Although we are currently overwhelmed by the astonishing speed of infection of the Covid-19 pandemic, and the daily onslaught of new, and ever-worsening predictions, it is vital that we begin to prepare for the aftershocks of the pandemic. Prominent among this will be the cohort of post-intensive case survivors who have been mechanically ventilated and will like experience short- and medium-term consequences. The notion that patients surviving intensive care and mechanical ventilation for several weeks can be discharged home without further medical attention is a dangerous illusion. Post Intensive Care Syndrome and other severe conditions will require not only adequate screening but early rehabilitation and other interventions. Action must be taken now to prepare for this inevitable aftershock to the healthcare system.

At least half of all patients who survive treatment in an intensive care unit will experience at least one of a triad of problems associated with post-intensive care syndrome, or PICS, and this may be true for people recovering from COVID-19 following ICU care.

PICS can manifest as problems with physical function, cognition and mental health, according to a fact sheet from the American Thoracic Society.

PICS is a relatively under-recognized issue, despite the fact that it affects a large number of people treated in an ICU, according to Patricia Ohtake, associate professor in the physical therapy program, School of Public Health and Health Professions.

The COVID-19 pandemic has led to vastly increased admissions into intensive care.Around onein four ICU survivors develop Post-Traumatic Stress Disorder (PTSD) in the months after admission, and others will develop depression or one of several anxiety disorders.This guide aims to provide information for healthcare professionals working with ICU survivors. It will help you recognise PTSD, and know how to help.