RT Book, Section
A1 Holman, Patrick
A1 Schwab, Kristin E.
A1 Maley, Jason H.
A2 Lane-Fall, Meghan B
A2 Shapiro, David S.
A2 Kaplan, Lewis J.
SR Print(0)
ID 1204537579
T1 Post-ICU Clinics
T2 After the ICU: Multidisciplinary Perspectives on Supporting Critical Illness Survivors
YR 2024
FD 2024
PB McGraw Hill
PP New York, NY
SN 9781260469257
LK accessanesthesiology.mhmedical.com/content.aspx?aid=1204537579
RD 2024/09/07
AB Patient  Care  VignetteA  52-year-old  woman  who  works  as  a  software  engineer  is  admitted  to  the  intensive  care  unit  (ICU)  with  acute  respiratory  distress  syndrome  due  to  Streptococcal  pneumonia.  She  requires  10  days  of  mechanical  ventilation,  including  the  use  of  deep  sedation,  neuromuscular  blockade  (temporary  chemical  paralysis),  and  prone-positioning  therapy.  She  experiences  delirium  upon  extubation  (removal  of  the  breathing  tube),  which  continues  for  several  days  in  the  ICU.  She  is  discharged  to  an  acute  rehabilitation  facility  and  ultimately  returns  home  after  6  weeks  in  the  rehabilitation  facility.At  home,  she  continues  to  experience  ongoing  vivid  dreams  related  to  her  ICU  stay  and  feels  intrusive  thoughts  about  her  illness,  anxiety  over  getting  sick  again,  and  persistent  shortness  of  breath  that  limits  her  activity.  She  is  assisted  at  home  by  her  husband  and  she  is  able  to  perform  activities  of  daily  living  independently.  She  finds  that  focusing  on  tasks,  such  as  cooking  or  reading,  is  still  challenging  and  she  often  loses  her  train-of-thought.  She  is  not  sure  if  she  will  be  able  to  return  to  work.  She  visits  her  primary  care  doctor  who  recently  learned  about  a  post-ICU  clinic  with  multidisciplinary  expertise  to  help  with  her  recovery.