Click to Return to Search Page VIEW SELECTED LIBRARY MEDIA Name of Media: Perinatal Management of Extreme Preterm Birth before 27 weeks of gestation Author(s): Dr Sarah E Bates, Ms Erica Everett, Dr Tracey Johnston, Ms Caroline Lee-Davey, Prof Neil Marlow, Dr Helen Mactier, Ms Kate Mulley, Dr Tara Selman, Dr Lucy K Smith, Dr Meekai To, and Prof Dominic Wilkinson Publisher or Source: British Association of Perinatal Medicine Type of Media: Medical Professional Education 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: The purpose of this Framework for Practice is to assist decision-making relating to perinatal care and preterm delivery at 26 weeks and 6 days of gestation or less in the United Kingdom. This framework was developed in collaboration with Bliss, BMFMS, MBRRACE-UK, the NNA, RCOG, RCPCH and Sands. 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: Many COVID-19 Patients Will Need Rehab Long After Infection Is Over Author(s): Healthline Publisher or Source: Healthline 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: New research has found that the novel coronavirus can affect a variety of bodily systems in addition to the lungs. As a result, survivors may have to deal with a wide range of ailments long after the virus has passed. It can take 6 weeks or longerTrusted Source for patients in critical condition to fully recover, the World Health Organization reported. Those who were treated in the ICU may need help gaining mobility again even after the virus has left their system. Even those never hospitalized for COVID-19 may need to go to rehab to help their injured lungs recover. 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 terror and trauma of surviving intensive care with Covid-19 Author(s): Will Moffitt Publisher or Source: Wired Type of Media: Newspaper 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: Paul Henderson can’t remember the journey to Edinburgh’s Western General Hospital on March 24, 2020, but he knows that he arrived at two in the afternoon and nine hours later he was on a life support machine. His next recollection is waking up in the hospital’s intensive care unit in a frenzied state as doctors explained that his case of Covid-19 was so severe he had been placed in a medically induced coma for 30 days. Slowly, as the medication started to wear off, the full details of his illness were revealed to him by doctors and nurses on the ward. Henderson came close to dying several times while on the intensive care unit. His colon was perforated, leaking toxins into his bloodstream and causing organ failure. His kidneys stopped working, leaving him strapped to a dialysis machine. Eight blood transfusions were required to replace the blood he lost. He struggled to breathe as his lungs filled with fluid due to acute pneumonia caused by the virus. To help him breathe doctors cut a hole in his throat, inserting a tube to compensate for his weakened respiratory muscles. The ordeal left him gaunt and weak. He lost 12 kilograms. The muscles in his legs had diminished so much that he struggled to walk two paces. And yet it was the mental impact that troubled him most: the petrifying dreams he had experienced under sedation continued to haunt him. “The delirium was terrifying, I had very disturbing dreams and as far as I was aware they were real,” Henderson says. “[I thought] my wife had left me because she was having an affair. Then she shot herself in a wood. I could still hear the screams.” The delusions were constant. At one point Henderson felt he was floating above a table in a white room with a friend who had died from cancer three years earlier. Another time he imagined he was drowning in the hull of a boat alongside his brother who had been killed by a drunk driver 14 years ago. Then he saw a close friend being kidnapped by the Ulster Volunteer Force and shot in the back of the head. 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: 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. 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: My Patients Will Not Be the Same. None of Us Will. Author(s): Daniela J. Lamas, Dr. Publisher or Source: The New York Times 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 soon as I see the name on my phone, it all comes back to me. I remember the nights we spent outside his hospital room, adjusting his ventilator settings. I remember the anxious call to his family when he started to bleed into his lungs, and we did not know if he would make it. I can still picture the guide to Islamic end-of-life rituals that his nurses passed from shift to shift, the way it grew dog-eared and tattered. Somehow, my patient survived Covid-19. He saw his son off to college. He was even able to return to work part-time as the manager of the liquor store near his home. In a way, his life is back to normal. But he is still haunted by the delirious hallucinations that make him feel as if he’s still in the intensive care unit. They’re his only memories of the experience. 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: A Call for the World Health Organization to Create International Classification of Disease Diagnostic Codes for Post-Intensive Care Syndrome in the Age of COVID-19 Author(s): Brian C. Peach, PhD; Michael Valenti, PhD, RN; and Mary Lou Sole, PhD, RN, CCNS, CNL, FAAN, FCCM Publisher or Source: World Medical and Health Policy 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 of America (the) Primary Focus of Media: Post Intensive Care Syndrome (PICS) COVID-19 Related: Yes Description: Post-intensive care syndrome (PICS), a condition found in survivors of critical illness, is characterized by persistent physical, cognitive, and psychological sequelae that impact the quality of life after discharge from an intensive care unit (ICU). At present, there are no International Classification of Disease (ICD) billing codes for this condition. Without financial alignment, clinicians cannot diagnose PICS, hindering tracking of its prevalence and impeding policy development for this condition. Clinicians should be screening for PICS in all survivors of critical illness, particularly those with acute respiratory distress syndrome (ARDS). Results from single-center studies suggest over 75 percent of ARDS survivors develop PICS. With nearly 5 percent of patients with COVID-19 requiring ICU admission for ARDS, it is important for clinicians to be able to diagnose PICS in survivors, and researchers to be able to track it. Member states should impress upon the World Health Organization to create ICD-10 codes for PICS. 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: ICU Survival Guide Author(s): Dhamoon, A., Doobay, R., Khanal, S., Krowl, L., Dean, R., & Krishnan, P. et al.v Publisher or Source: SUNY Upstate Medical University Type of Media: Medical Professional Education Media Originally for: General Medical Professionals Country of Origin: United States Primary Focus of Media: Post Intensive Care Syndrome (PICS) COVID-19 Related: No Description: The ICU can be an intimidating and stressful environment. This manual is intended to help support medical students, interns, and residents working in the ICU. This manual is a guide for care in the ICU. Clinical treatment decisions are variable and nuanced depending on patient, nursing, and attending 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: Physical Impairments Associated With Post–Intensive Care Syndrome: Systematic Review Based on the World Health Organization's International Classification of Functioning, Disability and Health Framework Author(s): Patricia J Ohtake, Alan C Lee, Jacqueline Coffey Scott, Rana S Hinman, Naeem A Ali, Carl R Hinkson, Dale M Needham, Lori Shutter, Helene Smith-Gabai, Mary C Spires, Alecia Thiele, Clareen Wiencek, James M Smith Publisher or Source: Physical Therapy 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: The 2 purposes of this systematic review were to identify the scope and magnitude of physical problems associated with PICS during the first year after critical illness and to use the World Health Organization's International Classification of Functioning, Disability and Health (ICF) framework to elucidate impairments of body functions and structures, activity limitations, and participation restrictions associated with PICS. 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: Instruments to measure outcomes of post-intensive care syndrome in outpatient care settings – Results of an expert consensus and feasibility field test Author(s): Claudia D Spies, Henning Krampe, Nicolas Paul, Claudia Denke, Jo ̈ rn Kiselev, Sophie K Piper, Jochen Kruppa, Julius J Grunow, Karin Steinecke, Tuba Gu ̈lmez, Kathrin Scholtz, Simone Rosseau, Christiane Hartog, Reinhard Busse, Jo ̈ rg Caumanns, Ursula Marschall, Martin Gersch, Christian Apfelbacher, Steffen Weber-Carstens and Bjo ̈ rn Weiss Publisher or Source: Journal of the Intensive Care Society Type of Media: Medical Research 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: Background: There is no consensus on the instruments for diagnosis of post-intensive care syndrome (PICS). We present a proposal for a set of outcome measurement instruments of PICS in outpatient care. Methods: We conducted a three-round, semi-structured consensus-seeking process with medical experts, followed each by exploratory feasibility investigations with intensive care unit survivors (n1 1⁄4 5; n2 1⁄4 5; n3 1⁄4 7). Fourteen participants from nine stakeholder groups participated in the first and second consensus meeting. In the third consensus meeting, a core group of six clinical researchers refined the final outcome measurement instrument set proposal. Results: We suggest an outcome measurement instrument set used in a two-step process. First step: Screening with brief tests covering PICS domains of (1) mental health (Patient Health Questionnaire-4 (PHQ-4)), (2) cognition (MiniCog, Animal Naming), (3) physical function (Timed Up-and-Go (TUG), handgrip strength), and (4) health-related quality of life (HRQoL) (EQ-5D-5L). Single items measure subjective health before and after the intensive care unit stay. If patients report new or worsened health problems after intensive care unit discharge and show relevant impairment in at least one of the screening tests, a second extended assessment follows: (1) Mental health (Patient Health Questionnaire-8 (PHQ-8), Generalized Anxiety Disorder Scale-7 (GAD-7), Impact of Event Scale – revised (IES-R)); (2) cognition (Repeatable Battery for the Assessment of Neuropsychological Status (RBANS), Trail Making Test (TMT) A and B); (3) physical function (2-Minute Walk Test (2-MWT), handgrip strength, Short Physical Performance Battery (SPPB)); and (4) HRQoL (EQ-5D-5L, 12-Item WHO Disability Assessment Schedule (WHODAS 2.0)). Conclusions: We propose an outcome measurement instrument set used in a two-step measurement of PICS, combining performance-based and patient-reported outcome measures. First-step screening is brief, free-of-charge, and easily applicable by health care professionals across different sectors. If indicated, specialized healthcare providers can perform the extended, second-step assessment. Usage of the first-step screening of our suggested outcome measurement instrument set in outpatient clinics with subsequent transfer to specialists is recommended for all intensive care unit survivors. This may increase awareness and reduce the burden of PICS. 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: Elderly Need Vaccines To Avoid Worst Of Covid-19: Expert Author(s): Kanmani Batumalai Publisher or Source: CodeBlue Type of Media: Newspaper Article Media Originally for: General Public,General Medical Professionals Country of Origin: Malaysia Primary Focus of Media: Pre-Use of PICS Designation COVID-19 Related: Yes Description: “We need to prioritise the elderly, we need to prioritise those with comorbidities because if we don’t protect them first, then the hospitals will continue to see the worst of Covid-19, which is deaths and severe disease,” Dr Sim 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: Riker Sedation-Agitation Scale (SAS) Author(s): No author Publisher or Source: Pop Type of Media: One-Pager Media Originally for: Nurses and/or Other Critical Care Medical Professionals, Critical Care Physicians Country of Origin: United States Primary Focus of Media: Post Intensive Care Syndrome (PICS) COVID-19 Related: No Description: The Riker Sedation-Agitation Scale (SAS) was the first scale tested and developed for the ICU. The SAS identifies seven levels of sedation and agitation, which range from dangerous agitation to deep sedation, with a thorough description of patient behavior. This scale allows the clinician to distinguish easily between each level. 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: A CHALLENGING CASE OF FIBROMYALGIA AND POST TRAUMATIC STRESS DISORDER Author(s): Dr. Caroline Ming Publisher or Source: N/A Type of Media: Medical Research Media Originally for: Critical Care Physicians, General Medical Professionals, Nurses and/or Other Critical Care Medical Professionals Country of Origin: United Kingdom Primary Focus of Media: Post Intensive Care Syndrome (PICS) COVID-19 Related: No Description: A case study regarding a patient with Fibromyalga and Post-traumatic Stress Disorder. 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.