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What Is an ICU Without Borders? Considerations for ...
What Is an ICU Without Borders? Considerations for Post-ICU Care
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Video Summary
The speaker is a medical ICU clinical specialist and clinical associate professor, discussing post-intensive care syndrome (PICS). PICS is a new or worsening impairment in physical, cognitive, or mental health status that arises after a critical illness and persists beyond hospitalization. PICS affects both patients and their families. The speaker describes the burden of unintended consequences in ICU survivors and identifies key features of PICS. The prevalence of PICS among survivors is unknown, but about a third of critically ill patients who have experienced ARDS or septic shock are affected. PICS has a profound impact on patients and their families, with financial consequences and increased healthcare utilization. Risk factors include advanced age, acute brain dysfunction, pre-existing illness, sedation, and prolonged immobilization. The speaker suggests implementing the ABCDEF bundle in ICUs, educating survivors and their families, proactive assessment for PICS, preventing polypharmacy, and optimizing medication use. Post-ICU clinics and peer-to-peer support groups can also help manage PICS. The impact of COVID-19 on PICS is still being studied.
Asset Subtitle
Professional Development and Educaiton, 2023
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Type: other | Critical Care Societies Collaborative (SessionID 900000222)
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Content Type
Presentation
Knowledge Area
Professional Development and Education
Membership Level
Professional
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Tag
Healthcare Delivery
Year
2023
Keywords
medical ICU
post-intensive care syndrome
PICS
unintended consequences
ICU survivors
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