There’s Nothing Here... We can’t find the page you’re looking for. Check the URL, or head back home. Go Home

There’s Nothing Here... We can’t find the page you’re looking for. Check the URL, or head back home. Go Home

Click to Return to Search Page VIEW SELECTED LIBRARY MEDIA Name of Media: Hospitals tackle post-intensive care syndrome Author(s): Advisory Board's contributer Publisher or Source: Advisory Board Type of Media: Magazine Article Media Originally for: General Public Country of Origin: United States Primary Focus of Media: Post Intensive Care Syndrome (PICS) COVID-19 Related: No Description: As many as 80% of ICU survivors have some form of cognitive or brain dysfunction, according to the Society of Critical Care Medicine. While receiving intensive care, patients often are heavily sedated and connected to a ventilator. During this time, a temporary brain injury can develop that is linked to later issues with memory and thinking. At the same time, many ICU survivors experience post-traumatic stress symptoms, including depression, prolonged muscle weakness, and fatigue. Patients who survive sepsis are particularly vulnerable to post-ICU syndrome and about 1.4 million of them suffer from long-term disabilities, according to the Sepsis Alliance. The not-for-profit advocacy group is developing pamphlets on post-sepsis issues for patients, as well as spreading the word on social media websites To view the PDF, Article, Photo, or Chart, Click Icon: To view the attached Video media file, Click Icon: PostICU, Inc's library staff reviewed this copyrighted material contained in the library and reasonably believes that its inclusion in our library complies with the "Fair Use Doctrine" because: (1) our library's is for nonprofit and educational purposes; (2) the nature of the copyrighted work is related to our mission; (3) the amount and substantiality of the portion used in relation to the copyrighted work as a whole is fair and reasonable; and (4) the potential market for or value of the copyrighted work will if impacted, should be enhanced, by its presence in our library.

There’s Nothing Here... We can’t find the page you’re looking for. Check the URL, or head back home. Go Home

There’s Nothing Here... We can’t find the page you’re looking for. Check the URL, or head back home. Go Home

There’s Nothing Here... We can’t find the page you’re looking for. Check the URL, or head back home. Go Home

Click to Return to Search Page VIEW SELECTED LIBRARY MEDIA Name of Media: Cognitive Deficits Following Intensive Care Author(s): Kohler J, Borchers F, Endres M, Weiss B, Spies C, Emmrich JV Publisher or Source: Deutsches Arzteblatt International Type of Media: Medical Journal Media Originally for: Critical Care Physicians, General Medical Professionals, Nurses and/or Other Critical Care Medical Professionals Country of Origin: United States Primary Focus of Media: Post Intensive Care Syndrome (PICS) COVID-19 Related: No Description: Background Illnesses that necessitate intensive care can impair cognitive function severely over the long term, leaving patients less able to cope with the demands of everyday living and markedly lowering their quality of life. There has not yet been any comprehensive study of the cognitive sequelae of critical illness among non-surgical patients treated in intensive care. The purpose of this review is to present the available study findings on cognitive deficits in such patients, with particular attention to prevalence, types of deficit, clinical course, risk factors, prevention, and treatment. Methods This review is based on pertinent publications retrieved by a selective search in MEDLINE. Results The literature search yielded 3360 hits, among which there were 14 studies that met our inclusion criteria. 17–78% of patients had cognitive deficits after discharge from the intensive care unit; most had never had a cognitive deficit before. Cognitive impairment often persisted for up to several years after discharge (0.5 to 9 years) and tended to improve over time. The only definite risk factor is delirium. Conclusion Cognitive dysfunction is a common sequela of the treatment of non-surgical patients in intensive care units. It is a serious problem for the affected persons and an increasingly important socio-economic problem as well. The effective management of delirium is very important. General conclusions are hard to draw from the available data because of heterogeneous study designs, varying methods of measurement, and differences among patient cohorts. Further studies are needed so that study designs and clinical testing procedures can be standardized and effective measures for prevention and treatment can be identified. To view the PDF, Article, Photo, or Chart, Click Icon: To view the attached Video media file, Click Icon: PostICU, Inc's library staff reviewed this copyrighted material contained in the library and reasonably believes that its inclusion in our library complies with the "Fair Use Doctrine" because: (1) our library's is for nonprofit and educational purposes; (2) the nature of the copyrighted work is related to our mission; (3) the amount and substantiality of the portion used in relation to the copyrighted work as a whole is fair and reasonable; and (4) the potential market for or value of the copyrighted work will if impacted, should be enhanced, by its presence in our library.

There’s Nothing Here... We can’t find the page you’re looking for. Check the URL, or head back home. Go Home

There’s Nothing Here... We can’t find the page you’re looking for. Check the URL, or head back home. Go Home

Click to Return to Search Page VIEW SELECTED LIBRARY MEDIA Name of Media: Risk of Post-traumatic Stress Symptoms in Family Members of Intensive Care Unit Patients Author(s): Elie Azoulay , Frédéric Pochard , Nancy Kentish-Barnes , Sylvie Chevret , Jérôme Aboab , Christophe Adrie , Djilali Annane , Gérard Bleichner , Pierre Edouard Bollaert , Michael Darmon , Thomas Fassier , Richard Galliot , Maité Garrouste-Orgeas , Cyril Goulenok , Dany Goldgran-Toledano , Jan Hayon , Mercé Jourdain , Michel Kaidomar , Christian Laplace , Jérôme Larché , Jérôme Liotier , Laurent Papazian , Catherine Poisson , Jean Reignier , Fayçal Saidi , and Benoît Schlemmer Publisher or Source: American Journal of Respiratory and Critical Care Medicine Type of Media: Medical Journal Media Originally for: Critical Care Physicians Country of Origin: France Primary Focus of Media: Post Traumatic Stress Disorder (PTSD) COVID-19 Related: No Description: Rationale: Intensive care unit (ICU) admission of a relative is a stressful event that may cause symptoms of post-traumatic stress disorder (PTSD). Objectives: Factors associated with these symptoms need to be identified. Methods: For patients admitted to 21 ICUs between March and November 2003, we studied the family member with the main potential decision-making role. Measurements: Ninety days after ICU discharge or death, family members completed the Impact of Event Scale (which evaluates the severity of post-traumatic stress reactions), Hospital Anxiety and Depression Scale, and 36-item Short-Form General Health Survey during a telephone interview. Linear regression was used to identify factors associated with the risk of post-traumatic stress symptoms. Main results: Interviews were obtained for family members of 284 (62%) of the 459 eligible patients. Post-traumatic stress symptoms consistent with a moderate to major risk of PTSD were found in 94 (33.1%) family members. Higher rates were noted among family members who felt information was incomplete in the ICU (48.4%), who shared in decision making (47.8%), whose relative died in the ICU (50%), whose relative died after end-of-life decisions (60%), and who shared in end-of-life decisions (81.8%). Severe post-traumatic stress reaction was associated with increased rates of anxiety and depression and decreased quality of life. Conclusion: Post-traumatic stress reaction consistent with a high risk of PTSD is common in family members of ICU patients and is the rule among those who share in end-of-life decisions. Research is needed to investigate PTSD rates and to devise preventive and early-detection strategies. To view the PDF, Article, Photo, or Chart, Click Icon: To view the attached Video media file, Click Icon: PostICU, Inc's library staff reviewed this copyrighted material contained in the library and reasonably believes that its inclusion in our library complies with the "Fair Use Doctrine" because: (1) our library's is for nonprofit and educational purposes; (2) the nature of the copyrighted work is related to our mission; (3) the amount and substantiality of the portion used in relation to the copyrighted work as a whole is fair and reasonable; and (4) the potential market for or value of the copyrighted work will if impacted, should be enhanced, by its presence in our library.

There’s Nothing Here... We can’t find the page you’re looking for. Check the URL, or head back home. Go Home

Click to Return to Search Page VIEW SELECTED LIBRARY MEDIA Name of Media: The Critical Care Experience Author(s): Cheryl J. Misak Publisher or Source: AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE Type of Media: Medical Journal Media Originally for: Critical Care Physicians, Nurses and/or Other Critical Care Medical Professionals Country of Origin: Canada Primary Focus of Media: Pre-Use of PICS Designation COVID-19 Related: No Description: This short article is written “from the inside”: from the perspective of someone who has spent weeks in an intensive care unit (ICU) with acute respiratory distress syndrome, severe sepsis, and multiple organ failure. My life was saved by highly skilled and compassionate physicians and nurses. I am also an academic philosopher and I was struck by how certain assumptions made by these physicians and nurses might be improved. I offer the following suggestions about patient autonomy and about the transition out of the ICU against a background of profound gratitude and respect for those who work in critical care. To view the PDF, Article, Photo, or Chart, Click Icon: To view the attached Video media file, Click Icon: PostICU, Inc's library staff reviewed this copyrighted material contained in the library and reasonably believes that its inclusion in our library complies with the "Fair Use Doctrine" because: (1) our library's is for nonprofit and educational purposes; (2) the nature of the copyrighted work is related to our mission; (3) the amount and substantiality of the portion used in relation to the copyrighted work as a whole is fair and reasonable; and (4) the potential market for or value of the copyrighted work will if impacted, should be enhanced, by its presence in our library.