Book contents
- Intensive Care Medicine
- Intensive Care Medicine
- Copyright page
- Dedication
- Dedication
- Epigraph
- Contents
- Contributors
- Preface
- Foreword
- Abbreviations
- Section 1 Resuscitation and Management of the Acutely Ill Patient
- Section 2 Diagnosis, Assessment, Investigation, Monitoring and Data Interpretation
- Domain 3 Disease Management: Recognition, Causes and Management
- Section 4 Therapeutic Interventions and Organ Support
- Domain 5 Practical Procedures
- Section 6 Perioperative Care
- Section 7 Comfort and Recovery
- Post-intensive Care Syndrome
- Prevention of Physical and Psychosocial Consequences Following Critical Care Admission
- Structured Rehabilitation Plans
- Long-Term Follow-Up
- Cost Implications
- Introduction
- Importance of Pain Management
- Pain Aetiology in the ICU
- Assessment of Pain in the ICU
- Management
- Procedural Pain
- Sedation
- Neuromuscular Blockade
- Assessment of ICU-AW
- Prevention and Rehabilitation of ICU-AW
- The ABCDEF Bundle
- Rehabilitation after Critical Illness
- Conclusion
- Introduction
- What is Meant by Recovery after Critical Illness?
- Models of Follow-Up Care
- Follow-Up Clinic Consultation
- Follow-Up Clinic Interventions
- Future Directions
- 7.1 How to Identify and Attempt to Minimise the Physical and Psychosocial Consequences of Critical Illness for Patients and Families?
- 7.2 Principles of Assessment, Prevention and Treatment of Pain in Intensive Care
- 7.3 Sedation and Neuromuscular Blockade in Intensive Care
- 7.4 Intensive Care Unit-Acquired Weakness and Physical Rehabilitation
- 7.5 Follow-Up after Critical Illness
- Section 8 End-of-Life Care
- Section 9 Paediatric Care
- Section 10 Transport
- Section 11 Professionalism, Patient Safety, Governance and Health Systems Management
- Index
- References
7.1 - How to Identify and Attempt to Minimise the Physical and Psychosocial Consequences of Critical Illness for Patients and Families?
from Section 7 - Comfort and Recovery
Published online by Cambridge University Press: 27 July 2023
Book contents
- Intensive Care Medicine
- Intensive Care Medicine
- Copyright page
- Dedication
- Dedication
- Epigraph
- Contents
- Contributors
- Preface
- Foreword
- Abbreviations
- Section 1 Resuscitation and Management of the Acutely Ill Patient
- Section 2 Diagnosis, Assessment, Investigation, Monitoring and Data Interpretation
- Domain 3 Disease Management: Recognition, Causes and Management
- Section 4 Therapeutic Interventions and Organ Support
- Domain 5 Practical Procedures
- Section 6 Perioperative Care
- Section 7 Comfort and Recovery
- Post-intensive Care Syndrome
- Prevention of Physical and Psychosocial Consequences Following Critical Care Admission
- Structured Rehabilitation Plans
- Long-Term Follow-Up
- Cost Implications
- Introduction
- Importance of Pain Management
- Pain Aetiology in the ICU
- Assessment of Pain in the ICU
- Management
- Procedural Pain
- Sedation
- Neuromuscular Blockade
- Assessment of ICU-AW
- Prevention and Rehabilitation of ICU-AW
- The ABCDEF Bundle
- Rehabilitation after Critical Illness
- Conclusion
- Introduction
- What is Meant by Recovery after Critical Illness?
- Models of Follow-Up Care
- Follow-Up Clinic Consultation
- Follow-Up Clinic Interventions
- Future Directions
- 7.1 How to Identify and Attempt to Minimise the Physical and Psychosocial Consequences of Critical Illness for Patients and Families?
- 7.2 Principles of Assessment, Prevention and Treatment of Pain in Intensive Care
- 7.3 Sedation and Neuromuscular Blockade in Intensive Care
- 7.4 Intensive Care Unit-Acquired Weakness and Physical Rehabilitation
- 7.5 Follow-Up after Critical Illness
- Section 8 End-of-Life Care
- Section 9 Paediatric Care
- Section 10 Transport
- Section 11 Professionalism, Patient Safety, Governance and Health Systems Management
- Index
- References
Summary
Key Learning Points
1. Long-term physical and non-physical sequelae following critical care illness in patients are increasingly recognised.
2. Sequelae may include changes in cognition, psychology and physical well-being.
3. Meticulous attention to the ‘ABCDEF care bundle’ can help improve long-term function.
4. Individualised rehabilitation programmes should be developed for patients at risk of morbidity.
5. Services must be provided to support critical care patients beyond their acute admission.
- Type
- Chapter
- Information
- Intensive Care MedicineThe Essential Guide, pp. 653 - 655Publisher: Cambridge University PressPrint publication year: 2021
References
References and Further Reading
Clancy, O, Edginton, T, Casarin, A, Vizcaychipi, MP. The psychological and neurocognitive consequences of critical illness. A pragmatic review of current evidence. J Intensive Care Soc 2015;16:226–33.CrossRefGoogle ScholarPubMed
Hatch, R, Young, D, Barber, V, Griffiths, J, Harrison, DA, Watkinson, P. Anxiety, depression and post traumatic stress disorder after critical illness: a UK-wide prospective cohort study. Crit Care 2018;22:310.CrossRefGoogle ScholarPubMed
Marra, A, Ely, EW, Pandharipande, PP, Patel, MB. The ABCDEF bundle in critical care. Crit Care Clin 2017;33:225–43.CrossRefGoogle ScholarPubMed
National Institute for Health and Care Excellence. 2010. Costing report. Rehabilitation after critical illness costing report, February, 1–39.Google Scholar
National Institute for Health and Care Excellence. 2017. Rehabilitation after critical illness in adults. www.nice.org.uk/guidance/qs158/resources/rehabilitation-after-critical-illness-in-adults-pdf-75545546693317Google Scholar
Rawal, G, Yadav, S, Kumar, R. Post-intensive care syndrome: an overview. J Transl Intern Med 2017;5:90–2.CrossRefGoogle ScholarPubMed