In this co-hosted podcast, Adam Thomas and Josh delve into the complexities of delirium, covering its definition, diagnosis, causes, and evaluation. They discuss the different phenotypes of delirium, including hyperactive, hypoactive, and mixed types, and emphasize the importance of clinical diagnosis over relying solely on EEGs. The hosts explore common causes such as medications, metabolic imbalances, and sleep deprivation, with a strong emphasis on avoiding benzodiazepines. They also discuss prevention strategies, including thoughtful pain management and optimizing sleep quality, and treatment approaches, including the use of antipsychotics while cautioning against over-reliance on medication and the importance of addressing underlying causes.
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