TY  - CHAP
M1  - Book, Section
TI  - Post-Intensive Care Syndrome
A1  - Lim, Leonard
A1  - Soto, Graciela
A2  - Oropello, John M.
A2  - Pastores, Stephen M.
A2  - Kvetan, Vladimir
PY  - 1
T2  - Critical Care
AB  - KEY  POINTSThe  number  of  patients  who  survive  acute  critical  illness  has  increased  over  the  last  few  years  and  PICS  is  more  common  than  previously  thought.PICS  is  new  or  worsening  impairment  in  physical,  mental,  or  cognitive  status  arising  after  critical  illness  and  persisting  beyond  the  acute  care  hospitalization.These  impairments  are  frequently  under  recognized  and  adversely  impact  daily  functioning  and  the  quality  of  life.Decline  in  lung  function  parameters  and  ICU-acquired  weakness  are  some  of  the  physical  impairments  that  can  affect  health  care  resource  utilization  and  short-  and  long-term  outcomes.Neurocognitive  impairment  spans  a  wide  range  of  dysfunction  and  is  associated  with  metabolic  abnormalities,  hypoxemia,  fever,  sepsis,  pharmacological  agents,  organ  dysfunction,  and  disrupted  sleep.The  neuro-psychological  impairment  encountered  after  ICU  care  (eg,  anxiety,  depression,  and  PTSD)  is  not  associated  with  an  increased  severity  of  illness  but  rather  to  both  the  subjective  and  objective  aspects  of  the  ICU  experience.Strategies  to  minimize  or  prevent  PICS  should  start  during  the  ICU  stay  and  address  those  modifiable  risk  factors  known  to  be  associated  with  the  different  aspects  of  PICS  (eg,  glycemic  control,  minimizing  sedation,  early  exercise  and  mobilization,  liberation  from  mechanical  ventilation).  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/19
UR  - accessanesthesiology.mhmedical.com/content.aspx?aid=1136418993
ER  -