Delirium is a condition characterized by an acutely changing or fluctuating mental status, inattention, disorganized thinking, and altered level of consciousness, and is underdiagnosed in the intensive care unit (ICU). In this issue, Devlin et al report survey results about delirium assessment. Here are some facts about the condition:
See Article, pp 555–566
It is assumed that high gastric residual volumes (GRVs) increase risk for gastroesophageal reflux and associated aspiration; their measurement is recommended to reduce this risk, although this practice has been questioned.
In this issue, Metheny et al describe the relationship between GRV and aspiration. What is the practice in your unit? These researchers found the following:
See Article, pp 512–520
Swallowing dysfunction leading to aspiration is very common, especially after prolonged intubation, accounting for up to 15% of the cases of extubation failure.
In this issue, Colonel et al describe the evaluation of a bedside tool to...