Management des Delirs auf der Intensivstation

 

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Ende 2015 wurde die aktualisierte S3-Leitlinie „Analgesie, Sedierung und Delirmanagement in der Intensivmedizin“ publiziert [1].

Erkennung des Delirs Das mehrfach tägliche Delir-Screening mittels validierter Delir-Scores ist die Voraussetzung für ein effektives Delir-Management auf der Intensivstation und ein Qualitätsindikator in der Intensivmedizin.

Management des Delirs Grundlage der Prävention und Therapie des Delirs sind nicht-pharmakologische Basismaßnahmen. Diese werden flankiert von einer effektiven Analgesie, einer zurückhaltenden, ziel- und symptomorientierten Sedierung mit gut steuerbaren, möglichst wenig delirogenen Substanzen sowie bedarfsweise und symptomorientiert einer antipsychotischen Therapie.

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