Skip to main content
Top
Published in: Intensive Care Medicine 8/2018

01-08-2018 | Editorial

Haloperidol and delirium in the ICU: the finger pointing to the moon

Author: Nicola Latronico

Published in: Intensive Care Medicine | Issue 8/2018

Login to get access

Excerpt

Haloperidol, the neuroleptic agent par excellence, was synthesized 60 years ago in February 1958. Since then it has been used in hundreds of thousands of patients with schizophrenia and other psychoses, particularly for the management of psychosis-induced agitation [1], and is included in the World Health Organisation’s list of essential medicines. …
Literature
1.
go back to reference Lopez-Munoz F, Alamo C (2009) The consolidation of neuroleptic therapy: Janssen, the discovery of haloperidol and its introduction into clinical practice. Brain Res Bull 79:130–141CrossRefPubMed Lopez-Munoz F, Alamo C (2009) The consolidation of neuroleptic therapy: Janssen, the discovery of haloperidol and its introduction into clinical practice. Brain Res Bull 79:130–141CrossRefPubMed
2.
go back to reference Madras BK (2013) History of the discovery of the antipsychotic dopamine D2 receptor: a basis for the dopamine hypothesis of schizophrenia. J Hist Neurosci 22:62–78CrossRefPubMed Madras BK (2013) History of the discovery of the antipsychotic dopamine D2 receptor: a basis for the dopamine hypothesis of schizophrenia. J Hist Neurosci 22:62–78CrossRefPubMed
3.
go back to reference Maldonado JR (2008) Pathoetiological model of delirium: a comprehensive understanding of the neurobiology of delirium and an evidence-based approach to prevention and treatment. Crit Care Clin 24:789–856CrossRefPubMed Maldonado JR (2008) Pathoetiological model of delirium: a comprehensive understanding of the neurobiology of delirium and an evidence-based approach to prevention and treatment. Crit Care Clin 24:789–856CrossRefPubMed
4.
go back to reference Maldonado JR (2013) Neuropathogenesis of delirium: review of current etiologic theories and common pathways. Am J Geriatr Psychiatry 21:1190–1222CrossRefPubMed Maldonado JR (2013) Neuropathogenesis of delirium: review of current etiologic theories and common pathways. Am J Geriatr Psychiatry 21:1190–1222CrossRefPubMed
5.
go back to reference Xiberas X, Martinot JL, Mallet L, Artiges E, Loc HC, Maziere B, Paillere-Martinot ML (2001) Extrastriatal and striatal D(2) dopamine receptor blockade with haloperidol or new antipsychotic drugs in patients with schizophrenia. Br J Psychiatry 179:503–508CrossRefPubMed Xiberas X, Martinot JL, Mallet L, Artiges E, Loc HC, Maziere B, Paillere-Martinot ML (2001) Extrastriatal and striatal D(2) dopamine receptor blockade with haloperidol or new antipsychotic drugs in patients with schizophrenia. Br J Psychiatry 179:503–508CrossRefPubMed
6.
go back to reference Tost H, Braus DF, Hakimi S, Ruf M, Vollmert C, Hohn F, Meyer-Lindenberg A (2010) Acute D2 receptor blockade induces rapid, reversible remodeling in human cortical-striatal circuits. Nat Neurosci 13:920–922CrossRefPubMed Tost H, Braus DF, Hakimi S, Ruf M, Vollmert C, Hohn F, Meyer-Lindenberg A (2010) Acute D2 receptor blockade induces rapid, reversible remodeling in human cortical-striatal circuits. Nat Neurosci 13:920–922CrossRefPubMed
8.
go back to reference van Gool WA, van de Beek D, Eikelenboom P (2010) Systemic infection and delirium: when cytokines and acetylcholine collide. Lancet 375:773–775CrossRefPubMed van Gool WA, van de Beek D, Eikelenboom P (2010) Systemic infection and delirium: when cytokines and acetylcholine collide. Lancet 375:773–775CrossRefPubMed
9.
go back to reference Hughes CG, Patel MB, Brummel NE, Thompson JL, McNeil JB, Pandharipande PP, Jackson JC, Chandrasekhar R, Ware LB, Ely EW, Girard TD (2018) Relationships between markers of neurologic and endothelial injury during critical illness and long-term cognitive impairment and disability. Intensive Care Med 44:345–355CrossRefPubMed Hughes CG, Patel MB, Brummel NE, Thompson JL, McNeil JB, Pandharipande PP, Jackson JC, Chandrasekhar R, Ware LB, Ely EW, Girard TD (2018) Relationships between markers of neurologic and endothelial injury during critical illness and long-term cognitive impairment and disability. Intensive Care Med 44:345–355CrossRefPubMed
10.
go back to reference Sos JC, Cassem NH (1980) The intravenous use of haloperidol for acute delirium in intensive care setting. In: Speidel H, Rodewald G (eds) Psychic and neurological dysfunctions after open heart surgery. Thieme, Stuttgart, pp 196–199 Sos JC, Cassem NH (1980) The intravenous use of haloperidol for acute delirium in intensive care setting. In: Speidel H, Rodewald G (eds) Psychic and neurological dysfunctions after open heart surgery. Thieme, Stuttgart, pp 196–199
11.
go back to reference Collet MO, Caballero J, Sonneville R, Bozza FA, Nydahl P, Schandl A, Woien H, Citerio G, van den Boogaard M, Hastbacka J, Haenggi M, Colpaert K, Rose L, Barbateskovic M, Lange T, Jensen A, Krog MB, Egerod I, Nibro HL, Wetterslev J, Perner A, the AID-ICU Cohort Study Co-authors (2018) Prevalence and risk factors related to haloperidol use for delirium in adult intensive care patients: the multinational AID-ICU inception cohort study. Intensive Care Med. https://doi.org/10.1007/s00134-018-5204-y PubMedCrossRef Collet MO, Caballero J, Sonneville R, Bozza FA, Nydahl P, Schandl A, Woien H, Citerio G, van den Boogaard M, Hastbacka J, Haenggi M, Colpaert K, Rose L, Barbateskovic M, Lange T, Jensen A, Krog MB, Egerod I, Nibro HL, Wetterslev J, Perner A, the AID-ICU Cohort Study Co-authors (2018) Prevalence and risk factors related to haloperidol use for delirium in adult intensive care patients: the multinational AID-ICU inception cohort study. Intensive Care Med. https://​doi.​org/​10.​1007/​s00134-018-5204-y PubMedCrossRef
12.
go back to reference Girard TD, Thompson JL, Pandharipande PP, Brummel NE, Jackson JC, Patel MB, Hughes CG, Chandrasekhar R, Pun BT, Boehm LM, Elstad MR, Goodman RB, Bernard GR, Dittus RS, Ely EW (2018) Clinical phenotypes of delirium during critical illness and severity of subsequent long-term cognitive impairment: a prospective cohort study. Lancet Respir Med 6:213–222CrossRefPubMed Girard TD, Thompson JL, Pandharipande PP, Brummel NE, Jackson JC, Patel MB, Hughes CG, Chandrasekhar R, Pun BT, Boehm LM, Elstad MR, Goodman RB, Bernard GR, Dittus RS, Ely EW (2018) Clinical phenotypes of delirium during critical illness and severity of subsequent long-term cognitive impairment: a prospective cohort study. Lancet Respir Med 6:213–222CrossRefPubMed
13.
go back to reference Salluh JIF; Latronico N, (2018) Does this critically ill patient with delirium require any drug treatment? Intensive Care Med Salluh JIF; Latronico N, (2018) Does this critically ill patient with delirium require any drug treatment? Intensive Care Med
14.
go back to reference van den Boogaard M, Slooter AJC, Bruggemann RJM, Schoonhoven L, Beishuizen A, Vermeijden JW, Pretorius D, de Koning J, Simons KS, Dennesen PJW, Van der Voort PHJ, Houterman S, van der Hoeven JG, Pickkers P, Investigators RS, van der Woude MCE, Besselink A, Hofstra LS, Spronk PE, van den Bergh W, Donker DW, Fuchs M, Karakus A, Koeman M, van Duijnhoven M, Hannink G (2018) Effect of haloperidol on survival among critically ill adults with a high risk of delirium: the REDUCE randomized clinical trial. JAMA 319:680–690CrossRefPubMedPubMedCentral van den Boogaard M, Slooter AJC, Bruggemann RJM, Schoonhoven L, Beishuizen A, Vermeijden JW, Pretorius D, de Koning J, Simons KS, Dennesen PJW, Van der Voort PHJ, Houterman S, van der Hoeven JG, Pickkers P, Investigators RS, van der Woude MCE, Besselink A, Hofstra LS, Spronk PE, van den Bergh W, Donker DW, Fuchs M, Karakus A, Koeman M, van Duijnhoven M, Hannink G (2018) Effect of haloperidol on survival among critically ill adults with a high risk of delirium: the REDUCE randomized clinical trial. JAMA 319:680–690CrossRefPubMedPubMedCentral
15.
go back to reference Salluh JI, Wang H, Schneider EB, Nagaraja N, Yenokyan G, Damluji A, Serafim RB, Stevens RD (2015) Outcome of delirium in critically ill patients: systematic review and meta-analysis. BMJ 350:h2538CrossRefPubMedPubMedCentral Salluh JI, Wang H, Schneider EB, Nagaraja N, Yenokyan G, Damluji A, Serafim RB, Stevens RD (2015) Outcome of delirium in critically ill patients: systematic review and meta-analysis. BMJ 350:h2538CrossRefPubMedPubMedCentral
Metadata
Title
Haloperidol and delirium in the ICU: the finger pointing to the moon
Author
Nicola Latronico
Publication date
01-08-2018
Publisher
Springer Berlin Heidelberg
Published in
Intensive Care Medicine / Issue 8/2018
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-018-5276-8

Other articles of this Issue 8/2018

Intensive Care Medicine 8/2018 Go to the issue

What's New in Intensive Care

Physical restraint: time to let go