Click to Return to Search Page VIEW SELECTED LIBRARY MEDIA Name of Media: ICU Care Associated With Symptoms of Depression and Posttraumatic Stress Disorder Among Family Members of Patients Who Die in the ICU Author(s): Erin K. Kross , MD ; Ruth A. Engelberg , PhD ; Cynthia J. Gries , MD ; Elizabeth L. Nielsen , MPH ; Douglas Zatzick , MD ; and J. Randall Curtis , MD, MPH , FCCP Publisher or Source: Chest Type of Media: Medical Journal Media Originally for: Critical Care Physicians Country of Origin: United States Primary Focus of Media: Post Traumatic Stress Disorder (PTSD) COVID-19 Related: No Description: Background: Psychologic symptoms of post traumatic stress disorder (PTSD) and depression are relatively common among family members of patients who die in the ICU. The patient-level risk factors for these family symptoms are not well understood but may help to target future interventions. Methods: We performed a cohort study of family members of patients who died in the ICU or within 30 h of ICU transfer. Outcomes included self-reported symptoms of PTSD and depression. Predictors included patient demographics and elements of palliative care. Results: Two hundred twenty-six patients had chart abstraction and family questionnaire data. Family members of older patients had lower scores for PTSD (P = .026). Family members that were present at the time of death (P = .021) and family members of patients with early family conferences (P = .012) reported higher symptoms of PTSD. When withdrawal of a ventilator was ordered, family members reported lower symptoms of depression (P = .033). There were no other patient characteristics or elements of palliative care associated with family symptoms. Conclusions: Family members of younger patients and those for whom mechanical ventilation is not withdrawn are at increased risk of psychologic symptoms and may represent an important group for intervention. Increased PTSD symptoms among family members present at the time of death may reflect a closer relationship with the patient or more involvement with the patient’s ICU care but also suggests that family should be offered the option of not being present. 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: Longest surviving ICU patient goes home Author(s): Barns Jewish Hospital Publisher or Source: Barns Jewish Hospital 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: No Description: July 20, 2007, ST. LOUIS – When Wilson Guthrie entered Barnes-Jewish Hospital, the birds had begun flying south for the winter. The next time he stepped outside, the Cardinals were trying to stay in the pennant race. With a stay lasting from October 31, 2006 to July 21, 2007, Guthrie is thought to be the patient with the longest stay in Barnes-Jewish''s cardio thoracic ICU to be discharged. 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: Paediatric difficult airway guidelines- Unanticipated difficult intubation Author(s): Ann Black, Paul Flynn, Mansukh Popat, Helen Smith, Mark Thomas, and Kathy Wilkinson Publisher or Source: Difficult Airway Society (DAS);Association of Paediatric Anaesthetists of Great Britain and Ireland Type of Media: Chart Media Originally for: Critical Care Physicians,Nurses and/or Other Critical Care Medical Professionals 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: Unanticipated difficult tracheal intubation during routine induction of anaesthesia in a child aged 1 to 8 years 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.

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Click to Return to Search Page VIEW SELECTED LIBRARY MEDIA Name of Media: Survival of HIV-infected patients in the intensive care unit in the era of highly active antiretroviral therapy Author(s): Dickson, S. J., Batson, S., Copas, A. J., Edwards, S. G., Singer, M., & Miller, R. F. Publisher or Source: Thorax (British Thoracic Society) Type of Media: Medical Journal 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: Background Several studies have described improved outcomes for HIV‐infected patients admitted to the intensive care unit (ICU) since the introduction of highly active antiretroviral therapy (HAART). A study was undertaken to examine the outcome from the ICU for HIV‐infected patients and to identify prognostic factors. Methods A retrospective study of HIV‐infected adults admitted to a university affiliated hospital ICU between January 1999 and December 2005 was performed. Information was collected on patient demographics, receipt of HAART (no patient began HAART on the ICU), reason for ICU admission and hospital course. Outcomes were survival to ICU discharge and to hospital discharge. Results 102 patients had 113 admissions to the ICU; HIV infection was newly diagnosed in 31 patients. Survival (first episode ICU discharge and hospital discharge) was 77% and 68%, respectively, compared with 74% and 65% for general medical patients. ICU and hospital survival was 78% and 67% in those receiving HAART, and 75% and 66% in those who were not. In univariate analysis, factors associated with survival were: haemoglobin (OR = 1.25, 95% CI 1.03 to 1.51, for an increase of 1 g/dl), CD4 count (OR = 1.59, 95% CI 0.98 to 2.58, for a 10‐fold increase in cells/µl), APACHE II score (OR = 0.51, 95% CI 0.29 to 0.90, for a 10 unit increase) and mechanical ventilation (OR = 0.29, 95% CI 0.10 to 0.83). Conclusions The outcome for HIV‐infected patients admitted to the ICU was good and was comparable to that in general medical patients. More than a quarter of patients had newly diagnosed HIV infection. Patients receiving HAART did not have a better outcome. 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.

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Click to Return to Search Page VIEW SELECTED LIBRARY MEDIA Name of Media: Implementing the ICU Diary in the Medical Intensive Care Unit Author(s): Lyndsay Laxton, MOT, OTR/L Publisher or Source: Occupational Therapy Association of Colorado Type of Media: Medical Journal Media Originally for: Critical Care Physicians, Nurses and/or Other Critical Care Medical Professionals Country of Origin: United States Primary Focus of Media: Post Intensive Care Syndrome (PICS) COVID-19 Related: No Description: Research has shown an increased prevalence of psychological distress and acute cognitive impairment in patients who have experienced hospitalization within the intensive care setting (Myers, Smith, Allen, & Kaplan, 2016; Pandharipande et al., 2013). Periods of mechanical ventilation, sensory deprivation, presence of noxious stimuli, and using sedation medication increase a patient’s risk of developing delirium and may result in hallucinations, traumatic memories of medical events, or the absence or fragmentation of memories throughout their intensive care experience (Myers et al., 2016). In 2010, stakeholders from the Society of Critical Care Medicine identified this phenomenon as Post Intensive Care Syndrome (PICS) characterized by new or worsening physical, cognitive, or mental health problems after critical illness (Needham et al., 2012). PICS manifests in numerous ways, including anxiety, depression, and post-traumatic stress disorder (PTSD), as well as impaired global cognition and executive function (Myers et al., 2016). Current literature regarding intensive care survivors indicates that 30% of patients will experience depression and 70% will experience anxiety after discharge from the intensive care unit (ICU), with one third of patients developing PTSD symptoms in the first 2 years after critical illness (Bienvenu et al., 2013; Myers et al., 2016). Additionally, the duration of delirium can be an independent risk factor for below-baseline global cognition, as well as for impairment in executive functioning after discharge from the ICU (Pandharipande et al., 2013). In an effort to reduce the occurrence of PICS, health care professionals have used numerous non-pharmacological interventions, including early mobilization, environmental modifications, and the ICU diary (Álvarez et al., 2017; Garrouste-Orgeas et al., 2012; Schweickert et al., 2009). 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.