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Name of Media:
Innovative ICU solutions to Prevent and Reduce Delirium and Post-Intensive Care Unit Syndrome
Author(s):
Alawi Luets, MD, phD; Julius J. Grunow Rudolf Morgeli, MD; Max Rosenthal, MD, phD; Steffen Weber-Carstens, MD, phD; Bjoern Weiss; Claudia Spies, MD, phD.
Publisher or Source:
Thieme Medical
Type of Media:
Medical Journal
Media Originally for:
Critical Care Physicians, Nurses and/or Other Critical Care Medical Professionals
Country of Origin:
Germany
Primary Focus of Media:
Post Intensive Care Syndrome (PICS)
COVID-19 Related:
No
Description:
Delirium, the most common form of acute brain dysfuntion affecting up to 80% of intensive care unit (ICU) patients, has been shown to predict long term cognitve impairment, one of the domains in "Post-ICU Syndrome" (PICS). The ICU environment affects several potentially modifiable risk factors for delirium, such as disorientation and disruption, of the sleep-wake cycle. Innovative solutions aim to transform standard concepts of ICU room design to limit potential stressors, and utilizing the patient care space as a treatment tool, exerting positive, therapeutic effects. The main areas affected by most architectural and interior design modifications are sound environment, light control, floor planning, and room arrangement. Implementation of corresponding solutions is challenging considering the significant medical and technical demands of ICUs. This article discusses innovative concepts and promising approaches in ICU design that may be used to prevent stress and to support the healing process of patients, potentially limiting the impact of delirium and PICS.
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