Pediatric Intensivist, MSc, PhD - #delirium #sedation #pain researcher #PedsICU @LADIG_Delirium coordinator #WomenInMedicine #LatinasInMedicine
Rio de Janeiro, Brasil
Joined January 2010
- Tweets12.8K
- Following1.2K
- Followers1.4K
- Likes15.5K
Pinned Tweet
World #delirium Awareness Day is coming and here is my infographic with tips for its non-pharmacological management in #peds #PedsICU #WDAD2023 @iDelirium_Aware @TheRakeshArora @JimRudolphMD @NydahlPeter @minipixie26 @ChrisGabor_DCN @dr_shibley @deliriumkrish @AmerDelirium – at Rio de Janeiro, Brazil
Roberta E V Castro🇧🇷🧠 retweeted
Family arrives: "Is she developing dementia?"
I explained: "No. Delirium: it's her brain under stress from infection. Once treated, she'll recover."
Relief was visible.
Clear language does a great deal.
#delirium
Roberta E V Castro🇧🇷🧠 retweeted
in 987 ICU patients, haloperidol vs placebo was associated with moderate to high probabilities of benefit in both hypoactive and hyperactive delirium.
Post Hoc Analysis of the AID-ICU Trial
pubmed.ncbi.nlm.nih.gov/4276…
Roberta E V Castro🇧🇷🧠 retweeted
After delirium, an unasked question lingers: "Will it happen again?"
The answer: the risk is real.
Prior episodes increase the statistical risk of future episodes.
A written prevention plan for any future admission can help.
#delirium
Roberta E V Castro🇧🇷🧠 retweeted
Delirium risk factor bingo: broken sleep, glasses in a drawer, new sedative, family sent home, no clock, 4 bed moves…
Every square is modifiable.
How many is your ward hitting today?
#delirium
ALT "DELIRIUM RISK FACTOR BINGO", 4 by 4 grid. Sleep broken 2-hourly; glasses in drawer; new sedative; family home 8pm; nil by mouth 12 hours; no clock; 4 bed moves in 48 hours; catheter "just in case"; hearing aids at home; TV loud in shared bay; free space: constipation; no one asked baseline; dehydrated since admission; lights on at 3am; nothing familiar near; pain not assessed. Every square is modifiable; how many is your ward hitting today?
Roberta E V Castro🇧🇷🧠 retweeted
Urinary retention can present as distress, agitation or worsening confusion.
Consider it when searching for delirium triggers.
#delirium
Roberta E V Castro🇧🇷🧠 retweeted
@smith_pedsmd presented the Jim Rudolph Hero of the Year Award to @minipixie26, who shared the story from ten years ago, as a then PhD student, she emailed Jim about a delirium predictive model. He wrote back right away. When they met at an ADS conference, she thanked him, and he teased her, saying, “Just because you created a predictive model doesn’t mean anyone will use it.”
He stayed in her corner for the next decade. That’s who he was, he didn’t just open the door, he walked through it with you.
Jim’s not gone from this work. He’s in every person he mentored, every team that catches delirium, and everyone he made braver. We carry him forward.
Thank you, Jim. 🤍
#ForeverDeliriumSuperhero
#ADS26DEN
Roberta E V Castro🇧🇷🧠 retweeted
Remembering Dr. James “Jim” Rudolph, our founding President. 🤍
Today at #ADS26DEN, @smith_pedsmd shared something Jim told her in his final weeks: “At ADS we bring people together from near and far, provide a platform, and offer young people room to grow.”
That was Jim.
Epigenetics may have a role in #delirium pathophysiology - impressive lecture by @GenShinozakiMD at #ADS26DEN @AmerDelirium
RT @AmerDelirium: 🎯 What a welcome to #ADS26DEN!
Our #WelcomeEvent at Flight Club Denver brought the delirium community together for darts…
Roberta E V Castro🇧🇷🧠 retweeted
Good morning from Denver! ⛰️ #ADS26DEN is here!
Breakfast & registration open at 7:00 AM (Centennial Ballroom), with preconference workshops running 8 AM–12 PM:
🧠 Foundations in Delirium
✍️ Career Development & Grant Writing
🔄 Overcoming the Sludge
📣 Leadership & Advocacy
The Main conference opens at 1 PM with Dr. Maldonado as the plenary speaker!
Already here? Show us your view from the Ballroom 👇
Checkout the details for the full program here: virtual.oxfordabstracts.com/…
#DeliriumAwareness #ADSEvents
Roberta E V Castro🇧🇷🧠 retweeted
“She would lie in her bed really quietly. . . but she always had this frightened look on her face and when her family came to visit . . . they told us that . . . she felt really scared because she was seeing someone in the room with her.”
#Delirium
Delirium matters and it’s everybody’s business #delirium #ADS26DEN @AmerDelirium @LADIG_Delirium – at Denver, CO
Roberta E V Castro🇧🇷🧠 retweeted
Energy, ideas, and a lot of momentum came together at our kickoff ADS BOD meeting today to shape what’s next for ADS in 2026. ⚡
The day was filled with bold thinking, camaraderie, and a shared passion for advancing delirium care. 🧠
We sincerely thank @DrClayAngel for a decade of dedicated service to ADS, look forward to his continued support in an advisory role 🙏, and warmly welcome the newest board members to our team. 🎉@Benjamin Chapman Kalivas, @KellyMPotter, @ICUKhan, @minipixie26, @smith_pedsmd, @boehmleanne, @MarkOldhamMD, @DeliriumDNP, @nollcampbell, @EstherOh_MDPhD @JoseMadonado @NiccoloTerrando @JohnNewman @AdrianAustinMD @mikitafuchita @BenPalanca
#ADSCommittees #ADSBOD #DeliriumAdvocacy #ADSEvents #DeliriumAwareness
Roberta E V Castro🇧🇷🧠 retweeted
To sedate or not to sedate? An overview of analgesia and sedation in NICU
youtu.be/81C4PVAg0hg
Sedation in NICU L Neovent l Student presentation #sedation
youtu.be/gs376BLwUpY
Best to follow dosage guidelines from neonatal formulary once you decide which medication to use
Roberta E V Castro🇧🇷🧠 retweeted
In this second clip from the March 2026 @NIDUS_Delirium webinar, Thiago Avelino da Silva, MD, PhD, shows data common neuropathologic lesions and their role in delirium. Watch the full session:
deliriumnetwork.org/delirium…
