Delirium Clinical Pathway — CICU, PICU, and PCU
Delirium Clinical Pathway — CICU, PICU, and PCU
Indications for Psychiatry Consult
- Treatment of delirium is a clinical judgment at the attending’s discretion. Psychiatry can be consulted per CICU/PICU/PCU attending request.
- The following children may benefit from a psychiatry consult
- Age < 2 yrs
- Underlying psychiatric diagnosis
- Impaired communication due to a neurologic disorder
- Consult before transfer out of the ICU on new antipsychotic medication for weaning plan. Goal to discontinue antipsychotics started for the diagnosis of delirium in the ICU prior to discharge.
- Longer-term plan guided by psychiatry
- Follow-up
- Medication management
- Timeline for medication discontinuation