Post-intensive care syndrome: Recent advances and future directions
Shigeaki Inoue1, Nobuto Nakanishi2, Fumimasa Amaya3
1Department of Emergency and Critical Care Medicine Wakayama Medical University Wakayama Japan.
Acute Medicine & Surgery
|February 22, 2024
Summary
Post-intensive care syndrome (PICS) involves physical, cognitive, and mental issues after ICU stays, affecting patients and families. Ongoing research is crucial for understanding and treating PICS effectively.
Area of Science:
- Critical Care Medicine
- Neuroscience
- Psychiatry
Background:
- Post-intensive care syndrome (PICS) is a complex condition characterized by physical, cognitive, and mental health impairments.
- PICS affects patients during and after intensive care unit (ICU) stays, impacting long-term prognosis and family well-being.
- Research on PICS has significantly advanced since its initial proposal a decade ago.
Purpose of the Study:
- To provide a comprehensive summary of recent evidence on PICS.
- To cover key aspects including pathophysiology, epidemiology, assessment, risk factors, prevention, and treatment strategies.
- To identify emerging topics and future research directions for PICS.
Main Methods:
- Systematic review and synthesis of recent clinical and basic research findings on PICS.
- Analysis of data on PICS prevalence, contributing factors, and management approaches.
- Identification of knowledge gaps and areas requiring further investigation.
Main Results:
- PICS encompasses a broad spectrum of debilitating symptoms affecting survivors and their families.
- Significant progress has been made in understanding PICS risk factors and developing interventions.
- The need for continued research into PICS mechanisms and therapeutic targets is highlighted.
Conclusions:
- PICS remains a critical challenge in critical care, necessitating a multidisciplinary approach.
- Further elucidation of PICS pathophysiology is essential for developing novel therapeutic interventions.
- Future research should focus on personalized prevention and treatment strategies for PICS.
More Related Videos
09:36Halogenated Agent Delivery in Porcine Model of Acute Respiratory Distress Syndrome via an Intensive Care Unit Type Device
Published on: September 24, 2020
2.8K
08:13Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
Published on: January 20, 2019
6.6K
Related Concept Videos
01:28Pneumonia IV: Management
327
The treatment of pneumonia varies based on its severity and the causative pathogen. Here is a structured approach to managing pneumonia, integrating pharmaceutical and supportive care strategies.
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
327
01:21Tertiary Healthcare System
1.8K
Specialized care provided over an extended period is called tertiary care. Usually, a primary or secondary care physician will refer a patient to tertiary care. A patient's maximum physical and mental function is restored in tertiary care, which is caused due to the impact of a chronic illness or condition. Tertiary care aims to achieve the highest level of functioning possible while managing chronic illness. For example, a patient who falls and fractures their hip will need secondary care...
1.8K
01:21Planning Nursing Care I
4.4K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
4.4K
01:30Pneumonia V: Nursing management and Prevention
2.1K
Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
2.1K
01:30Pneumonia I: Introduction
238
Pneumonia is an acute respiratory infection that targets the lungs, specifically the alveoli. These tiny air sacs, essential for oxygen exchange, become engorged with pus and fluid, severely hindering breathing, decreasing oxygen absorption, and causing significant pain and discomfort during respiration.
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
238
01:29Chronic Pancreatitis II: Collaborative Care
90
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
90