SCCM Resource Library-Cognitive Recovery From Critical Care

Video Transcription

Video Summary

In a video transcript, University of Pittsburgh's Sheila Alexander moderates a session on cognitive recovery from critical care. Dr. Ignacio Pravigliano discusses cognitive impairment after critical illness, highlighting the potential of neurotrophic modulation for prevention and rehabilitation. He emphasizes the high prevalence of cognitive impairment after ICU discharge, which is independent of age. He discusses the pathophysiology of cognitive impairment, focusing on the role of the neurovascular unit and neurotrophic factors. Dr. Pravigliano suggests that delirium is a key risk factor for cognitive impairment and highlights the importance of early mobilization and physical activity in preventing cognitive decline. He also discusses potential medications and interventions for improving cognitive function, including exercise, cognitive rehabilitation, and neurotrophic factor preparations. Dr. Jim Jackson then discusses cognitive recovery from critical illness and the use of cognitive rehabilitation. He highlights the importance of considering cognition in the context of physical debility and mental and emotional problems. Dr. Jackson explains the difference between traditional cognitive rehabilitation, which focuses on compensatory strategies, and computerized cognitive training, which aims to improve cognition. He discusses the challenges and benefits of each approach and emphasizes the need to integrate cognitive rehabilitation with other aspects of care. Dr. Jackson also suggests expanding the language used to describe cognitive impairment after critical illness and raising awareness among patients about their deficits and limitations.

Asset Subtitle

Neuroscience, Patient and Family Support, 2020

Asset Caption

The Society of Critical Care Medicine's Critical Care Congress features internationally renowned faculty and content sessions highlighting the most up-to-date, evidence-based developments in critical care medicine. This is a presentation from the 2020 Critical Care Congress held February 16-19, 2020, in Orlando, Florida, USA.

Learning Objectives

Identify conditions increasing risk for poor cognitive recovery
Implement a behavioral protocol to improve cognitive recovery in critical care survivors
Assess pharmaceuticals that lead to worse or better cognitive recovery after critical illness

Cognitive Long-Term Impairment in Critical Illness

Ignacio J. Previgliano

Cognitive Recovery in ICU Survivors

James C. Jackson

Meta Tag

Content Type Presentation

Knowledge Area Neuroscience

Knowledge Area Patient and Family Support

Knowledge Level Foundational

Knowledge Level Intermediate

Knowledge Level Advanced

Membership Level Select

Membership Level Professional

Membership Level Associate

Tag Rehabilitation Medicine

Year 2020

Keywords

cognitive recovery

critical care

cognitive impairment

neurotrophic modulation

neurovascular unit

delirium

early mobilization

cognitive rehabilitation

neurotrophic factors

physical debility

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