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PostICU has all of the resources that you need to learn about Post Intensive Care Syndrome, PICS. POSTICU RESOURCES FOR EVERYONE We have collected all the articles, studies, charts, graphs, videos, and other media about PICS that we could find and organized these resources into the PostICU PICS Library . In addition, we have set up several other organized PICS resources , see below. Posticu PICS library We have gathered hundreds of mainstream and research articles and other forms of media, which can be found in our searchable database. The developing area of COVID-19 & PICS is also well researched and available at PostICU. Search Our Library Search Our Website Our Library Index PICS & COVID-19 Latest PICS News COVID & PICS News Posticu expert Q & A PostICU is very fortunate to have on staff two internationally renowned experts in the field of critical care and PICS research and treatment, who are available to answer questions asked by our website visitor. Ask Experts a Question About Dr. Weinhouse About Dr. Lamas Posticu blog and forum The PostICU Blog has several contributors who have significant experience in the realms of PICS research and studies. We offer up-to-date news on a regular basis through our blog. Our forum is limited to use by members only. Check Out the Blog Check Out the Forum Make a Blog Entry Make a Forum Entry GREAT POSTICU RESOURCES PostICU offers the only online PICS test offered by a patient operated PICS website. Our PICS 2.0 test is available to everyone who wants to take it. We keep all information and test results private and secure. Take the PICS 2.0 Test Post ICU Clinics ICU Glossary Terms PostICU Founders What is PICS? Patients' PICS Stories SHARE MATERIALS YOU FIND WITH US We need your help, so that we can build the most comprehensive PICS library. This resource could prove to be an invaluable source of for information and research. Or volunteer at PostICU! Add to PICS Library Add to COVID + PICS Volunteer at PostICU Check out all of PostICU's resources

If you are an ICU patient or family member, this guide helps you understand the health problems known as post-intensive care syndrome, or PICS, so you know what ... Missing: Rob's ‎| Show results with: Rob's Rainer's Spin on PICS Click to Read Full Article The History of Post Intensive Care Syndrome ewe sea eye post Amazing advances in medical care have taken place over a very short period of history. In the past one hundred years, when compared to the thousands of preceding years of "man & medicine" preceding, th we can clearly see how PICS came to be. An incredible uptick in people surviving injuries and illnesses that not long ago were sure to be fatal, combined with the innovation of "special wards" for critically ill patients over the past 70 years, has resulted in tens of millions of patients spending time in intensive care units in hospitals around the world. Medical miracles, life-saving surgeries, and one devastating albeit unanticipated compromise - Post Intensive Care Syndrome. . HISTORICAL TIMELINE 1952, the concept of a "special ward" for critically ill patients begins to take form. Eureka! By George, I think we've got it! In 1952, Dr. Bjorn Ibsen, struck gold. He placed patients in a "special ward," with equipment and specialists at the ready to attend to severe respiratory conditions, lives were saved that would have been lost, if the patients remained in the hosptial's general wards. "All patients with respiratory problems were collected in a special department, where they were under constant observation by a team, consisting of the epidemiologist, the ear, nose and throat surgeon, and the anxsthetist, all working with help from an excellent and capable laboratory. Later on radiologists and physiotherapists also helped...

Use our form to Add Media to the PostICU Library. All Submissions are reviewed before posting onto the Database. Add Materials to our extensive Media Library of Articles, Journals & more. Submissions Are Reviewed Before Posting To Database Adding Materials to PostICU Library Use this form to add each article to our shared spreadsheet for upload to the PostICU online library Email address Today's Date Country Where the Media Originated (if multiple countries pick first on the list). If a country is missing from this drop-down menu, please send an email to rob@posticu.org asking that the country be added to this list. Choose Type of Media to be Added If "Media Type" is missing from list send an email to rob@posticu.org informing what should be added to the list. Choose Who is the Media for If "Who is Media for" is missing from list send an email to rob@posticu.org informing what should be added to the list. Critical Care Physicians Former ICU Patients Former ICU Patients' Family Members, Friends or Caregivers General Public General Medical Professionals Nurses and/or Other Critical Care Medical Professionals Name of Publisher We're looking for the original publication, which is probably different from the website name. If "Name of Publication" is missing from list - use "Other" and send email to rob@posticu.org informing what should be added to the list. Your answer COVID-19 Related If the material references Covid-19 or Coronavirus disease, please check yes. Yes No What is the Primary Focus of this Media? Post Intensive Care Syndrome (PICS) is a relatively new term. Some articles related to PostICU are dated before that term was created. If PICS is related to the family - it is referred to as: PICS-F. However, one group of doctors uses the term FICUS to mean PICS-F. Before PICS - ICU-PTSD was often used. Choose Name of Article, Video, Media, Etc. Authors of Media Proper citations for authors can be found here: https://owl.purdue.edu/owl/research_and_citation/apa_style/apa_formatting_and_style_guide/reference_list_author_authors.html . EXAMPLE: Judy E. Davidson, DNP, RN, FCCM, CNS; Maurene A. Harvey, MPH, RN, MCCM; Jessica Schuller, BSN, RN; and Gary Black, MEd, BSEd, BFA, AA Medium Length Description of Media A good idea is to copy and paste the abstract or the introduction to get a description that will help our search tool find the media as possible. Upload the Media to this question, PDF, Photos, Charts, Videos, ALL Materials After upload, please rename the article per the instructions on the volunteer website, and leave the file in your G Drive folder. If you have more than one file to upload, please submit another form. Any type of media can be uploaded with this form. Upload the Media to this question, PDF, Photos, Charts, ALL Materials (File responses) - Google Drive And/Or Thank you! Submit Thank you for submitting the form! Please check all the data entered

Want to find out What is Post-Intensive Care Syndrome? PICS is a collection of physical, mental and emotional symptoms that remain months or years after an illness. Read more today! WHAT IS PICS? What is post-intensive care syndrome (PICS)? Patients recovering from critical illness may experience a combination of cognitive, psychological, and physical signs and symptoms that remain for months to many years after critical illness, known as post-intensive care syndrome (PICS). The common symptoms of PICS include: Physical Symptoms Breathing difficulties Weakness and balance problems Neuromuscular impairments Pain or numbness Cognitive Symptoms Memory difficulties Concentration difficulties Slowed mental processing Trouble carrying out tasks Psychological Symptoms Anxiety Depression PTSD Sleep problems

Post-intensive care syndrome, or PICS, is made up of health problems that remain after critical illness. They are present when the patient is in the ICU and may ... PostICU, Inc. Terms of Service 1. Terms By accessing the website at http://posticu.org , you are agreeing to be bound by these terms of service, all applicable laws and regulations, and agree that you are responsible for compliance with any applicable local laws. If you do not agree with any of these terms, you are prohibited from using or accessing this site. The materials contained in this website are protected by applicable copyright and trademark law. 2. Use License Permission is granted to temporarily download one copy of the materials (information or software) on PostICU, Inc.'s website for personal, non-commercial transitory viewing only. This is the grant of a license, not a transfer of title, and under this license, you may not: modify or copy the materials; use the materials for any commercial purpose, or for any public display (commercial or non-commercial); attempt to decompile or reverse engineer any software contained on PostICU, Inc.'s website; remove any copyright or other proprietary notations from the materials; or transfer the materials to another person or "mirror" the materials on any other server. This license shall automatically terminate if you violate any of these restrictions and may be terminated by PostICU, Inc. at any time. Upon terminating your viewing of these materials or upon the termination of this license, you must destroy any downloaded materials in your possession whether in electronic or printed format. 3. Disclaimer The materials on PostICU, Inc.'s website are provided on an 'as is' basis. PostICU, Inc. makes no warranties, expressed or implied, and hereby disclaims and negates all other warranties including, without limitation, implied warranties or conditions of merchantability, fitness for a particular purpose, or non-infringement of intellectual property or other violation of rights. Further, PostICU, Inc. does not warrant or make any representations concerning the accuracy, likely results, or reliability of the use of the materials on its website or otherwise relating to such materials or on any sites linked to this site. 4. Limitations In no event shall PostICU, Inc. or its suppliers be liable for any damages (including, without limitation, damages for loss of data or profit, or due to business interruption) arising out of the use or inability to use the materials on PostICU, Inc.'s website, even if PostICU, Inc. or a PostICU, Inc. authorized representative has been notified orally or in writing of the possibility of such damage. Because some jurisdictions do not allow limitations on implied warranties, or limitations of liability for consequential or incidental damages, these limitations may not apply to you. 5. Accuracy of materials The materials appearing on PostICU, Inc.'s website could include technical, typographical, or photographic errors. PostICU, Inc. does not warrant that any of the materials on its website are accurate, complete, or current. PostICU, Inc. may make changes to the materials contained on its website at any time without notice. However, PostICU, Inc. does not make any commitment to update the materials. 6. Links PostICU, Inc. has not reviewed all of the sites linked to its website and is not responsible for the contents of any such linked site. The inclusion of any link does not imply endorsement by PostICU, Inc. of the site. Use of any such linked website is at the user's own risk. 7. Modifications PostICU, Inc. may revise these terms of service for its website at any time without notice. By using this website you are agreeing to be bound by the then current version of these terms of service. 8. Governing Law These terms and conditions are governed by and construed in accordance with the laws of Oregon and you irrevocably submit to the exclusive jurisdiction of the courts in that State or location.

Making sure those patients are seen—in every sense of the word—has become a driving passion for Lamas. She is also a researcher in the serious-illness program ... Learn More about Dr. Daniela Lamas Dr. Daniela Lamas Brigham & Women's Hospital Critical Care Physician Pulmonary Critical Care Harvard Medical School Instructor Harvard University Fellowship, Pulmonary Disease, 2016 American Board of Internal Medicine Board Certification, Critical Care Medicine, 2015 American Board of Internal Medicine Board Certification, Pulmonary Disease, 2014 American Board of Internal Medicine Board Certification, Internal Medicine, 2012 New England Journal of Medicine Fellowship, 2012 NY Presbyterian Columbia Campus Residency, Internal Medicine, 2011 New York-Presbyterian University Hospital of Columbia and Cornell Residency, Internal Medicine, 2011 Columbia University College of Physicians and Surgeons Medical School, 2008 Massachusetts General Hospital Fellowship, Pulmonary & Critical Care Medicine Massachusetts General Hospital Fellowship New York-Presbyterian University Hospital of Columbia and Cornell Residency EXCERPTS REPRINTED WITH PERMISSION OF HARVARD MAGAZINE Daniela Lamas and the practice of post-ICU care by LYDIALYLE GIBSON JANUARY-FEBRUARY 2019 THE DOCTOR asked the man to tell her what he remembered, and so he took a breath and began to speak. In the months since he’d left the intensive-care unit where he nearly died, he had been over these events again and again, searching his own memory and the recollections of his wife and daughter, trying to make the puzzle pieces fit. They never quite did. But today was a different kind of exercise. The doctor, Daniela Lamas ’03, is a pulmonary and critical-care physician at Brigham and Women’s Hospital, where James (though that’s not really his name) had been transferred from another hospital when his condition went from bad to worse. After he’d returned home and settled back into daily life, Lamas reached out to ask if he’d be interested in a follow-up appointment, part of a still-evolving clinic she helped start four years ago, for former patients of the Brigham’s ICU. The idea is to see how these patients are faring in the aftermath of critical illness, to identify needs or difficulties, to talk about quality-of-life goals, and to answer any questions they might have about what happened to them in the hospital—because often, like James, they don’t fully remember. (“Why do I have this small hole here?” a woman once asked Lamas, pointing to the spot where a chest tube had been inserted and later removed.) Occasionally patients request tours of the ICU, to see, with a clearer head, the place where they may have spent weeks or months. After each clinic appointment, Lamas types up detailed notes and recommendations to share with the patient’s primary-care doctors and makes referrals to other specialists as needed—social workers, often, or mental-health counselors. “We know that after the ICU, people suffer issues they didn’t have before,” she says. Some experience depression or anxiety or lingering delirium; as many as one-third have post-traumatic stress disorder. Others go home with cognitive changes—minds slowed by the medicines they took or the ordeals they endured. Until recently, ICU physicians have known little about any of this. After patients leave their care, Lamas says, “we don’t see them.” Daniela Lamas Photograph by Stu Rosner Making sure those patients are seen—in every sense of the word—has become a driving passion for Lamas. She is also a researcher in the serious-illness program at Ariadne Labs, a joint project of Harvard and Brigham and Women’s, started by Brigham surgeon Atul Gawande. And she is a medical journalist who writes for The New York Times and The Atlantic and published her first book last spring: You Can Stop Humming Now: A Doctor’s Stories of Life, Death, and In Between. It is a memoir of a decade’s work in intensive-care units, but also an immersive exploration of what patients’ lives are like afterward. “She’s mining a space we haven’t opened up very effectively,” says Gawande, Thier professor of surgery at Harvard Medical School and of health policy and management at the Harvard T.H. Chan School of Public Health. “What Daniela’s ended up really recognizing is that six million people go into intensive care, and five million people are later discharged home. And what it is to return home after often incredible trauma and devastating illness, sometimes lingering difficulties and conditions—we haven’t explained or begun to uncover what that bridge is like, or what the gaps and challenges are. We’re helping people survive who never survived before, and it’s their struggles she’s given voice to.” In a 2013 essay in The Atlantic, Lamas wrote: “As more adults survive intensive care, we’ve inadvertently created a new world populated by the walking wounded....I’ve come to fear that our best interventions are less meaningful, and our counsel to families shallow, if we don’t fully understand what happens to our patients after they leave our units’ doors.” After the ICU AND SO, AT TWO O’CLOCK on a November afternoon, Lamas and James, who is in his sixties, sat down for their appointment. They spoke by video conference call, an arrangement that saved him a journey to the hospital. He was at his desk at home, wrapped in a blanket; Lamas was at the Brigham, squeezed into a tiny office with three colleagues: critical-care physician (and post-ICU clinic co-founder) Gerald Weinstein, social worker Stacey Salomon, and psychiatrist Nomi Levi-Carrick. James and Lamas traded narratives about his time in the ICU. Her version, taken from hospital records (she was not one of the doctors who treated him), went like this: he was first hospitalized in early summer, after feeling weak and falling down at home. The doctors at his local hospital soon realized he was very sick—his blood pressure was dropping and his kidneys malfunctioning, indicating that his body was in shock, likely from an infection. He was transferred to another hospital and then a few days later to the Brigham, where doctors discovered an area in his intestines that had burst open, and operated to repair it. They also found a clot in one lung and administered blood thinners. There were blockages in the passageways from his kidneys to his bladder, which were still being addressed. After several days in the ICU and two weeks on the hospital’s regular floor, James was released to a rehab facility. The breathing tube his doctors had inserted was removed. His health improved, and he went home. James’s version of the story was more fragmentary and much more frightening. He remembered the breathing tube; in fact, he said, “I was absolutely certain I had pulled it out.” (He hadn’t, Lamas assured him, though the sense of having done so is common and entirely normal.) He remembered hearing—or perhaps hallucinating—strange noises outside his room, “and I just knew I had to get out of there.” He also recalled wild, awful dreams that seemed as vividly real as any experience he’d ever had, about being taken against his will to different parts of the hospital, about being told by medical staff that his behavior was erratic and they were worried, about being stranded alone in a strange wing of the building. “These are all things that make sense, even though they seem like they don’t,” Lamas said, reassuring him again. “Your mind was trying to make sense of your situation.” The fear set in once James arrived home and realized how close he had come to dying. Pain and sleeplessness set in, too. His kidneys were still being drained by tubes attached through his back, which were uncomfortable and sometimes excruciating. He longed for the tennis court, where he and his wife had been a doubles team, and for the pub where he used to go for a pint and some conversation. Both were off-limits for now, and he was stuck at home for most of the day, alone, waiting for his wife to come back from work or his grandchildren to come over to visit. He cooked dinner and cleaned up around the house. He watched TV. When it wasn’t too cold out, he took short walks. “I’m OK; it’s nothing I can’t live with,” he kept saying—of the pain, of the broken sleep, of the isolation, of the fragility and fear. “I’m OK. It’s OK.” But 20 minutes into the conversation, he paused. “You know,” he said, “sometimes the feeling I get is, what am I doing here? I’m sick of just sitting here sometimes. And I do get depressed....The big positive for me is that I’m still alive, and I’d rather be alive than dead. But once you get past that, I mean—what am I doing?” His voice trailed off, and then Lamas spoke. “Everything you’ve told us,” she said, “it all gets to the issues we wanted to talk to you about.” She thanked him for his openness. “These are entirely normal things to deal with after what you’ve been through.” She was speaking slowly, choosing words carefully. “Thank you,” he said. He’d have a follow-up appointment with Levy-Carrick and Salomon. Lamas would speak to his regular doctor about the pain and sleep and other issues: “I’m really very hopeful that we can help you.” The Walking Wounded THE PAGES OF You Can Stop Humming Now are full of people like James. Lamas devotes one chapter to an artist who narrowly survived a tear in her aorta—the surgery involved an incision that wrapped around her torso from her navel to her upper back. She left the hospital harrowed by nightmares and post-traumatic stress. Her artwork, and years of therapy, helped her re-enter life. But the book, and Lamas’s post-ICU clinic, also address another kind of “walking wounded”: the chronically critically ill, who, even after they leave the ICU, remain caught in an overwhelming orbit of sickness and care. Lamas writes about a man whose bout with West Nile virus nearly killed him; after several weeks in intensive care, he emerged tethered to a ventilator, a feeding tube, and a urine catheter. She writes about a grandfather with heart failure who stays alive, and relatively active, with the help of an implanted mechanical heart pump. Every night he must plug the device into the wall and wait “like a dog on a leash” for its batteries to charge, and, a fisherman, he can no longer ride in a boat—falling into the water would electrocute him—but he can still fish from the shore with his grandson. Lamas spends time with a 30-something cystic-fibrosis patient living through an adulthood she never expected to reach, and with a young mother who receives a lung transplant just in time to save her life, but finds the road back to health long and bumpy—and scary and sad—in ways she didn’t foresee. At any given time, Lamas writes, there are 100,000 chronically critically ill patients in the country, a population largely created by the breathtaking triumphs of the ICU, where doctors routinely save lives that even a few years ago would have been lost. But these seeming miracles also make possible long-term traumas, and life-saving interventions often turn out to be only the starting point for further interventions and quality-of-life concerns that are, Lamas says, far too little understood. “We’re talking a lot about the end of life these days,” she says, “but this sort of not-dead and not-alive moment of illness and recovery—that story is not as present.” “The impact Daniela is having on the profession is profound,” says Bruce Levy, chief of pulmonary and critical care at the Brigham. “As physicians, we make decisions at a time of stress and crisis. And she’s opened windows to educate us on the downstream ramifications for patients.” Not an Achievable Goal LAMAS’S INTERESTS were always split between medicine and writing. She was born at the Brigham—her father is former Harvard cardiologist Gervasio Lamas, who now practices in Miami. Medicine was always Lamas’s eventual destination, but she loved writing from childhood. She was a high-school-newspaper reporter and in college, she joined The Harvard Crimson. “That was my world, that office,” she says. “I felt like I had a very important job.” One summer she interned at an alternative weekly newspaper in Miami, and the following summer, at The Miami Herald, which later hired her as a full-time reporter. She spent a year driving around the city in her Volkswagen Beetle, looking for stories. After that, she went to medical school at Columbia. “I felt at first like I had made a devastating decision, leaving writing,” she says. Medical school felt like a strange version of college, where the only assignment was to memorize science, “and then when you were done memorizing, you were supposed to be really enthusiastic about playing beer pong.” During residency, though, she fell in love with critical care. The patients in the ICU were the most compelling she saw, and she remembers watching the doctors there navigate decisions and communicate with families in moments of acute stress. “I wanted to be them.” She also returned to writing. She took medical-reporting assignments for The Boston Globe and began writing in The Atlantic, The New Yorker, and The New York Times about her patients and her ICU experiences—thoughtful, affecting, humane essays on the profundities of her daily work: last wishes, home hospital care, the limbo between life and death. She wrote about smuggling a beer in to a dying patient and about spending Christmas in the ICU. A few years ago, when a literary agent urged her to write a book, she started seeking out stories from ICU survivors. Her experience with those survivors has begun influencing Lamas’s work inside the ICU. She notes, for instance, that the ventilator is often a demarcation point for the critically ill, something patients and their families don’t always realize when they are crossing it. “I’ve become better at discussing the tracheostomy decision,” she says, referring to the surgical procedure that creates an opening in the neck that allows a breathing tube to be attached to the trachea. “Before, I really framed it as, ‘Now it’s time for a procedure to offer a more comfortable longer-term connection to the ventilator that will allow your loved one to get better.’ All of that is true, but it’s also true that once you have this thing, you’re probably not going to go home right away.” A more likely destination is a long-term-care facility, and recovery is often slow. “Even in the best-case scenario,” she says, “it’s really hard to get back to where you were—and maybe impossible.” Her goal isn’t to change the decision, but to manage expectations. “We ask patients and their families to make decisions in acute, insane moments,” she says. And it can be tough in those moments to grasp the consequences, even if they’re spelled out. Still, Lamas says, “I think it’s important to set out the risk, so that people have some understanding of what gamble they’re making.” Embedded in dilemmas like this one, and in the narratives in Lamas’s book, are ancient questions: what it means to save a life, or to live one; the connection between health and selfhood; and the murky boundaries of being “OK.” In the book, Lamas recalls a moment in the ICU when a patient’s worried daughter asked, “She’s going to be OK?” Lamas writes: “There it was. I had heard that question so many times, ending with that same word, OK. I had said the same thing to myself. In a way, it was an easy kind of shorthand. And yet I had rarely paused to ask a key question of my own response: What does it actually mean to be OK? The more I looked, the more complicated that answer had become.” Her fellowship at the Brigham offered an early glimpse of the complications. She undertook a project interviewing patients at Spaulding Hospital in Cambridge, a long-term-care facility where people often land after the ICU. She had been studying end-of-life conversations and wondered about the possibility of an adjacent discussion, on goals and values and health expectations of patients with critical illness. She spent weeks at Spaulding, interviewing patients who were on ventilators. What she learned, she says, was dispiriting but not surprising: their expectations for their future health were largely unrealistic, and their quality of life was often terrible. They were enduring in the hope that they would eventually go home and resume functional, independent lives. “Which for many of them is not an achievable goal.” Those interviews stuck with her. Today at Ariadne Labs, she researches conversation tools to help doctors talk effectively with seriously ill patients about feasible goals and quality-of-life recommendations. “Usually people think about that as having a better death,” Gawande explains, “but it’s really about how you live as well as you possibly can in the face of impairment at the very end.” Lamas had one of those conversations a few months ago, with a patient who came to the Brigham for a lung-transplant evaluation. As it became clear that his chances were dim—other health problems made the surgery dangerous—Lamas began nudging him and his family to imagine a life without new lungs. What did “OK” mean to him? Medical interventions could lengthen the time he had left, but would mean more trips to the hospital; forgoing those treatments would allow more comfort at home, but his life would likely be shorter. “It’s easy to come in with a set idea of what a ‘good’ process through the medical system looks like,” she said later. “But what’s tolerable can be very different from one person to another—talking to ICU survivors has taught me that. If anything, their stories have made me more open-minded about what is OK.” Lydialyle Gibson profiled Karen King in “The Bits the Bible Left Out,” in the November-December 2018 issue.

We would like to thank all of the tremendous work done by others in the area of Post Intensive Care Syndrome research. On this page, . POSTICU'S RESOURCES PAGE We would like to thank all of the tremendous work done by others in the area of Post Intensive Care Syndrome research. On this page, we've connected information and data throughout our website to the primary sources of the same. We identify providers of information and data with an icon anchor system. Each resource is identified with an icon, so that we can attribute material on this website to its source. For more information about the PostICU resources, please send an email to: librarian@posticu.org . The Society of Critical Care Medicine (SCCM) is the largest non-profit medical organization dedicated to promoting excellence and consistency in the practice of critical care. With members in more than 100 countries, SCCM is the only organization that represents all professional components of the critical care team. The Society offers a variety of activities that ensures excellence in patient care, education, research, and advocacy. SCCM Headquarters 500 Midway Drive, Mount Prospect, IL 60056 USA

Search through the PostICU Library of resources and Information today. Browse our resources of Articles, Magazines, Newspapes, Blogs, Journals & more. Find out more. Search PostICU's Library Search the PostICU Library Select a keyword or keyword phrase related to the PICS topic that you would like to research. Search Country of Origin Type of Media Media Created for COVID 19 Related PostICU Library Search Results No results found Name of Media: Joe and me Type of Library Material: Medical Research Brief description of media: What can I say? Is this COVID-19 Related Material: No Click to View the Media Name of Media: Care of Critically Ill Patients With COVID-19 Type of Library Material: Medical Professional Education Brief description of media: COVID-19 Treatment Guidelines Is this COVID-19 Related Material: Yes Click to View the Media Name of Media: Clinic aims to give surviving COVID-19 patients the post-ICU care they need Type of Library Material: Newspaper Article Brief description of media: A clinic under development at UCHealth aims to care for COVID-19 patients who survive COVID-19 but face a difficult recovery from ventilator care and long ICU stints Is this COVID-19 Related Material: Yes Click to View the Media Name of Media: Critically Ill COVID-19 Patients Are at High Risk of Post–Intensive Care Syndrome Type of Library Material: One-Pager Brief description of media: Most survivors of respiratory failure develop post-intensive care syndrome (PICS). PICS can persist for months to years and may severely impair quality of life. In a fast literature update posted on May 20, 2020, Anica Law, MD, a clinician at Beth Israel Deaconess Medical Center and former fellow in the Division of Pulmonary and Critical Care Medicine at Massachusetts General Hospital, describes PICS and the measures that potentially improve outcomes of COVID-19 patients who survive an ICU stay. Is this COVID-19 Related Material: Yes Click to View the Media Name of Media: Post-Intensive Care Syndrome: What COVID-19 Survivors Could Face after Hospitalization Type of Library Material: One-Pager Brief description of media: When a COVID-19 survivor leaves the hospital, recovering physically may not be the only feat they’re faced with overcoming. For many patients who have undergone intensive care, studies have shown that there is also a likelihood for cognitive and psychological complications, which can linger for months, or even years. Is this COVID-19 Related Material: Yes Click to View the Media Name of Media: COVID-19 patients are experiencing post-intensive care syndrome while adjusting to post-pandemic living Type of Library Material: Newspaper Article Brief description of media: Patients who have survived COVID-19 may have to face another battle: post-intensive care syndrome, which is similar to post-traumatic stress disorder. And their family members could also experience the same feelings. Post-traumatic stress disorder, or PTSD, is similar to post-intensive care syndrome, or PICS. Is this COVID-19 Related Material: Yes Click to View the Media Name of Media: Post-Intensive Care Syndrome After Coronavirus: What You Should Know Type of Library Material: Newspaper Article Brief description of media: As the new coronavirus continues to spread across the United States, some areas of the country are at or near the peak of new infections, according to many health experts. But wide areas of the country are predicted to see new infections continue to grow for quite some time, with a corresponding increase in hospitalizations, admission to hospital intensive care units (ICUs) and fatalities. There’s strong evidence that people with diabetes are more likely to develop severe symptoms and complications of COVID-19 (the disease caused by the virus). According to the Centers for Disease Control and Prevention (CDC), this higher risk applies to people with both type 1 and type 2 diabetes. That’s especially true if your blood glucose levels are frequently higher than levels in people without diabetes, or if you’ve developed certain diabetes-related health problems like heart disease or kidney disease. To get cutting-edge diabetes news, strategies for blood glucose management, nutrition tips, healthy recipes, and more delivered straight to your inbox, sign up for our free newsletter! If you’re at higher risk for severe COVID-19, it’s especially important to protect yourself from exposure to the coronavirus, and to have critical supplies on hand in case you get sick and can’t leave your house for the duration. But it’s also important to know what to expect if you develop symptoms that are severe enough to require hospitalization and admission to the ICU. Is this COVID-19 Related Material: Yes Click to View the Media Name of Media: Post-ICU Care for COVID Recovery Type of Library Material: Magazine Article Brief description of media: The latest findings are honing in on the clinical conditions associated with COVID-19, along with the specific care pathways needed for patients, once stabilized, to fully recover. Specialized care after the initial hospital stay is proving to play a critical role. Hospitalized COVID-19 patients often experience significant pulmonary complications, including severe pneumonia and acute respiratory distress-like syndrome. Further, many physicians are reporting that patients are developing post-intensive care syndrome (PICS) due to an intensive care unit (ICU) stay measured in weeks rather than days. The virus is also resulting in strokes, and causing sepsis, which can lead to multi-system failure and leave a patient with lasting damage to the lungs and other organs. This brief details COVID-19 patient care management strategies and research on how the clinical expertise of LTAC hospitals is uniquely suited for post-COVID patients. Is this COVID-19 Related Material: Yes Click to View the Media Name of Media: Post-COVID Conditions: Information for Healthcare Providers Type of Library Material: Medical Professional Education Brief description of media: Some patients who have been infected with SARS-COV-2 have new, recurring, or ongoing symptoms and clinical findings more than four weeks after infection, sometimes after initial symptom recovery. Post-COVID conditions can occur in patients who had varying degrees of illness during acute infection, including those who had mild or asymptomatic infections. Medical and research communities are still learning about these post-acute symptoms and clinical findings. Post-COVID conditions are being referred to by a wide range of names, including post-acute COVID-19, long-term effects of COVID, long COVID, post-acute COVID syndrome, chronic COVID, long-haul COVID, late sequelae, and others, as well as the research term post-acute sequalae of SARS-COV-2 infection (PASC).external icon Although standardized case definitions are still being developed, in the broadest sense, it can be considered a lack of return to a usual state of health following acute COVID-19 illness. It might also include development of new or recurrent symptoms that occur after the symptoms of acute illness have resolved. Scientific knowledge is still limited about these effects, including what causes them and how often they occur. Interim terminology will be updated as more information becomes available. Is this COVID-19 Related Material: Yes Click to View the Media Name of Media: Prevent Post-Intensive Care Syndrome (PICS) during COVID-19 Type of Library Material: Magazine Article Brief description of media: In the early days of caring for critically ill patients with acute respiratory distress syndrome, sepsis or multiple organ failure, we were grateful when they survived their illness. We used any interventions we could think of to increase the likelihood of survival. We didn’t really think about what came after patients’ intensive care unit (ICU) experience; we were just happy they survived. However, we came to find out that despite our best efforts, these patients had a high risk of developing delirium and postdischarge sequelae. Is this COVID-19 Related Material: Yes Click to View the Media Name of Media: Disparities in Post-Intensive Care Syndrome During the COVID-19 Pandemic: Challenges and Solutions Type of Library Material: Medical Journal Brief description of media: Systemic disparities place minority populations at the greatest risk of contracting and dying from Covid-19, and there is robust literature documenting how structural racism has adversely impacted the well-being of Black, Latinx, and Indigenous people. To date, the predominant focus has been on how disparities impact patients before and during hospitalization with Covid-19. However, disparities in the post-hospitalization period remain unaddressed. Specifically, patients recovering from Covid-19 are at risk for a host of physical, cognitive, and psychiatric sequelae of critical illness, collectively termed “post-intensive care syndrome (PICS).” In the present article, we review the literature on disparities in PICS, highlight the personal toll of Covid-19 on our patients, and suggest solutions to anticipated challenges. We outline a three-pronged approach involving (1) the prevention of critical illness, (2) the deployment of short-term post-hospitalization initiatives, and (3) the implementation of long-term post-hospitalization and community-based solutions. Is this COVID-19 Related Material: Yes Click to View the Media Name of Media: After a Stay On An Intensive Care Unit Type of Library Material: One-Pager Brief description of media: Most people find that it takes time to recover physically and mentally from a critical illness. Physically you may notice differences such as muscle weakness, breathlessness or difficulty swallowing. Mentally you may feel sad, worried, have memory problems or frightening nightmares. You might be told that you are experiencing Post-Intensive Care Syndrome (PICS). PICS is a term given to a group of symptoms that people may experience after a stay in intensive care. These symptoms may affect your body, your mind, or your emotions, and may also be experienced by members of your family. If this label has been used by a health professional to describe your symptoms, don’t worry they will improve, but it may take some time. It is important to be patient with yourself and not expect to get completely back to normal straight away. Most people’s recovery from critical illness takes several weeks or months. It is normal for recovery to be gradual, so you may need to pace yourself as you try to return to your daily activities. Your family may also be affected by your time in intensive care, and you may find that relationships have changed, they can access advice and support here. Is this COVID-19 Related Material: Yes Click to View the Media 1 2 3 4 5 1 ... 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 ... 174 Additional PostICU Research & Information COVID-19 + PICS ICU Glossary Terms PostICU Clinics PostICU News PostICU Library Index Click here to learn more about the PostICU library. PostICU Library Policy & Compliance Statement 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.

What We Do at PostICU, Inc. We are a nonprofit agency founded to educate former ICU patients about post intensive care syndrome. PostICU syndrome affects millions of former ICU patients annually worldwide. WHAT WE DO AT POST ICU PROGRAMS & PROJECTS . FOR ALL WEBSITE VISITORS Join PostICU for Free PICS Resource Library Collection of articles, research and other materials about PICS. Advocacy Once we have enough members, we hope to be in a position to advocate on behalf of PICS sufferers and future treatment of ICU patients PICS Experts Q & A PostICU Blog FOR MEMBERS POSTICU MEMBERS PostICU Forum Unofficial PICS Test, Help you to assess whether you have PICS? PICS Support Groups Online PICS Webinars & Meetings Join PostICU, Inc. Board or Participate on a Committee Many Volunteer Opportunities Tracking PICS In the News Collection of PICS & PICS-F Shared Stories Help PostICU Accomplish Its Mission Together, We Can Work to Improve Care for all Post ICU Patient & Their Families TAKE ACTION

Browse the Post ICU's Wall of Heroes. We are a Volunteer Only NonProfit Agency in the US. We are very pleased to honor our first volunteer to be selected for the PostICU Wall of Heroes. Read more. POSTICU WALL OF HEROES PostICU's Wall of Heroes PostICU is a volunteer ONLY operated nonprofit agency. We thank ALL of our volunteers for their kindness and generosity. We created our Wall of Heroes, for those volunteers who go above and beyond the call of duty to assist us with accomplishing our mission. Read More FEBRUARY 1, 2021 THE FIRST VOLUNTEER WINNER OF THE POSTICU WALL OF HEROES AWARD HUY GIANG We are very pleased to honor our first volunteer to be selected for the PostICU Wall of Heroes . Huy is an international student from Vietnam. He recently graduated from Worcester State University with a master's degree in Business Administration. Huy hopes to contribute to the community in times of trial as well as to gain life experience. We selected Huy because of his commitment to assisting us with building our online PICS library. Since joining PostICU's Volunteer Team, Huy has kindly shared hundred hours of volunteer time with our agency. Thank you Huy for your generosity of spirit and kindness of heart, The Board of Directors North American Help Services, Inc. d/b/a PostICU THE SECOND VOLUNTEER WINNER OF THE POSTICU WALL OF HEROES AWARD

Brigham & Women's Hospital Post Intensive Care Clinic. Have you or a loved one survived a critical illness and are wondering why things aren't quite right? Contact the ICU Recovery Clinic today! Brigham & Women's Hospital, Post ICU Clinic Have you or your loved one survived a critical illness and wondered why things aren’t quite right? We might be able to help. The ICU Recovery Program is a partnership of patients, families, researchers, and healthcare providers. Our mission is to improve the quality of life of those still recovering from the effects of a critical illness. Brigham & Women's ICU Recovery Clinic All patients who were in an ICU on a ventilator, or had sepsis or delirium could benefit from an appointment at our ICU survivor’s clinic. Many patients have lingering issues such as memory loss, depression, anxiety, insomnia, physical limitations, and difficulty returning “back to normal”. To make an appointment: call 617-732-6770 and ask for a Thursday morning appointment with Drs. Gerald Weinhouse and Daniela Lamas . What ICU Recovery Clinic can do? • Psychiatric screening and referral • Neuro-cognitive screening and referral • Medication review • Social services involvement Peer Support Connect and learn from others with shared experience. We are one of 6 centers nationwide with informational support groups sponsored by the Society of Critical Care Medicine. Dr. Weinhouse, Dr. Lamas, and Their Team are Premier Experts in the Field of PICS Treatment Countless articles, research studies, and books about Post Intensive Care Syndrome have been written by the Team at Brigham & Women's Hospital. Their website, aftertheicu.org, is one of the most visited websites about PICS in the world! From personal experience, one of the founders of PostICU, Inc., Rob Rainer, happily attests to the fact that but for the intervention of Dr. Weinhouse and Lamas in 2015, he probably not would be alive today . For attentive, responsible, thorough medical care, call After the ICU Team at Brigham & Women's Hospital. Call 617-732-6770 You Can Stop Humming Now Click on any of these links to purchase this highly rated book Amazon.com Barnes & Nobel Indiebound Matt McCarthy, Special to USA TODAY Published, 11:06 a.m. ET March 29, 2018: Doctors are a tough crowd. When one of our own writes a book, we’re inherently skeptical and, if I’m being honest, a touch envious. What can this physician have to say, we wonder, that I don’t already know? As Daniela Lamas reveals in her dazzling new book, You Can Stop Humming Now (Little, Brown, 256 pp., ★★★½ out of four), the answer becomes clear after just a few pages: quite a bit. Dr. Lamas begins her book by letting us in on a secret: during residency training, she was known as the one who wouldn’t let patients die. Regardless of the prognosis, she would not accept death as a potential outcome for those under her care. I can vouch for this. Lamas and I were part of the same intern class at Columbia-Presbyterian Medical Center a decade ago, and she quickly established herself as a uniquely gifted and devoted physician with a talent for writing. Back then, she wrote pieces that challenged the status quo, pushing the boundaries of what doctors-in-training could (and should) write about. Her work irked hospital administrators, but it delighted the rest of us. Lamas is now an attending physician in Boston, caring for critically ill patients in the intensive care unit of the hospital where she was born. She has a decade of medical practice under her belt, and in her new book, she effortlessly captures the rhythm and mayhem of modern medicine. Author and physician Daniela Lamas. This slender volume is not a typical medical memoir, however; we’re not here to learn about the author's development as a physician. The focus is on others, those who have survived the intensive care unit and are struggling to cope with the challenges of life with chronic critical illness. Intrigued by their stories, Lamas starts a clinic to help them navigate their new lives. It’s a provocative idea, but she initially has difficulty attracting patients. “These were people with terrifying memories of what had happened to them in the hospital, people who might not be willing to return...” Some were understandably scared of hospitals while others had new memory deficits and simply couldn’t remember to come back. Eventually, the patients trickle in, and together they work through the challenges of adjusting to daily life. One patient is afraid to be alone with his young son, worried that he could die and leave his child without a father; another is too anxious to cook, fearing she will forget to turn the oven off. Lamas helps bridge “the chasm that separated what happened in the intensive care unit from what came afterward.” She explains to patients that they’re confronting a new entity in medicine: post-intensive care syndrome. “We gave our patients a name and a diagnosis,” she writes, “and with that, I think, a degree of reassurance and perhaps even hope.” Warmth and humanity radiate from every page. Lamas and her team are doing something innovative, providing a lifeline to patients we tend not to think about: those who should feel fortunate just to be alive. But these men and women have very real problems and conditions that go under-reported and untreated. The patients in this book have something important to say, and so does the author. We should all be listening. Two Radio Segments Featuring After the ICU Team Together, Boston Radio Show Host Arun Rath found out more about the physical, mental. and emotional recovery for coronavirus patients after leaving the ICU. Then, he checked-in on how Boston is preparing to recover from this pandemic. Finally, we heard how a Cape Cod children's clothing manufacturer is making cloth masks for their customers and frontline workers. Click Here to Listen to the Radio Show Daniela Lamas , critical care physician, and Stacey Salamon , social worker (from Brigham & Women's After the ICU Team — 2:20 Boston Mayor Marty Walsh — 21:48 Brian Gonye — 45:40 Jack Lepiarz Reporter and Anchor Click Here to Listen to For COVID-19 Patients Who Survive The ICU, A New Struggle Awaits For those COVID-19 patients who go on a ventilator and survive, the struggle doesn’t necessarily end once they’ve been discharged from the hospital. Research suggests that those days or weeks under sedation have an impact on the mind and body that can be life-changing. Stacey Salomon , a social worker in the intensive care unit and critical illness recovery program at Brigham and Women’s Hospital in Boston, joined WBUR to discuss the problems patients can face once they leave critical care and what can be done about it. This segment aired on April 29, 2020.