Скачать или смотреть Sleep and Delirium : Basics and Beyond (اضطرابات النوم والهذيان) | Dr. Roa Gamal Alamrawy

Delirium is a transient, usually reversible cerebral dysfunction that can be life-threatening but is highly preventable. In this evidence-based lecture, we explore the critical and often overlooked intersection between sleep and delirium, particularly in aging populations and critically ill patients in the ICU.

We dive deep into the neurobiology of sleep, the neurotransmitters involved, and how circadian rhythm dysrhythmia acts as a major catalyst for acute brain failure. Is the relationship between sleep disturbance and delirium a one-way street, or a bidirectional cycle?

What You Will Learn in This Lecture:
The Basics of Delirium: Diagnostic criteria, clinical presentation (hypoactive, hyperactive, and mixed types), and differential diagnosis using the "I WATCH DEATH" mnemonic.
The Neurobiology of Sleep: Normal sleep architecture, the circadian timing system, and how the ICU environment disrupts the sleep-wake cycle.
The Bidirectional Relationship: How sleep disturbance alters neurological function to induce delirium, and how delirium further impacts sleep continuity.
Pharmacological Interventions: The evidence behind using Melatonin, Orexin Receptor Antagonists (like Suvorexant and Daridorexant), and Alpha-2 Agonists (Dexmedetomidine) for prophylaxis and treatment.
Clinical Management: Implementing the "STOP DELIRIUM" protocol and using the Confusion Assessment Method (CAM) for accurate screening.

About the Speaker:
Dr. Roa Gamal Alamrawy is a Consultant Psychiatrist with a focus on mental health education, clinical research, and the complex neurobiological mechanisms underlying psychiatric and medical comorbidities.

Connect & Learn More:
Stay updated with more mental health and psychiatry content: Follow on X/Twitter & Instagram: @Dr.RoaGamal

DISCLAIMER: (Note: This video is for educational purposes and is intended for medical professionals, students, and those interested in the clinical aspects of psychiatry and critical care.)

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