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Name of Media:
Intensive Care Unit Syndrome
Brian E. McGuire, MClinPsych, MAPS; Christopher J. Basten, MPsychol, MAPS; Christopher J. Ryan, MBBS, FRANZCP; John Gallagher, MBBS, FFICANZCA
Publisher or Source:
American Medical Association
Type of Media:
Media Originally for:
Critical Care Physicians, Nurses and/or Other Critical Care Medical Professionals
Country of Origin:
Primary Focus of Media:
Post Intensive Care Syndrome (PICS)
The terms intensive care unit(ICU) syndrome and ICU psychosis have been used interchangeably to describe a cluster of psychiatric symptoms that are unique to the ICU environment. It is often postulated that aspects of the ICU, such as sleep deprivation and sensory overload or monotony, are causes of the syndrome. This article reviews the empirical support for these propositions. We conclude that ICU syndrome does not differ from delirium and that ICU syndrome is caused exclusively by organic stressors on the central nervous system. We argue further that the term ICU syndrome is dangerous because it impedes standardized communication and research and may reduce the vigilance necessary to promptly investigate and reverse the medical cause of the delirium. Directions for future research are suggested.
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