Research Topics
Species | Brenda T PunSummaryAffiliation: Vanderbilt University Country: USA Publications
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Publications
Delirium in the intensive care unit: assessment and managementBrenda T Pun
Vanderbilt University School of Nursing, Department of Medicine, Division of Allergy Pulmonary Critical Care Medicine, and Center for Health Services Research, 1215 21st Ave S, Nashville, TN 37232, USA
AACN Adv Crit Care 22:225-37. 2011..In addition, this article will provide an overview of recent reports concerning pharmacologic management of delirium in the intensive care unit...
The sedation of critically ill adults: Part 1: Assessment. The first in a two-part series focuses on assessing sedated patients in the ICUBrenda T Pun
Vanderbilt University Medical Center, Nashville, TN, USA
Am J Nurs 107:40-8; quiz 49. 2007..In August Part 2 will explore pharmacologic and nonpharmacologic management of anxiety and agitation in critically ill patients...
The sedation of critically ill adults: part 2: managementBrenda T Pun
Vanderbilt University Medical Center in Nashville, TN, USA
Am J Nurs 107:40-9; quiz 50. 2007..The second in a two-part series focuses on the pharmacologic and nonpharmacologic management of anxiety and agitation in the ICU...
The importance of diagnosing and managing ICU deliriumBrenda T Pun
RN, MSN, Center for Health Services Research, Vanderbilt Medical Center, Nashville, TN 37232 8300, USA
Chest 132:624-36. 2007....
Long-term cognitive and psychological outcomes in the awakening and breathing controlled trialJames C Jackson
Department of Medicine, Division of Allergy, Pulmonary, and Critical Care Medicine, Vanderbilt University School of Medicine, Nashville, TN 37232 8300, USA
Am J Respir Crit Care Med 182:183-91. 2010..Little is known, however, of how such strategies affect long-term cognitive, psychological, and functional outcomes...
Delirium as a predictor of long-term cognitive impairment in survivors of critical illnessTimothy D Girard
Division of Allergy, Pulmonary, and Critical Care Medicine, Center for Health Services Research, Department of Medicine, Vanderbilt University School of Medicine, and Department of Medicine, Saint Thomas Hospital, Nashville, TN, USA
Crit Care Med 38:1513-20. 2010..To test the hypothesis that duration of delirium in the intensive care unit is an independent predictor of long-term cognitive impairment after critical illness requiring mechanical ventilation...
Delirium and sedation recognition using validated instruments: reliability of bedside intensive care unit nursing assessments from 2007 to 2010Eduard E Vasilevskis
Geriatric Research, Education and Clinical Center, Department of Veterans Affairs Medical Center, Tennessee Valley Healthcare System, Nashville, Tennessee, USA
J Am Geriatr Soc 59:S249-55. 2011..To describe the reliability and sustainability of delirium and sedation measurements of bedside intensive care unit (ICU) nurses...
Feasibility, efficacy, and safety of antipsychotics for intensive care unit delirium: the MIND randomized, placebo-controlled trialTimothy D Girard
Department of Medicine, Division of Allergy, Pulmonary, and Critical Care Medicine, Vanderbilt University School of Medicine, Nashville, TN, USA
Crit Care Med 38:428-37. 2010..To demonstrate the feasibility of a placebo-controlled trial of antipsychotics for delirium in the intensive care unit and to test the hypothesis that antipsychotics would improve days alive without delirium or coma...
Risk factors for post-traumatic stress disorder symptoms following critical illness requiring mechanical ventilation: a prospective cohort studyTimothy D Girard
Department of Medicine, Division of Allergy, Pulmonary, and Critical Care Medicine, Vanderbilt University School of Medicine, Nashville, TN 37232 2650, USA
Crit Care 11:R28. 2007..We sought to identify factors associated with PTSD symptoms in patients following critical illness requiring mechanical ventilation...
A combined early cognitive and physical rehabilitation program for people who are critically Ill: the activity and cognitive therapy in the intensive care unit (ACT-ICU) trialNathan E Brummel
Division of Allergy, Pulmonary, and Critical Care Medicine and Center for Health Services Research, Department of Medicine, Vanderbilt University School of Medicine, Nashville, TN 37212, USA
Phys Ther 92:1580-92. 2012..The feasibility of early cognitive therapy in people who are critically ill remains unknown...
Effect of sedation with dexmedetomidine vs lorazepam on acute brain dysfunction in mechanically ventilated patients: the MENDS randomized controlled trialPratik P Pandharipande
Department of Anesthesiology Division of Critical Care, Vanderbilt University School of Medicine, Nashville, Tennessee, USA
JAMA 298:2644-53. 2007..Dexmedetomidine induces sedation via different central nervous system receptors than the benzodiazepine drugs and may lower the risk of acute brain dysfunction...
Reducing iatrogenic risks: ICU-acquired delirium and weakness--crossing the quality chasmEduard E Vasilevskis
Division of Pulmonary Sciences and Critical Care Medicine, Veterans Affairs, Tennessee Valley Healthcare System, Vanderbilt University Medical Center, 1215 21st Ave, S, 6006 Medical Center East, NT, Nashville, TN 37232 8300, USA
Chest 138:1224-33. 2010....
Prevalence and risk factors for development of delirium in burn intensive care unit patientsVivek Agarwal
Vanderbilt School of Medicine, Nashville, Tennessee, USA
J Burn Care Res 31:706-15. 2010..Exposure to benzodiazepines was an independent risk factor for delirium, whereas opiates and methadone reduced the risk of developing delirium, possibly through reduction of pain in these patients...
Apolipoprotein E4 polymorphism as a genetic predisposition to delirium in critically ill patientsE Wesley Ely
Department of Medicine, Saint Thomas Hospital, and Vanderbilt University Medical Center, Nashville, TN 37232, USA
Crit Care Med 35:112-7. 2007..To test for an association between apolipoprotein E (APOE) genotypes and duration of intensive care unit delirium...
Association between endothelial dysfunction and acute brain dysfunction during critical illnessChristopher G Hughes
Department of Anesthesiology, Division of Critical Care, Vanderbilt University School of Medicine, 1211 21st Ave South, 526 MAB, Nashville, Tennessee 37212, USA
Anesthesiology 118:631-9. 2013..This study sought to determine whether systemic endothelial dysfunction is associated with acute brain dysfunction during critical illness...
Cognitive and physical rehabilitation of intensive care unit survivors: results of the RETURN randomized controlled pilot investigationJames C Jackson
Department of Medicine, Center for Health Services Research, Division of Allergy, Pulmonary, and Critical Care Medicine, Vanderbilt University Medical Center, Nashville, TN, USA
Crit Care Med 40:1088-97. 2012....
Efficacy and safety of a paired sedation and ventilator weaning protocol for mechanically ventilated patients in intensive care (Awakening and Breathing Controlled trial): a randomised controlled trialTimothy D Girard
Department of Medicine, Division of Allergy, Pulmonary, and Critical Care Medicine, Vanderbilt University School of Medicine, Nashville, TN 37232 8300, USA
Lancet 371:126-34. 2008..Our aim was to assess a protocol that paired spontaneous awakening trials (SATs)-ie, daily interruption of sedatives-with spontaneous breathing trials (SBTs)...
Delirium and its motoric subtypes: a study of 614 critically ill patientsJosh F Peterson
Division of General Internal Medicine, Center for Health Services Research, Vanderbilt University Medical Center, Nashville, Tennessee 37232, USA
J Am Geriatr Soc 54:479-84. 2006..To describe the motoric subtypes of delirium in critically ill patients and compare patients aged 65 and older with a younger cohort...
Presence of electroencephalogram burst suppression in sedated, critically ill patients is associated with increased mortalityPaula L Watson
Department of Medicine, Division of Allergy, Pulmonary, and Critical Care, Vanderbilt University Medical Center, Nashville, TN, USA
Crit Care Med 36:3171-7. 2008..Burst suppression has never been studied as a potential risk factor for death in patients without a known neurologic disorder or injury...
Delirium and sedation in the intensive care unit: survey of behaviors and attitudes of 1384 healthcare professionalsRina P Patel
School of Medicine RPP, Vanderbilt University School of Medicine, Nashville, TN, USA
Crit Care Med 37:825-32. 2009..Our objective was to assess beliefs and practices regarding ICU delirium and sedation management...
Intensive care unit delirium is an independent predictor of longer hospital stay: a prospective analysis of 261 non-ventilated patientsJason W W Thomason
Division of Allergy/Pulmonary/Critical Care Medicine, Vanderbilt University School of Medicine, Nashville, TN, USA
Crit Care 9:R375-81. 2005..55-2.98, p = 0.58). CONCLUSION: Delirium occurred in nearly half of the non-ventilated ICU patients in this cohort. Even after adjustment for relevant covariates, delirium was found to be an independent predictor of longer hospital stay...
