SHARE YOUR PICS EXPERIENCE Submit Your PICS Story Complete and submit this form to share your PICS story with others. You do not have to share your first name. To read other submitters stories, click here . If you would like to share your story by video, please click on the upload video icon. For examples of other people sharing their stories on video, click here . Patient's Stories about PICS Experiences VIDEOS OF PATIENTS' PICS STORIES Patients' PICS Stories on Video

Click to Return to Search Page VIEW SELECTED LIBRARY MEDIA Name of Media: the bmj|BMJ 2021;372:n436 | doi: 10.1136/bmj.n4361State of the art reVIeWSevere covid-19 pneumonia: pathogenesis and clinical management Author(s): Amy H Attaway, Rachel G Scheraga, Adarsh Bhimraj, Michelle Biehl, Umur Hatipoğlu Publisher or Source: The BMJ 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: Severe covid-19 pneumonia has posed critical challenges for the research and medical communities. Older age, male sex, and comorbidities increase the risk for severe disease. For people hospitalized with covid-19, 15-30% will go on to develop covid-19 associated acute respiratory distress syndrome (CARDS). Autopsy studies of patients who died of severe SARS CoV-2 infection reveal presence of diffuse alveolar damage consistent with ARDS but with a higher thrombus burden in pulmonary capillaries. When used appropriately, high flow nasal cannula (HFNC) may allow CARDS patients to avoid intubation, and does not increase risk for disease transmission. During invasive mechanical ventilation, low tidal volume ventilation and positive end expiratory pressure (PEEP) titration to optimize oxygenation are recommended. Dexamethasone treatment improves mortality for the treatment of severe and critical covid-19, while remdesivir may have modest benefit in time to recovery in patients with severe disease but shows no statistically significant benefit in mortality or other clinical outcomes. Covid-19 survivors, especially patients with ARDS, are at high risk for long term physical and mental impairments, and an interdisciplinary approach is essential for critical illness recovery. 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: OHSU starting specialized program to help treat COVID-19 long-haulers Author(s): Morgan Romero Publisher or Source: KGW.com 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: PORTLAND, Ore. — Millions of Americans survive COVID-19, but lingering symptoms can stay with them for months. At Oregon Health & Science University (OHSU), there's a new program to try to treat patients considered long-haulers. It's one of dozens that has opened, or will be opening, in the U.S., as reported by NBC News. So far, it's the only specialized post-COVID clinic we know of in the state of Oregon. OHSU is finalizing its Long COVID-19 Program, which it hopes to launch in about a month. It's a specialized, coordinated approach to care for Oregonians dealing with an illness that doesn't have a known cure, now labeled Post-Acute Sequelae of SARS-CoV-2 infection (PASC). 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.

Introduction Post-Intensive Care Syndrome (PICS) is a multifaceted condition that affects many individuals who have survived critical illness and require intensive care unit (ICU) treatment. It encompasses a range of physical, cognitive, and psychological challenges that can persist long after discharge from the ICU. Understanding PICS is essential for patients, families, and healthcare providers, as it plays a crucial role in recovery and rehabilitation. This article will delve into the causes, symptoms, impact, and strategies for managing PICS, providing a comprehensive overview for those affected. Understanding Post-Intensest Care Syndrome PICS is characterized by a constellation of symptoms that arise following an extended stay in the ICU. While the immediate goal of intensive care is to stabilize and treat life-threatening conditions, the experience can lead to long-term effects that disrupt patients' quality of life. The syndrome typically manifests in three primary areas: Physical Impairments : Muscle weakness, fatigue, and mobility issues are common after critical illness. Prolonged bed rest, sedative medications, and mechanical ventilation can contribute to significant physical decline. Cognitive Impairments : Many survivors report memory, attention, and problem-solving difficulties. These cognitive challenges can be exacerbated by delirium experienced during ICU stay, which can lead to long-term cognitive dysfunction. Psychological Impairments : Mental health conditions such as anxiety, depression, and post-traumatic stress disorder (PTSD) are prevalent among ICU survivors. The traumatic nature of critical illness, along with the emotional toll of hospitalization, can lead to lasting psychological effects. The Causes of Post-Intensive Care Syndrome Several factors contribute to the development of PICS. Understanding these factors can help in identifying those at risk and facilitating early interventions: Severity of Illness : The more severe the illness, the greater the likelihood of developing PICS. Conditions that require prolonged ICU stays, such as sepsis, respiratory failure, or traumatic injury, increase the risk. Delirium : Many ICU patients experience delirium, a severe confessional state. Research indicates that delirium can lead to long-term cognitive impairments and increase the risk of psychological symptoms. Sedation and Immobility : The use of sedatives and the necessity of immobilization can contribute to muscle atrophy and cognitive decline. Extended use of ventilators can also lead to physical deconditioning. Psychological Factors : Pre-existing mental health conditions can exacerbate the risk of developing PICS. Patients with a history of anxiety or depression may be more vulnerable to the psychological impacts of their ICU experience. Support Systems : The availability and quality of social support during and after the ICU stay can influence recovery. Strong family and community support can mitigate some of the adverse effects of PICS. Symptoms of PICS The symptoms of PICS can vary significantly among individuals, but some common manifestations include: Physical Symptoms : Muscle weakness, joint pain, fatigue, and difficulties with coordination or balance are frequently reported. Many survivors also experience chronic pain or other physical ailments. Cognitive Symptoms : Patients may struggle with memory loss, trouble concentrating, confusion, or difficulty in performing daily tasks. Some report feeling "foggy" or mentally drained. Psychological Symptoms : Anxiety, depression, and PTSD can manifest as irritability, nightmares, flashbacks, or feelings of hopelessness. Survivors may also experience mood swings or emotional detachment. The Impact of PICS on Daily Life The repercussions of PICS extend beyond the individual, affecting families, caregivers, and communities. The impact on daily life can include: Challenges in Returning to Work : Cognitive impairments and physical limitations can make it difficult for survivors to return to their previous employment or perform everyday tasks, leading to financial strain. Family Dynamics : Families may struggle to adjust to the changes in their loved one, experiencing stress, frustration, and emotional fatigue. Caregivers often need support themselves, as they may be dealing with their own feelings of helplessness or anxiety. Social Isolation : Survivors of PICS may withdraw from social activities due to fatigue, cognitive challenges, or psychological distress. This isolation can further exacerbate feelings of loneliness and depression. Quality of Life : Overall quality of life can be significantly diminished due to the physical, cognitive, and psychological effects of PICS. Survivors may find it difficult to engage in hobbies, exercise, or maintain relationships. Strategies for Managing PICS Managing PICS involves a multi-faceted approach , including medical treatment, rehabilitation, psychological support, and lifestyle changes. Here are some strategies that can aid recovery: Early Intervention : Recognizing the signs of PICS early can help initiate appropriate interventions. Healthcare providers should monitor patients during their ICU stay and provide follow-up care post-discharge. Rehabilitation Programs : Physical, occupational, and speech therapy can aid in regaining physical strength and cognitive function. Customized rehabilitation programs can address specific needs, helping survivors regain independence. Cognitive Training : Engaging in cognitive exercises can improve memory, attention, and problem-solving skills. Various programs and apps are designed to stimulate cognitive function and aid in recovery. Psychological Support : Accessing mental health resources, such as counseling or support groups, can help individuals process their experiences and cope with anxiety or depression. Cognitive-behavioral therapy (CBT) is often effective in treating PTSD and other psychological symptoms. Family Involvement : Involving family members in the recovery process can provide emotional support and improve communication. Family education programs can help families understand PICS and learn how to provide effective support. Lifestyle Modifications : Encouraging healthy habits, such as regular exercise, a balanced diet, and good sleep hygiene, can support overall recovery. Mindfulness practices, like meditation or yoga, may also help reduce anxiety and improve emotional well-being. Peer Support : Connecting with other ICU survivors can foster a sense of community and understanding. Peer support groups provide a platform for sharing experiences, coping strategies, and encouragement. Patient Advocacy : Survivors and their families should be encouraged to advocate for themselves within the healthcare system. This includes discussing concerns, seeking second opinions, and actively participating in care decisions. Conclusion Post-Intensive Care Syndrome is a significant yet often overlooked consequence of critical illness. By understanding the complexities of PICS, its symptoms, and its impact on recovery, patients, families, and healthcare providers can work together to develop effective strategies for rehabilitation and support. Recovery is a journey that requires patience, understanding, and a commitment to holistic care. With the right resources and support, survivors of PICS can regain their quality of life and move forward into a healthier future. In navigating the challenges of post-intensive care syndrome, it is crucial to foster awareness, advocate for appropriate resources, and promote a compassionate approach to recovery. Ultimately, every survivor's journey is unique, but with the right tools and support, a fulfilling life beyond the ICU is possible.

Post-Intensive Care Syndrome (PICS) is a term used to describe the collection of physical, cognitive, and psychological symptoms that can persist after a patient leaves the intensive care unit (ICU). These effects can significantly impact the quality of life and may continue long after the immediate medical crisis has passed. Understanding PICS is crucial for effective recovery and long-term well-being, not only for patients but also for their families and caregivers. What is Post-Intensive Care Syndrome? PICS encompasses a range of symptoms that affect different aspects of a person's health following a stay in the ICU. These symptoms can be broadly categorized into three main groups: Physical Symptoms : These may include muscle weakness, fatigue, and reduced physical functioning. Prolonged bed rest and intensive medical treatments can lead to significant deconditioning and muscle atrophy. Cognitive Symptoms : Cognitive impairments can manifest as memory problems, difficulty concentrating, and decreased problem-solving abilities. These symptoms may result from prolonged sedation, delirium, or the underlying illness that necessitated ICU care. Psychological Symptoms : Emotional and mental health challenges are common and may include anxiety, depression, and post-traumatic stress disorder (PTSD). The trauma of a critical illness and the isolation often experienced in the ICU can contribute to these issues. Recent Advances in Understanding PICS Recent research has significantly advanced our understanding of PICS , shedding light on its prevalence, risk factors, and potential interventions. Key findings include: Prevalence and Risk Factors : Studies indicate that a substantial proportion of ICU survivors experience symptoms of PICS. Risk factors include the severity of the illness, the length of ICU stay, and the presence of pre-existing conditions. The use of certain medications and the occurrence of delirium during the ICU stay are also associated with a higher risk of PICS. Long-Term Effects : Research has shown that PICS can have lasting effects on individuals, impacting their ability to return to work and their overall quality of life. For many survivors, PICS symptoms persist for months or even years after leaving the ICU, highlighting the need for ongoing support and rehabilitation. Interventions and Management : Recent studies have explored various strategies for managing and mitigating PICS. These include: Early Rehabilitation : Initiating physical therapy and rehabilitation as soon as possible can help improve physical functioning and reduce muscle weakness. Early mobilization strategies have been shown to enhance recovery and reduce the long-term impact of ICU-related muscle atrophy. Cognitive Rehabilitation : Cognitive therapies and exercises can help address memory and concentration issues. Tailored cognitive rehabilitation programs are increasingly being integrated into post-ICU care to support cognitive recovery. Psychological Support : Addressing psychological symptoms through counseling, psychotherapy, and support groups is crucial. Cognitive-behavioral therapy (CBT) and other therapeutic approaches have been shown to help manage anxiety, depression, and PTSD in ICU survivors. Family Involvement : Involving family members in the recovery process can provide emotional support and improve outcomes. Family education and support programs are beneficial in helping loved ones understand and manage the challenges associated with PICS. Strategies for Managing PICS Effective management of PICS requires a multi-faceted approach tailored to the individual needs of each patient. Here are some strategies that can support recovery and well-being: Comprehensive Assessment : A thorough assessment of physical, cognitive, and psychological health should be conducted upon discharge from the ICU. This helps in identifying specific needs and developing a personalized care plan. Integrated Care : Collaboration among healthcare providers, including physicians, nurses, physical therapists, occupational therapists, and mental health professionals, is essential for addressing the diverse aspects of PICS. Ongoing Monitoring : Regular follow-up appointments and assessments can help track progress and adjust the care plan as needed. Monitoring tools and assessments can also help in early detection of emerging issues. Patient Education : Educating patients and their families about PICS and its potential impact can empower them to participate actively in the recovery process. Providing information about available resources and support services is also important. Self-Care and Lifestyle Modifications : Encouraging patients to adopt healthy lifestyle habits, such as regular exercise, a balanced diet, and adequate sleep, can support physical and mental recovery. Stress management techniques, such as mindfulness and relaxation exercises, can also be beneficial. Support Networks : Connecting with support groups and community resources can provide additional emotional support and practical advice. Peer support from others who have experienced PICS can be particularly valuable. Conclusion Post-Intensive Care Syndrome represents a significant challenge for ICU survivors , but with a comprehensive and proactive approach to recovery, many individuals can achieve improved outcomes and enhanced quality of life. By understanding the symptoms, staying informed about recent research, and implementing effective management strategies, patients, families, and healthcare providers can work together to address the complexities of PICS and support a successful recovery journey.

As professionals in the healthcare industry, we understand the challenges individuals face post-intensive care unit (ICU) discharge. The journey from ICU to post-ICU life can be daunting, filled with various physical and emotional hurdles. In this blog post, we aim to provide valuable insights and strategies to help professionals and individuals navigate life after ICU, specifically focusing on Post-Intensive Care Syndrome (PICS). Understanding Post-Intensive Care Syndrome (PICS) PICS is a condition that affects patients who have been discharged from the ICU. It encompasses a range of physical, cognitive, and mental health issues that can persist long after the initial critical illness. Recent research about PICS highlights the importance of recognizing and addressing these ongoing challenges faced by ICU survivors. Strategies for Recovery Based on user insights and site activity data provided by PostICU, we have compiled effective strategies to aid in post-ICU recovery: Joining the "PICS Group Discussion" offered by PostICU provides a supportive environment for sharing experiences and seeking guidance from individuals who have gone through similar challenges. Engaging with peers can significantly impact one's recovery journey. The "PICS Expert Consultation" service enables individuals to ask questions, access resources, and receive expert advice on managing PICS. Consulting with non-medical professionals can offer valuable insights and support for a smoother recovery process. The availability of online booking for services on the PostICU platform ensures easy access to group discussions and expert consultations. This user-friendly feature enhances convenience and promotes better engagement with the supportive resources provided. Empowering Individuals to Thrive PostICU's commitment to creating a safe space for individuals affected by PICS is commendable. Through a combination of informative blog posts, interactive services, and a strong community network, PostICU empowers individuals to thrive beyond their ICU experiences. Conclusion In conclusion, the transition from ICU to post-ICU life is a critical phase that requires support, guidance, and understanding. PostICU's dedication to offering services that cater to the diverse needs of individuals recovering from critical illness is truly impactful. By leveraging the resources, support systems, and strategies discussed in this post, professionals and individuals can embark on a path towards holistic recovery and improved well-being. Let's continue to navigate life after ICU together, one step at a time. Harnessing personal insights and site activity data, this blog post is tailored to professionals seeking to enhance their understanding of PICS and support individuals in their post-ICU recovery journey.

Opportunity to chat with other former ICU patients and their family members about ICU and post ICU experiences.

Meet with one of our non-medical professionals to ask any questions about PICS, available services, our research library, articles and other materials of interest, PICS Clinics, etc.