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[Psychiatric complications in patients under intensive care]
Annales De L'Anesthesiologie Francaise
|January 1, 1978
Summary
Intensive care patients with psychiatric disorders experienced significant psychosensorial issues like disorientation and hallucinations. Staff interventions to reorient patients may reduce long-term psychosomatic complications.
Area of Science:
- Psychiatry
- Intensive Care Medicine
- Neuroscience
Context:
- Adult patients with psychiatric disorders admitted to intensive care units (ICUs) face prolonged stays and mechanical ventilation.
- ICU environments can be disorienting, potentially exacerbating psychiatric conditions.
Purpose:
- To examine the psychosensorial experiences and subsequent complications in psychiatric patients during and after intensive care.
- To explore the role of the ICU environment and potential staff interventions in mitigating adverse outcomes.
Summary:
- Ten adult psychiatric patients in the ICU reported temperospatial disorientation, postural disturbances, hallucinations, anguish, and depression.
- No objective psychotic syndromes were noted during the ICU stay.
- Post-ICU, many patients developed significant psychosomatic disorders, attributed to organic factors and environmental disafferentation.
Impact:
- Understanding these challenges is crucial for developing targeted support strategies for psychiatric patients in critical care settings.
- Staff efforts in patient reorientation and reafferentation may reduce the incidence and severity of post-ICU psychosomatic disorders.
- This research highlights the need for integrated psychiatric and critical care approaches to improve patient outcomes.