K. carried out data collection. C.K. and A.B.A. performed study design and review of manuscript. C.K. and M.T. involved in analysis of data. C.K. dedicated in manuscript preparation.




Publication History

Received: 23 August 2020

Accepted: 31 October 2020

Article published online:
15 December 2020

© 2020. Thieme. All rights reserved.

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