Multiprofessional Critical Care Review: Adult 2024 (MCCRCA24ON)-17

17_Post-Intensive Care Syndrome

Pdf Summary

Post-intensive care syndrome (Post-ICU) refers to health issues that persist after critical illness and can affect a patient's body, thoughts, feelings, and mind, potentially impacting the family as well. Common manifestations include ICU-acquired weakness, cognitive dysfunction, and mental health problems. ICU-acquired weakness can lead to prolonged muscle weakness, impacting daily activities. Cognitive dysfunction may result in memory and concentration issues, affecting work and daily tasks. Mental health problems range from sleep disturbances to depression, anxiety, and post-traumatic stress disorder. Up to 50% of patients may experience these challenges, affecting their ability to return to work and perform daily activities. Studies show a high prevalence of post-ICU syndrome in COVID-19 survivors, highlighting the importance of long-term follow-up and care. Long ICU stays are associated with declines in mental and functional health, emphasizing the need for post-ICU clinics to focus on these patients. Post-ICU syndrome can significantly impact the quality of life for survivors of critical illness, including those who have experienced cardiac arrest. The Society of Critical Care Medicine stresses the importance of predicting and addressing long-term impairments after critical illness, recognizing the need for ongoing support and monitoring for these patients.

Keywords

Post-intensive care syndrome

ICU-acquired weakness

cognitive dysfunction

mental health problems

COVID-19 survivors

long-term follow-up

post-ICU clinics

quality of life

critical illness

Society of Critical Care Medicine

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