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The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
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IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
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Related Experiment Video

Updated: Jan 15, 2026

Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies
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Post-intensive care unit clinics: models and implementation - a systematic review.

Sourav Chatterjee1, Swagata Tripathy2,3, Subhasish Nayak1

  • 1Department of Anaesthesiology and Critical Care, AIIMS, Bhubaneswar, India.

Critical Care (London, England)
|October 7, 2025
PubMed
Summary
This summary is machine-generated.

Hybrid post-ICU clinics show promise for improving care in low-resource settings. Tailored hybrid models balancing in-person and telehealth can enhance follow-up for Post-Intensive Care Syndrome (PICS) patients, despite implementation challenges.

Keywords:
BarriersClinic modelsCritical careFacilitatorsPost-intensive care syndrome

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Area of Science:

  • Critical Care Medicine
  • Health Services Research
  • Implementation Science

Background:

  • Post-Intensive Care Syndrome (PICS) presents significant physical, cognitive, and psychological challenges for survivors.
  • Structured follow-up care, including post-ICU clinics, is crucial but underdeveloped in low- and middle-income countries (LMICs).

Purpose of the Study:

  • To systematically review post-ICU clinic models.
  • To identify barriers and facilitators for implementing these clinics.
  • To assess the applicability of these models in LMICs.

Main Methods:

  • Systematic review adhering to PRISMA guidelines, registered with PROSPERO.
  • Searched Medline, Embase, and CINAHL for studies published after 2000 on adult post-ICU clinics.
  • Included 19 studies with diverse designs; risk of bias assessed using Joanna Briggs Institute checklists; thematic synthesis guided by CFIR.

Main Results:

  • Three models identified: hospital-based, hybrid (in-person/telehealth), and fully remote (telehealth/home visits).
  • Telehealth/home-visit models achieved highest attendance (88.7%); hybrid models (59%) and physical models (51.9%) had lower rates.
  • Barriers included resource constraints and transport; facilitators included flexible scheduling and telehealth. Hybrid models show promise for LMICs, but outcomes data are limited.

Conclusions:

  • Hybrid post-ICU clinics offer a feasible approach for improving LMIC follow-up care when adapted to local needs.
  • Implementation requires addressing funding and infrastructure barriers, informed by limited evidence on long-term patient outcomes.
  • Findings support context-specific development of post-ICU care strategies in resource-limited settings.