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Revista médica de Chile · Mar 2022
Review[Delirium, catatonia and substance withdrawal syndrome manifested as psychomotor agitation in COVID-19: a pharmacological management approach for the general hospital setting].
- Felipe León, Constanza Caneo, Pablo Toro, Jorge Calderón, and Matías González.
- Ministerio de Salud de Chile, Chile.
- Rev Med Chil. 2022 Mar 1; 150 (3): 361-367.
BackgroundNeuropsychiatric symptoms can be part of the clinical spectrum of COVID-19 infections.AimTo devise an evidence based clinical algorithm as a guide for clinicians, to identify and treat underlying clinical syndromes of psychomotor agitation, such as delirium, catatonia or substance withdrawal in patients who are hospitalized and infected with SARS-CoV-2.Material And MethodsA review of the literature about the pharmacological management of neuropsychiatric manifestations of COVID-19 at the general hospital, to develop a clinical protocol based on a consensus from an interdisciplinary expert panel at a Clinical Hospital.ResultsA consensual clinical algorithm for the management of delirium, catatonia, and substance withdrawal, manifested as psychomotor agitation in patients hospitalized with COVID-19, was developed as a clinical proposal for physicians at different levels of complexity in health services.ConclusionsCooperation among different clinical units in the general hospital facilitated the implementation of a clinical algorithm for clinicians for the management of psychomotor agitation in COVID-19 patients.
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