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.

Click to Return to Search Page VIEW SELECTED LIBRARY MEDIA Name of Media: Five-year survival, quality of life, and individual costs of 303 consecutive medical intensive care patients Author(s): J Graf, J Wagner, C Graf, K Koch, P Hanrath1, U Janssens Publisher or Source: Critical Care 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: Germany Primary Focus of Media: Pre-Use of PICS Designation COVID-19 Related: No Description: Cost considerations may influence therapeutic reasoning and decisions in the intensive care unit (ICU). To date only very few data illuminating the association of costs and consequences (i.e. outcomes) of critical care services are available. In this study, the long-term outcome, health-related quality of life (HRQL), and ICU and hospital costs of medical ICU patients were assessed. 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.

Click to Return to Search Page VIEW SELECTED LIBRARY MEDIA Name of Media: Helping Nurses Cope With Postcode Stress, PTSD Author(s): ALISO VIEJO Publisher or Source: American Association of Critical Care Nurses (AACN) Type of Media: Magazine Article Media Originally for: General Public, Nurses and/or Other Critical Care Medical Professionals Country of Origin: United States Primary Focus of Media: Post Traumatic Stress Disorder (PTSD) COVID-19 Related: No Description: Understanding how nurses cope following the death of a patient after CPR may help identify nurses most at risk for postcode stress and posttraumatic stress disorder (PTSD) according to new research published in the American Journal of Critical Care (AJCC). “Stress and Coping of Critical Care Nurses After Unsuccessful Cardiopulmonary Resuscitation” explores the relationship between postcode stress, PTSD symptom severity and coping behaviors after an unsuccessful attempt to resuscitate a patient. 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.

Click to Return to Search Page VIEW SELECTED LIBRARY MEDIA Name of Media: Bone numbingly tired: The exhausting reality of Long-Covid Author(s): Hannah Vickers Publisher or Source: The Bristol Cable Type of Media: Magazine Article Media Originally for: General Public Country of Origin: United Kingdom of Great Britain and Northern Ireland (the) Primary Focus of Media: Post Intensive Care Syndrome (PICS) COVID-19 Related: Yes Description: Jane and her husband both got coronavirus in March within two weeks of each other and have been suffering the effects ever since. Doing too much leaves them exhausted, breathless for hours, and with aching lungs for days. “I am low-key terrified I’ll never get better,” she tells me. They’re among the estimated 60,000 people in the UK with Long-Covid, where symptoms last longer than 12 weeks. NHS England have said that long-lasting symptoms include “breathing difficulties, enduring tiredness, reduced muscle function, impaired ability to perform vital everyday tasks, and mental health problems such as post-traumatic stress disorder, anxiety, and depression”. Jane describes it as being “bone numbingly tired, like you haven’t slept in six weeks, and none of your muscles work properly”. 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.

Click to Return to Search Page VIEW SELECTED LIBRARY MEDIA Name of Media: Iron supplementation to treat anaemia inadult critical care patients: a systematicreview and meta-analysis Author(s): Akshay Shah, Noémi B Roy , Stuart McKechnie, Carolyn Doree , Sheila A Fisher , Simon J Stanworth. Publisher or Source: Critical Care Type of Media: Medical Journal Media Originally for: Critical Care Physicians Country of Origin: United Kingdom of Great Britain and Northern Ireland (the) Primary Focus of Media: Pre-Use of PICS Designation COVID-19 Related: No Description: Background: Anaemia affects 60-80 % of patients admitted to intensive care units (ICUs). Allogeneic red blood cell (RBC) transfusions remain the mainstay of treatment for anaemia but are associated with risks and are costly. Our objective was to assess the efficacy and safety of iron supplementation by any route, in anaemic patients in adult ICUs. Methods: Electronic databases (CENTRAL, MEDLINE, EMBASE) were searched through March 2016 for randomized controlled trials (RCT)s comparing iron by any route with placebo/no iron. Primary outcomes were red blood cell transfusions and mean haemoglobin concentration. Secondary outcomes included mortality, infection, ICU and hospital length of stay, mean difference (MD) in iron biomarkers, health-related quality of life and adverse events. Results: Five RCTs recruiting 665 patients met the inclusion criteria; intravenous iron was tested in four of the RCTs. There was no difference in allogeneic RBC transfusion requirements (relative risk 0.87, 95 % confidence interval (CI) 0.70 to 1.07, p = 0.18, five trials) or mean number of RBC units transfused (MD -0.45, 95 % CI -1.34 to 0.43, p = 0.32, two trials) in patients receiving or not receiving iron. Similarly, there was no difference between groups in haemoglobin at short-term (up to 10 days) (MD -0.25, 95 % CI -0.79 to 0.28, p = 0.35, three trials) or mid-term follow up (last measured time point in hospital or end of trial) (MD 0.21, 95 % CI -0.13 to 0.55, p = 0.23, three trials). There was no difference in secondary outcomes of mortality, in-hospital infection, or length of stay. Risk of bias was generally low although three trials had high risk of attrition bias; only one trial had low risk of bias across all domains. Conclusion: Iron supplementation does not reduce RBC transfusion requirements in critically ill adults, but there is considerable heterogeneity between trials in study design, nature of interventions, and outcomes. Well-designed trials are needed to investigate the optimal iron dosing regimens and strategies to identify which patients are most likely to benefit from iron, together with patient-focused outcomes. 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.

Click to Return to Search Page VIEW SELECTED LIBRARY MEDIA Name of Media: The Trauma Symptom Checklist (TSC-33): Early data on a new scale Author(s): John Briere, Marsha Runtz Publisher or Source: Journal of Interpersonal Violence Type of Media: Medical Journal Media Originally for: General Public, General Medical Professionals Country of Origin: United States Primary Focus of Media: Post Traumatic Stress Disorder (PTSD) COVID-19 Related: No Description: A 33-item Trauma Symptom Checklist (TSC-33) is presented, and the psychometric properties of this scale are summarized from four separate studies. Developed to assess the impact of childhood abuse on later (adult) functioning, the TSC-33 consists of five subscales (Dissociation, Anxiety, Depression, Post-Sexual Abuse Trauma-hypothesized [PSAT-h], and Sleep Disturbance) and a total scale score. Data suggest that the TSC-33 and its associated subscales are reasonably reliable measures that display some predictive and discriminative validity with regard to childhood sexual abuse. Other variables appear to elevate checklist scores as well, however, such as physical abuse history and mental health client status, although apparently not gender. 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.

Click to Return to Search Page VIEW SELECTED LIBRARY MEDIA Name of Media: As COVID-19 Patients Are Discharged, Experts Warn Of Long-Lasting Health Effects Author(s): Bente Bouthier Publisher or Source: Indiana Public Media Type of Media: Newspaper Article Media Originally for: General Public Country of Origin: United States of America (the) Primary Focus of Media: Post Intensive Care Syndrome (PICS) COVID-19 Related: Yes Description: As the number of COVID-19 patients discharged from intensive care units increases, medical experts are warning that extended stays in the ICU can have long lasting effects. Dr. Sophia Wang is an assistant professor of clinical psychiatry at Indiana University School of Medicine. She says the longer a patient remains in the ICU, the more likely they are to develop post intensive care syndrome or delirium. 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.

Click to Return to Search Page VIEW SELECTED LIBRARY MEDIA Name of Media: Risk of post-traumatic stress disorder in family caregivers of neuroscience intensive care unit patients Author(s): JiYeon Choi, and Judith A. Tate Publisher or Source: Journal of Emergency 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: United States Primary Focus of Media: Post Traumatic Stress Disorder (PTSD) COVID-19 Related: No Description: Family caregivers of intensive care unit (ICU) patients are exposed to high levels of stress (1). During ICU admission, family caregivers are in a position to witness the stress-provoking ICU environment more vividly than the patients who lack physical and cognitive capacity to control or understand surroundings. Because limited decisional capacity is common in patients during the critical phase of their illness, many family caregivers are expected to take the role of a surrogate decision maker to discuss options for life supporting treatments. Demands on family caregivers do not stop after patients’ ICU discharge. Recovering from critical illness leads to a new phase of complex and unpredictable illness experience. Over time, support from formal resources dissipate and more responsibilities are assumed by family caregivers. Decades of research have highlighted that ICU family caregivers are at risk for adverse psychological responses at various timelines across the trajectory of their loved one’s illness, recovery and/or death (2-4). Despite growing awareness, supportive and effective interventions targeted to family caregivers of ICU patients are lacking (2). One of major challenges in developing interventions may be limited knowledge of ways to identify family caregivers at high risk for severe stress response and other modifiable risk factors. 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.

Click to Return to Search Page VIEW SELECTED LIBRARY MEDIA Name of Media: What We Know About the Long-Term Effects of COVID-19 Author(s): George Citroner Publisher or Source: Acute Medicine & Surgery. Healthline Type of Media: Magazine Article Media Originally for: General Public Country of Origin: United States Primary Focus of Media: Post Traumatic Stress Disorder (PTSD) COVID-19 Related: Yes Description: Patients with COVID-19 who developed acute respiratory distress syndrome (ARDS) could have a greater risk of long-term health issues. Additionally, people requiring intensive care are at increased risk for mental health issues like post-traumatic stress disorder (PTSD), anxiety, and depression. Impaired lung function from SARS-CoV-2 infection can negatively affect other organs like the heart, kidneys, and brain, with significant health impacts that may last after getting over the infection. 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.

Click to Return to Search Page VIEW SELECTED LIBRARY MEDIA Name of Media: It’s Not All in the Genes Author(s): Bernstein CN and Sargent M Publisher or Source: The American Journal of Gastroenterology Type of Media: Medical Journal Media Originally for: General Medical Professionals Country of Origin: United States Primary Focus of Media: Pre-Use of PICS Designation COVID-19 Related: No Description: It has long been known that patients with inflammatory bowel disease (IBD) are at higher risk of systemic throm-boembolism than is the general population. In fact, patients with both ulcerative colitis (UC) and Crohn’s disease (CD) have a 3- to 4-fold higher number of throm-boembolic events including pulmonary embolism and a 6-fold higher incidence found at autopsy.1 It has been hypothesized that prothrombotic genetic variants may be more prevalent in IBD patients than in the general population. Bernstein et al identified 492 IBD patients from the Manitoba IBD Research Registry and 412 controls from Manitoba Health’s administrative data-base. Subjects filled out questionnaires and their records were reviewed to determine their demographics, diagnosis, environmental factors, family history, smoking history, IBD phenotype, and extent and location of disease. All participants donated blood for genetic analysis, and most were contacted 2 years after venipuncture to update their history of throm-boembolic events. Subjects’ blood was analyzed for the 4 most common genetic mutations associated with the risk of thrombosis. 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.

Click to Return to Search Page VIEW SELECTED LIBRARY MEDIA Name of Media: The Post-ICU Patient Author(s): Stefan J. Schaller, Nicolas Paul, Julius J. Grunow, Bjorn Weiss, and Claudia D. Spies Publisher or Source: ICU Management & Practice Type of Media: Magazine Article 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: Survivors of critical illness and their caregivers frequently face long-term impairments of cognition, mental health, mobility and beyond, which demand for a patient-centred transition management and well-coordinated, outpatient post-ICU 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.

Click to Return to Search Page VIEW SELECTED LIBRARY MEDIA Name of Media: corona patients can follow a tailored multidisciplinary rehabilitation program at medifit rehabilitation centre after an icu admission Author(s): Staff Reporter Publisher or Source: Olive Press Type of Media: Newspaper Article Media Originally for: General Public Country of Origin: Spain Primary Focus of Media: Post Intensive Care Syndrome (PICS) COVID-19 Related: Yes Description: People after a stay in an Intensive Care Unit (ICU) often have Post Intensive Care Syndrome (PICS) this is a combination of physical disorders and limitations such as muscle weakness, reduce stamina, shortness of breath, pain and stiffness in the joints. The physical consequences after ICU are usually known, but there may also be psychological and cognitive problems. These residual symptoms lead to long term limitations in daily functioning and reduced quality of life. 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.