Click to Return to Search Page VIEW SELECTED LIBRARY MEDIA Name of Media: After a hospital stay for COVID-19, patients may face months of rehabilitation Author(s): Anahad O’Connor Publisher or Source: The New York Times Type of Media: Newspaper Article Media Originally for: General Public Country of Origin: United States Primary Focus of Media: Post Intensive Care Syndrome (PICS) COVID-19 Related: Yes Description: Even after surviving COVID-19, many patients who were critically ill face long and arduous recoveries, often requiring extensive physical rehabilitation. The problems they encounter are wide-ranging. Some patients suffer muscle atrophy, kidney damage or reduced lung capacity, making it difficult for them to leave their homes or get out of bed. Many struggles with cognitive and psychological issues like memory loss, depression and anxiety. Among the most common problems they face are shortness of breath, fatigue, confusion and body aches. 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: Recommendations on basic requirements for intensive care units : structural and organizational aspects Author(s): Andreas Valentin, Patrick Ferdinande Publisher or Source: European Society of Intensive Care Medicine Type of Media: Medical Journal Media Originally for: Critical Care Physicians,Nurses and/or Other Critical Care Medical Professionals Country of Origin: Austria Primary Focus of Media: Pre-Use of PICS Designation COVID-19 Related: No Description: This document provides guidance and recommendations for the planning or renovation of intensive care units (ICUs) with respect to the specific characteristics relevant to organizational and structural aspects of intensive care medicine. 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: Why the J&J pause shouldn’t stop you from getting vaccinated Author(s): Kya Vaughn Publisher or Source: Student Life 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: On April 13, the CDC and FDA suggested that organizations halt the distribution of the Johnson & Johnson Janssen COVID-19 vaccine, due to the fact that there have been 6 reported cases of severe blood clots in the United States that appear to be in response to the vaccine. To date, almost 7 million doses of the J&J/Janssen vaccine have been distributed, raising alarm amongst individuals who have received the vaccine. 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: Effect of length of stay in intensive care unit on hospital and long-term mortality of critically ill adult patients Author(s): T. A. Williams, K. M. Ho, G. J. Dobb, J. C. Finn, M. Knuiman, S. A. R. Webb Publisher or Source: BJA: British Journal of Anaesthesia Type of Media: Medical Journal Media Originally for: Critical Care Physicians, Former ICU Patients, Former ICU Patients' Family Members, Friends or Caregivers, General Public Country of Origin: United Kingdom Primary Focus of Media: Pre-Use of PICS Designation COVID-19 Related: No Description: Background Critical illness leading to prolonged length of stay (LOS) in an intensive care unit (ICU) is associated with significant mortality and resource utilization. This study assessed the independent effect of ICU LOS on in-hospital and long-term mortality after hospital discharge. Methods Clinical and mortality data of 22 298 patients, aged 16 yr and older, admitted to ICU between 1987 and 2002 were included in this linked-data cohort study. Cox's regression with restricted cubic spline function was used to model the effect of LOS on in-hospital and long-term mortality after adjusting for age, gender, acute physiology score (APS), maximum number of organ failures, era of admission, elective admission, Charlson's co-morbidity index, and diagnosis. The variability each predictor explained was calculated by the percentage of the χ2 statistic contribution to the total χ2 statistic. Results Most hospital deaths occurred within the first few days of ICU admission. Increasing LOS in ICU was not associated with an increased risk of in-hospital mortality after adjusting for other covariates, but was associated with an increased risk of long-term mortality after hospital discharge. The variability on the long-term mortality effect associated with ICU LOS (2.3%) appeared to reach a plateau after the first 10 days in ICU and was not as important as age (35.8%), co-morbidities (18.6%), diagnosis (10.9%), and APS (3.6%). Conclusions LOS in ICU was not an independent risk factor for in-hospital mortality, but it had a small effect on long-term mortality after hospital discharge after adjustment for other 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: ICU Recovery Clinic Attendance, Attrition, and Patient Outcomes: The Impact of Severity of Illness, Gender, and Rurality Author(s): Mayer, K.P., Boustany, H., Cassity, E.P., Soper, M.K., Kalema, A.G. Kolpek, J.H., Montgomery-Yates, A.A. Publisher or Source: Critical Care Explorations Type of Media: Medical Journal 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: Attendance and attrition in ICU recovery clinic are related to patient factors (living in rural area) and ICU factors. Data suggest different recovery trajectories exist based on gender, severity of illness, and self-reported 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: COVID-19 (coronavirus): Long-term effects Author(s): Mayo Clinic Staff Publisher or Source: Mayo Clinic Type of Media: One-Pager Media Originally for: Critical Care Physicians,General Public,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: COVID-19 symptoms can sometimes persist for months. The virus can damage the lungs, heart and brain, which increases the risk of long-term health problems. 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: Kent State assistant professor’s research study links family caregivers, psychological health struggles Author(s): Boyd, M. Publisher or Source: Kentwired.com Type of Media: Newspaper Article Media Originally for: Former ICU Patients' Family Members, Friends or Caregivers, General Public Country of Origin: United States Primary Focus of Media: Post Intensive Care Syndrome for Families (PICS-F) COVID-19 Related: Yes Description: A Kent State assistant professor’s research study on post-intensive care syndrome has linked family caregivers of intensive care unit patients as the unidentified population who suffer from unanticipated psychological symptoms. 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 worst days of my life': how Covid-19 patients can recover from ICU delirium Author(s): Dorothy Wade, Dr Publisher or Source: The Guardian 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: “Last night the porters took me down to the basement in a supermarket trolley. I was met by hooded monks who stole my soul and turned me into a zombie. I woke up in my own coffin.” “I heard the nurses whispering about me in the night behind the blue curtains. They are plotting to murder me and my baby, and I saw one of them take a gun from her handbag.” “There was a wild animal rampaging through the marketplace in the hospital, attacking everyone until the police shot it.” These are the terrifying or bizarre experiences I hear about daily as a psychologist working on the intensive care units (ICUs) and Covid-19 wards in a London hospital. The stories are hallucinations or delusions from ICU delirium, a syndrome caused by drugs, infections, lack of oxygen and other medical reasons. But to patients these visions are vividly and unarguably real. 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 impact of the patient post-intensive care syndrome components upon caregiver burden Author(s): J. Torres, D. Carvalho, E. Molinos, C. Vales, A. Ferreira, C.C. Dias, R. Araújoa, E. Gomes Publisher or Source: Medicina Intensiva Type of Media: Medical Research Media Originally for: Critical Care Physicians, Former ICU Patients or Their Caregivers, Nurses and/or Other Critical Care Medical Professionals Country of Origin: United States Primary Focus of Media: PICS and PICS-F COVID-19 Related: No Description: 3 months after discharge from the Intensive Care Unit (ICU) and determine the impact of different components of PICS-P upon caregiver burden. Design: A prospective observational study was conducted over 26 months (January 2013---February 2015). Setting: Medical-surgical ICU and follow-up consultation in Portugal. Patients or participants: Patients discharged after a minimum of 2 days in the ICU. Caregiver inclusion criteria: not paid, written and spoken Portuguese, and agreement to participate in the study. Main variables of interest: In ICU: Patient gender, age, severity of illness (SAPS II) and length of ICU stay. At 3 months caregiver burden, physical (reduced mobility, weakness acquired in the ICU) and psychological components of PICS (anxiety, depression, post-traumatic stress disorder). Results: A total of 168 caregivers completed the survey (response rate of 69%). A low degree of overburden was reported by 34.5% of caregivers, while 15.5% showed moderate to high levels of overburden. Patient anxiety and depression 3 months after ICU discharge significantly influenced the presence of caregiver burden (p = 0.030 vs p = 0.008). When physical components of PICS-P were evaluated, no influence on caregiver burden was observed. Patient demographics, severity of illness and length of stay also failed to influence caregiver burden. Conclusions: The presence of psychological components of PICS-P 3 months after ICU seems to have a negative impact upon caregiver burden. On the other hand, physical problems showed no important impact upon caregiver overburden. 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: Clinical Practice Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU Author(s): John W. Devlin, PharmD, FCCM (Chair); Yoanna Skrobik, MD, FRCP(c), MSc, FCCM (Vice-Chair); Céline Gélinas, RN, PhD; Dale M. Needham, MD, PhD; Arjen J. C. Slooter, MD, PhD; Pratik P. Pandharipande, MD, MSCI, FCCM; Paula L. Watson, MD; Gerald L. Weinhouse, MD; Mark E. Nunnally, MD, FCCM; Bram Rochwerg, MD, MSc; Michele C. Balas, RN, PhD, FCCM, FAAN; Mark van den Boogaard, RN, PhD; Karen J. Bosma, MD; Nathaniel E. Brummel, MD, MSCI; Gerald Chanques, MD, PhD; Linda Denehy, PT, PhD; Xavier Drouot, MD, PhD; Gilles L. Fraser, PharmD, MCCM; Jocelyn E. Harris, OT, PhD; Aaron M. Joffe, DO, FCCM; Michelle E. Kho, PT, PhD; John P. Kress, MD; Julie A. Lanphere, DO; Sharon McKinley, RN, PhD; Karin J. Neufeld, MD, MPH; Margaret A. Pisani, MD, MPH; Jean-Francois Payen, MD, PhD; Brenda T. Pun, RN, DNP; Kathleen A. Puntillo, RN, PhD, FCCM; Richard R. Riker, MD, FCCM; Bryce R. H. Robinson, MD, MS, FACS, FCCM; Yahya Shehabi, MD, PhD, FCICM; Paul M. Szumita, PharmD, FCCM; Chris Winkelman, RN, PhD, FCCM; John E. Centofanti, MD, MSc; Carrie Price, MLS; Sina Nikayin, MD; Cheryl J. Misak, PhD; Pamela D. Flood, MD; Ken Kiedrowski, MA; Waleed Alhazzani, MD, MSc (Methodology Chair) Publisher or Source: the Society of Critical Care Medicine and Wolters Kluwer Health 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: Pre-Use of PICS Designation COVID-19 Related: No Description: Objective: To update and expand the 2013 Clinical Practice Guidelines for the Management of Pain, Agitation, and Delirium in Adult Patients in the ICU. Design: Thirty-two international experts, four methodologists, and four critical illness survivors met virtually at least monthly. All section groups gathered face-to-face at annual Society of Critical. Care Medicine congresses; virtual connections included those unable to attend. A formal conflict of interest policy was developed a priori and enforced throughout the process. Teleconferences and electronic discussions among subgroups and whole panel were part of the guidelines’ development. A general content review was completed face-to-face by all panel members in January 2017. Methods: Content experts, methodologists, and ICU survivors were represented in each of the five sections of the guidelines: Pain, Agitation/sedation, Delirium, Immobility (mobilization/rehabilitation), and Sleep (disruption). Each section created Population, Intervention, Comparison, and Outcome, and nonactionable, descriptive questions based on perceived clinical relevance. The guideline group then voted their ranking, and patients prioritized their importance. For each Population, Intervention, Comparison, and Outcome question, sections searched the best available evidence, determined its quality, and formulated recommendations as “strong,” “conditional,” or “good” practice statements based on Grading of Recommendations Assessment, Development and Evaluation principles. In addition, evidence gaps and clinical caveats were explicitly identified. Results: The Pain, Agitation/Sedation, Delirium, Immobility (mobilization/rehabilitation), and Sleep (disruption) panel issued 37 recommendations (three strong and 34 conditional), two good practice statements, and 32 ungraded, nonactionable statements. Three questions from the patient centered prioritized question list remained without recommendation. Conclusions: We found substantial agreement among a large, interdisciplinary cohort of international experts regarding evidence supporting recommendations, and the remaining literature gaps in the assessment, prevention, and treatment of Pain, Agitation/sedation, Delirium, Immobility (mobilization/rehabilitation), and Sleep (disruption) in critically ill adults. Highlighting this evidence and the research needs will improve Pain, Agitation/sedation, Delirium, Immobility (mobilization/rehabilitation), and Sleep (disruption) management and provide the foundation for improved outcomes and science in this vulnerable population. (Crit Care Med 2018; 46:e825–e873) 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: Post-Intensive Care Syndrome (PICS): Emerging Perspectives to Improve Patient Care Author(s): Alan Chong W. Lee, PT, PhD, DPT, CWS, GCS, Patricia J. Ohtake, PT, PhD, Jim Smith, PT, DPT, & Alecia Thiele, PT, DPT, MSEd, ATC, LAT, ACCE Publisher or Source: American Physical Therapy Association Type of Media: Medical Professional Education 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: PICS and PICS-F COVID-19 Related: No Description: Course Description: 5 million people enter ICUs in the USA each year and over 80% of survivors of critical illness experience post-intensive care syndrome (PICS) – a constellation of cognitive, psychological, and physical symptoms including prolonged muscle weakness, reduced performance of activities of daily living, diminished ambulation and strength, post traumatic stress disorder, and anxiety. These symptoms persist for months and years following hospital discharge. This session will examine the etiology of symptoms comprising PICS and discuss evidence-based tests and measures to objectively examine individuals with PICS. Outcomes from recent clinical trials of interventions for people with PICS will be analyzed and sample intervention programs will be described. This course will conclude with an exploration of challenges associated with the transitions of care experienced by individuals with PICS and offer some solutions. 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: Improving long-term outcomes after discharge from intensive care unit Author(s): NEEDHAM, D. M., DAVIDSON, J., COHEN, H., HOPKINS, R. O., WEINERT, C., WUNSCH, H., ZAWISTOWSKI, C., BEMIS-DOUGHERTY, A., BERNEY, S. C., BIENVENU, O. J., BRADY, S. L., BRODSKY, M. B., DENEHY, L., ELLIOTT, D., FLATLEY, C., HARABIN, A. L., JONES, C., LOUIS, D., MELTZER, W., MULDOON, S. R., PALMER, J. B., PERME, C., ROBINSON, M., SCHMIDT, D. M., SCRUTH, E., SPILL, G. R., STOREY, C. P., RENDER, M., VOTTO, J. AND HARVEY, M. A. Publisher or Source: Critical Care Medicine Type of Media: Medical Journal Media Originally for: Critical Care Physicians, General Medical Professionals Country of Origin: United States Primary Focus of Media: Post Intensive Care Syndrome (PICS) COVID-19 Related: No Description: Background: Millions of patients are discharged from intensive care units annually. These intensive care survivors and their families frequently report a wide range of impairments in their health status which may last for months and years after hospital discharge.. Conclusions: Improving care for intensive care survivors and their families requires collaboration between practitioners and researchers in both the inpatient and outpatient settings. Strategies were developed to address the major themes arising from the conference to improve outcomes for survivors and families. 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.