9.1 Delirium assessment and management for critical care

Published 06/06/2024

Best practice

  • Identify the at-risk population; maintain a high index of suspicion for delirium.
  • Use a standard sedation policy and a sedation scoring system (locally developed or based on national guidelines).7
  • Use a delirium screening tool (eg the Confusion Assessment Method for the intensive care unit, CAM- ICU) in all patients throughout their critical care stay, in addition to other routine monitoring such as sedation and pain scores.
  • Use of a delirium management bundle.7
  • Prevention is better than cure. Use non-pharmacological and pharmacological interventions as appropriate.