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Psychiatric aspects of heart and lung disease in critical care

Peter A Shapiro1, David A Fedoronko, Lucy A Epstein

  • 1Department of Psychiatry, Columbia University, New York, NY 10032, USA. pas3@columbia.edu

Critical Care Clinics
|October 22, 2008
PubMed

Insights

Psychiatric issues like anxiety and depression are common in critical care patients with heart and lung disease, impacting their prognosis and treatment. Recognizing developmental milestones is crucial for children requiring critical care.

Area of Science:

  • Critical care medicine
  • Psychiatry
  • Cardiology
  • Pulmonology

Background:

  • Psychiatric conditions significantly influence the management and outcomes of patients with cardiopulmonary diseases in acute, intensive, and critical care settings.
  • Common psychiatric issues include adjustment disorders, anxiety, depression, and delirium, often co-occurring with substance abuse or withdrawal.
  • These conditions can negatively affect the prognosis and treatment of underlying medical conditions.

Purpose of the Study:

  • To highlight the importance of addressing psychiatric issues in critical care for patients with heart and lung diseases.
  • To emphasize the common psychiatric conditions encountered in this patient population.
  • To underscore the necessity of considering developmental factors in pediatric critical care.

Main Methods:

  • Review of common psychiatric comorbidities in critical care settings.
  • Analysis of the impact of psychiatric issues on medical outcomes.
  • Consideration of developmental milestones in pediatric critical care management.

Main Results:

  • Adjustment disorders, anxiety, depression, and delirium are prevalent in critical care patients with heart and lung disease.
  • These psychiatric issues can alter risk, prognosis, and management strategies.
  • Cognitive and psychosocial development must be assessed in children with critical care needs.

Conclusions:

  • Integrated psychiatric care is essential for optimizing outcomes in critical care patients with heart and lung disease.
  • Early identification and management of psychiatric comorbidities are crucial.
  • Developmental assessment is vital for providing comprehensive care to pediatric critical care patients.

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