New guidance document for Delirium released by the ICS
Guidance for Delirium in the critically ill patient
23 Feb 2025
Guidance on delirium in critically ill patients has been published by the Intensive Care Society, building on the 2006 UKCPA guidelines and incorporating the latest evidence and expert recommendations.
Delirium, which affects up to 74% of ventilated patients, is often underdiagnosed and linked to long-term cognitive impairment, increased mortality, and significant strain on patients, families, and healthcare staff. This new resource aims to provide multiprofessional healthcare teams with best practices to detect, prevent, and manage delirium effectively within the ICU.
The guidelines stress the importance of early detection using validated screening tools such as CAM-ICU and ICDSC, while prioritising non-pharmacological interventions as the first line of defence. A coordinated, multi-disciplinary approach is key, with recommendations for personalised care, structured assessments, and the minimisation of environmental triggers. The guidelines also provide clear standards for managing sedation and analgesia, ensuring the safety and comfort of patients throughout their ICU stay.
(From the ICS website)