ICU sedation, delirium & recovery
Society of Critical Care Medicine Guidelines on Caring for Older Adults in the ICU
Methodological detailsGRADE methodology, systematic review per question, evidence-to-decision framework, 5 PICO questions prioritised, 22-member interprofessional panel convened by the American College of Critical Care Medicine Board
- GRADE methodology
- Systematic review per question
- Evidence-to-decision framework
- 5 PICO questions prioritised
- 22-member interprofessional panel convened by the American College of Critical Care Medicine Board
Recommendations
As issued by the authors
- conditional
We suggest a geriatric model of care for all older adults admitted to the ICU
- conditional
We suggest not using antipsychotic medications for the prevention of delirium in older adults with critical illness
- no recommendation
We make no recommendation regarding specialized post-ICU follow-up for older survivors of critical illness
- no recommendation
For older adults (age 65 and over) admitted to the ICU with vasodilatory shock, no recommendation on targeting mean arterial pressure (MAP) 60-65 mm Hg vs usual care (MAP target > 65 mm Hg)
- no recommendation
We make no recommendation regarding the use of antipsychotic medication in the treatment of delirium in older adults with critical illness
Original publication
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