Table 3.
Intervention | Effecta | Supporting evidenceb |
Nonpharmacologic | ||
Multicomponent strategy | Prevention | Non-ICU clinical trials [56,58] |
Geriatrics consultation | Prevention | Non-ICU clinical trials [57] |
Reduced benzodiazepine use | Prevention | Prospective ICU cohort studies [40] |
Pharmacologic | ||
Haloperidol | Both | Placebo-controlled, randomized, non-ICU trial [62] |
Olanzapine | Treatment | Non-randomized ICU trial [63] |
Adequate analgesia | Prevention | Prospective non-ICU cohort studies [45] |
Dexmedetomidine | Prevention | Randomized ICU trials [68,69] |
aAlthough each intervention may have a role in both the prevention and treatment of intensive care unit (ICU) delirium, most have only been studied in one role or the other. bReferences highlight prototypical studies and do not represent an exhaustive review of the literature.