ICUs have historically focused on survival as the single most important outcome of critical illness. Recent research has shown that most patient who survive their ICU stay develop a combination of cognitive impairment; emotional problems, including depression, anxiety, and posttraumatic stress disorder; physical weakness; and significant social and financial hardships. Together, this constellation of symptoms has been termed post-intensive care syndrome (PICS). The physical, psychological, and financial burden of caring for patients with PICS has common and predictable effects, including anxiety and depression, on family members of ICU survivors. These effects have been termed PICS-F, for the PICS effect on families.

As understanding has improved of the impact that PICS and PICS-F have on quality of life, critical care providers have started to open specialized clinics to provide and coordinate care for ICU survivors and their families. These clinics are composed of an interdisciplinary team of professionals, including critical care and mental health physicians, nurses, physical and occupational therapists, and social workers. Their ultimate goal is to improve patients’ quality of life, ease caregiver burden on families, and work to restore patients to their prior level of functioning.

Background. Patients may suffer extreme psychological reactions in intensive care units (ICU), and post-traumatic stress disorder (PTSD) after leaving hospital. Previous systematic reviews of studies up to 2007 found that the true prevalence of and consistent risk factors for PTSD after ICU were not established, due to methodological shortcomings of studies. Therefore we aimed to conduct a systematic review of observational studies of post-ICU PTSD from 2008-2012, and to compare them to 1997-2007 studies, with regard to quality, prevalence estimates and risk factors.
Methods. We used a pre-specified protocol, and systematic, explicit methods to identify, select and critically appraise studies. Studies in general ICU settings with mixed-diagnosis patients (N.>30) were included. Risk of bias was assessed, with lower-risk studies given greater weight. No quantitative synthesis was possible due to heterogeneity, therefore ranges of estimates and frequencies of risk factors were examined.
Results. The review included 26 papers, 13 from 1997-2007 and 13 from 2008-2012. There were more high quality studies in the latter period. The range of prevalence estimates from high-quality studies was similar; 8% to 27% (1997-2007) and 9% to 27% (2008-2012). Clinical risk factors consistently identified over the two periods were use of benzodiazepines, duration of sedation and mechanical ventilation. Psychological risk factors include stress and fear experienced acutely in ICU, and frightening memories of the admission.
Conclusion. The quality and number of post-ICU PTSD studies has increased over time, and we can be more confident in the accumulated findings. Evidence from both periods suggests that up to 27% of ICU survivors suffer from PTSD. There is also increasing evidence that use of benzodiazepines and duration of sedation, along with fear, stress and delirium in the ICU are likely risk factors for subsequent PTSD. (Minerva Anestesiol 2013;79:944-63)

Post-sepsis syndrome (PSS) is a condition that affects up to 50% of sepsis survivors. It includes physical and/or psychological long-term effects, such as:
● Difficulty sleeping, either difficulty getting to sleep or staying asleep
● Nightmares
● Hallucinations
● Panic attacks
● Disabling muscle or joint pain
● Difficulty concentrating
● Decreased cognitive (mental) functioning
● Loss of self-esteem
● Depression