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- David Attali, Charlotte Calligaris, David Grabli, and SlooterArjen J CAJCDepartments of Intensive Care Medicine and Psychiatry, UMC Utrecht Brain Center, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands..
- GHU-Paris Psychiatrie et Neurosciences, Hôpital Sainte Anne, Université Paris Cité, Paris, France.
- Curr Opin Crit Care. 2024 Apr 1; 30 (2): 151156151-156.
Purpose Of ReviewThe rising prevalence of neurodegenerative and mental disorders, combined with the challenges posed by their frailty, has presented intensivists with complex issues in the intensive care unit (ICU). This review article explores specific aspects of care for patients with catatonia, Parkinson's disease (PD), and dementia within the context of the ICU, shedding light on recent developments in these fields.Recent FindingsCatatonia, a neuropsychiatric syndrome with potentially life-threatening forms, remains underdiagnosed, and its etiologies are diverse. PD patients in the ICU present unique challenges related to admission criteria, dopaminergic treatment, and respiratory care. Dementia increases the risk of delirium. Delirium is associated with long-term cognitive impairment and dementia.SummaryWhile evidence is lacking, further research is needed to guide treatment for ICU patients with these comorbidities.Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.
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