In this episode of Critical Care Time, Dr. Cyrus Askin and Dr. Nick Mark interview Dr. Wes Ely, a critical care expert, about ICU delirium. Dr. Ely shares his journey into studying delirium, defines it as a global brain dysfunction, and discusses its prevalence and impact on patient outcomes, especially during COVID-19. The conversation covers the A2F bundle, a set of guiding principles for ICU liberation, and the importance of early mobility, family engagement, and minimizing sedatives. Dr. Ely emphasizes a humanistic approach to patient care, advocating for compassion and addressing the root causes of delirium rather than solely relying on medications like antipsychotics. He also touches on the long-term effects of ICU stays and the need to prioritize the patient's voice and overall well-being.
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