The early diagnosis and management of mixed delirium in a patient placed on ECMO and with difficult sedation: A case report

The early diagnosis and management of mixed delirium in a patient placed on ECMO and with difficult sedation: A case report
Acevedo-Nuevo, M et al
Intensive and Critical Care Nursing, Article in Press

Delirium represents a serious problem that impacts the physical and cognitive prognosis of patients admitted to intensive care units and requires prompt diagnosis and management. This article describes the case and progress of a patient placed on Extracorporeal Membrane Oxygenation with difficult sedation criteria and an early diagnosis of mixed delirium. During the case report, we reflect on the pharmacological and non-pharmacological strategies employed to cope with delirium paying special attention to the non-use of physical restraint measures in order to preserve vital support devices (endotracheal tube or Extracorporeal Membrane Oxygenation cannula).