Ciro Paolillo @EDstudy
Emergency Physician & Professor @AOUI Verona #delirium #olderpatient #Emergencymedicine #geriatrics alifeatrisk.org Verona, ITALY Joined January 2011-
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Ciro Paolillo retweeted
#Delirium treatment is much more complex: treat the cause(s) - usually more than 1, optimise physiology (e.g. hydrate), detect & treat distress, prevent complications (e.g. falls, pressure sores, aspiration), communicate with family, rehabilitate, etc. #meded
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Ciro Paolillo retweeted
I'm glad to share this review on the management o delirium in LTC @A_MacLullich @GeriSocITA @GiusepeBellelli @FerraraMCris @EDA_delirium @NydahlPeter @agilis deliriumjournal.com/article/161804…
Ciro Paolillo retweeted
Sometimes when the triggers of #delirium are not clear on with standard history & examination, a head-to-toe approach can help to uncover causes.
Ciro Paolillo retweeted
2 millenia & counting. Hippocrates knew #delirium was a medical emergency. Why is it still so often missed, misdiagnosed, or undertreated? What are the barriers? What are the solutions?
Ciro Paolillo retweeted
Ciro Paolillo retweeted
Ciro Paolillo retweeted
Left Atrial Appendage Closure or Medical Therapy in Atrial Fibrillation. An interesting practice for the older pts. New England Journal of Medicine nejm.org/doi/full/10.10…
3. In addition, standard #intensive care interventions linked to #delirium, such as #sedation, opioid administration and noradrenaline, are known to suppress glymphatic clearance.
2. common #delirium triggers, including #infection, #surgery and #sleep deprivation, have been shown to impair glymphatic function
There's new thinking on #delirium, which is pretty exciting stuff for us. doi.org/10.1038/s41582…
Ciro Paolillo retweeted
New online! Glymphatic dysfunction: a unifying hypothesis for delirium dlvr.it/TRn6vt
Ciro Paolillo retweeted
Pain can present as agitation in #delirium - assess and treat appropriately. Haloperidol is a poor analgesic.
Ciro Paolillo retweeted
📄Delirium ed esiti clinici avversi, lo studio di Haapanen et al. pubblicato su Lancet sui dati della UK Biobank. Lancet Healthy Longev. 2026. DOI: 10.1016/j.lanhl.2025.100816
Ciro Paolillo retweeted
Clinical tip on #delirium: 'Hyperactive' delirium is when a person is agitated and restless. 'Hypoactive' is when they are sleepy and withdrawn. Some patients fluctuate between these two states.
A detailed medical history and comprehensive physical examination remain the cornerstone of assessing #delirium in short-stay units, such as the ED bit.ly/4s5kQOD
Laboratory investigations should not be considered a shortcut for diagnosing #delirium in #older ED patients.bit.ly/4s5kQOD
My research is available on @ResearchGate: researchgate.net/publication/40…
Ciro Paolillo retweeted
Every hospital should have a delirium champion. We have stroke and sepsis champions - why not #delirium? #PatientSafety
Other recommendations that suggests that commonly used antipsychotic drugs do not treat delirium
"We make no recommendation regarding the use of antipsychotic medication in the treatment of de- lirium in older adults with critical illness" #delirium #geriatrics
Two useful recommendations from Society of Critical Care Medicine Guidelines on Caring for Older Adults in the ICU pubmed.ncbi.nlm.nih.gov/41860322/#:~:t…
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