Deliryum Yönetimi ve Tedavisi
Özet
63 yaşında erkek hasta aynı seansta bül eksizyonu ve mitral kapak tamiri yapılması sonrası postoperatif 9. günde servis takibi devam ederken ani gelişen bilinç değişikliği, satürasyon düşüklüğü ve hipotansiyon nedeniyle yoğun bakıma kabul edildi. Yapılan görüntülemelerinde sağ hemitoraksta yaygın hemotoraks gelişmesi, hemoglobin düşüşü görülmesi üzerine göğüs cerrahisi ve kalp damar cerrahisi tarafından acil operasyona alındı. Perioperatif dönemde yüksek doz vazopressor ve inotrop tedavi gereksinimi olan, çoklu organ yetmezliği gelişen, başarısız weaning nedeniyle traketomi açılan hasta, yoğun bakıma yatışının 73. günü taburcu edildi. Yoğun bakım takipleri sürecinde deliryum gelişen hastaya farmakolojik yöntemler ve farmakolojik olmayan yöntemlerle müdahale edildi. Bu yazıda yoğun bakım hastalarında sık karşılaşılan bir durum olan deliryum tablosuna müdahalesi, bu hastaların yoğun bakım takip ve tedavi yönetimlerinden bahsedilecektir.
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