Brief description of media:

The aim of the guideline is to draw attention to the evidence of sub-optimal care in acute hypercapnic respiratory failure (AHRF) in the UK, provide an overview of the evidence supporting the use of invasive and non-invasive ventilation, encourage better communication between admitting clinicians and critical care services, promote the use of AHRF patient pathways, and improve resourcing, training, outcomes and patient experience for all adults who develop AHRF.

Brief description of media:

For years it has been known that many patients who survive critical illness do not return to their original state of health, resulting in long-term consequences of critical illness. Weakness acquired in the intensive care unit (ICU) is a physical consequence occurring in 25% to 80% of patients who receive mechanical ventilation for more than 4 days and in 50% to 75% of patients with sepsis. Nearly all patients affected with ICU-acquired weakness have symptoms that persist years later. Issues with cognitive function occur in 30% to 80% of ICU survivors and include memory, planning, problem-solving, visual-spatial, and processing problems.

Brief description of media:

Patients who survive long stays in the intensive care unit (ICU), such as those who receive prolonged mechanical ventilation, will most often require continued assistance from a caregiver more than a year after ICU discharge. The effects of this responsibility on the family caregivers are not well known but may include such negative consequences as poor health-related quality of life, emotional distress, a subjective sense of burden, and symptoms of posttraumatic stress disorder.

Brief description of media:

A series of evidence-based interventions beginning with an intensive care unit diary and a patient/family educational pamphlet were implemented to address the long-term consequences of critical illness after discharge from the intensive care unit, bundled as post–intensive care syndrome and post–intensive care syndrome–family

Brief description of media:

Increasing numbers of survivors of critical illness are at risk for physical, cognitive, and/or mental health impairments that may persist for months or years after hospital discharge. The post-intensive care syndrome framework encompassing these multidimensional morbidities was developed at the 2010 Society of Critical Care Medicine conference on improving long-term outcomes after critical illness for survivors and their families.

Brief description of media:

Immobility in the intensive care unit (ICU) is associated with neuromuscular weakness, post–intensive care syndrome, functional limitations, and high costs. Early mobility–based rehabilitation in the ICU is feasible and safe. Mobility-based rehabilitation varied widely across 5 ICUs in 1 health care system, suggesting a need for continuous training and evaluation to maintain a strong mobility-based rehabilitation program. Early mobility–based rehabilitation shortens ICU and hospital stays, reduces delirium, and increases muscle strength and the ability to ambulate. Long-term effects include increased ability for self-care, faster return to independent functioning, improved physical function, and reduced hospital readmission and death. Factors that influence early mobility–based rehabilitation include having an interdisciplinary team; strong unit leadership; access to physical, occupational, and respiratory therapists; a culture focused on patient safety and quality improvement; a champion of early mobility; and a focus on measuring performance and outcomes.

Brief description of media:

Bedside Treatments for ABCDE Protocol

Brief description of media:

A FORMER sales representative has spoken out about living with long covid to show the lasting impact the virus has for certain sufferers.

Brief description of media:

The long-term effects of surviving COVID-19 have become a new focus of attention for clinicians and researchers. This focus has been driven partly by concerns
about late ill-effects of a previously unknown virus, but recognised generic patterns of chronic disease after critical illness also exist. These patterns are termed PICS,
an acronym both for post-intensive care syndrome and for persistent inflammation, immuno suppression, and catabolism syndrome. We recommend unifying post-
COVID-19 research aims with those of PICS research and propose a novel approach to its management by repurposing drugs that are approved, inexpensive, and safe.

Brief description of media:

Conceptual framework of post‐intensive care syndrome (PICS). ICU, intensive care unit; PICS‐F, PICS – family

Brief description of media:

Proposed framework for post‐intensive care syndrome in pediatrics (PICS‐p). Compared to the concept of PICS for adult intensive care unit survivors, the unique features of PICS‐p include the importance of baseline status, system maturation and psychosocial development, stronger interdependence within the family, and recovery trajectories that can potentially impact a child's life for decades.

Brief description of media:

Three common cognitive impairments among older adults: delirium, dementia, and depression.