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7.1 - How to Identify and Attempt to Minimise the Physical and Psychosocial Consequences of Critical Illness for Patients and Families?

from Section 7 - Comfort and Recovery

Published online by Cambridge University Press:  27 July 2023

Ned Gilbert-Kawai
Affiliation:
The Royal Liverpool Hospital
Debashish Dutta
Affiliation:
Princess Alexandra Hospital NHS Trust, Harlow
Carl Waldmann
Affiliation:
Royal Berkshire Hospital, Reading
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Summary

Key Learning Points

  1. 1. Long-term physical and non-physical sequelae following critical care illness in patients are increasingly recognised.

  2. 2. Sequelae may include changes in cognition, psychology and physical well-being.

  3. 3. Meticulous attention to the ‘ABCDEF care bundle’ can help improve long-term function.

  4. 4. Individualised rehabilitation programmes should be developed for patients at risk of morbidity.

  5. 5. Services must be provided to support critical care patients beyond their acute admission.

Type
Chapter
Information
Intensive Care Medicine
The Essential Guide
, pp. 653 - 655
Publisher: Cambridge University Press
Print publication year: 2021

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References

References and Further Reading

Clancy, O, Edginton, T, Casarin, A, Vizcaychipi, MP. The psychological and neurocognitive consequences of critical illness. A pragmatic review of current evidence. J Intensive Care Soc 2015;16:226–33.CrossRefGoogle ScholarPubMed
Hatch, R, Young, D, Barber, V, Griffiths, J, Harrison, DA, Watkinson, P. Anxiety, depression and post traumatic stress disorder after critical illness: a UK-wide prospective cohort study. Crit Care 2018;22:310.CrossRefGoogle ScholarPubMed
Marra, A, Ely, EW, Pandharipande, PP, Patel, MB. The ABCDEF bundle in critical care. Crit Care Clin 2017;33:225–43.CrossRefGoogle ScholarPubMed
National Institute for Health and Care Excellence. 2010. Costing report. Rehabilitation after critical illness costing report, February, 1–39.Google Scholar
National Institute for Health and Care Excellence. 2017. Rehabilitation after critical illness in adults. www.nice.org.uk/guidance/qs158/resources/rehabilitation-after-critical-illness-in-adults-pdf-75545546693317Google Scholar
Rawal, G, Yadav, S, Kumar, R. Post-intensive care syndrome: an overview. J Transl Intern Med 2017;5:90–2.CrossRefGoogle ScholarPubMed

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