Rashmi Ratnakant Chavan
- Clinical Instructor, Department of Medical Surgical Nursing, K.J. Somaiya College of Nursing, Sion, Mumbai, Maharashtra, India
- Vice Principal, Department of Paediatric Nursing, P.D. Hinduja College of Nursing, Andheri, Mumbai, Maharashtra, India
After leaving the ICU, patients may suffer from what is known as Post-Intensive Care Syndrome (PICS), which can happen to any person who has been in the ICU. Patients with PICS present with physical, cognitive and psychiatric impairments. PICS may be induced if a person was on prolonged mechanical ventilation, experienced sepsis, multiple organ failure and a prolonged duration of “bedrestore deep sedation”. It has been estimated that Post-Traumatic Stress Disorder (PTSD) is most prevalence in critically ill patients and the risk is as high as 63%. This paper summarises the findings related to knowledge of magnitude, risk factors and preventive strategies for PICS. There were total 97 papers published in Medline, Cochrane and Google Scholar from Jan 2014 to Jan 2021, out of which 15 were deemed relevant to this review as per following inclusion and exclusion criteria. The population comprised of ICU patients. Findings suggested that demographic variables such as older age, female sex as well as clinical variables such as previous mental health problems, high disease severity, negative ICU experience, and delirium are some of the significant risk factors contributing in the development of PICS. Preventive Strategies for PICS at ICU setting includes: Early Rehabilitation, ABCDEFGH bundle, ICU diaries, Intensive care unit follow-Up clinics, Nurse led preventive psychological intervention. Studies related to paediatric age Group and also studies published in languages other than English were excluded from the Present study. PICS, inspite of having its significant impact on the function and quality of life of patients and families, there is limited awareness and it under-recognition among the Healthcare team.
Keywords: Post-intensive care syndrome (PICS), Post-traumatic stress disorder (PTSD), ICU diaries, Early Rehabilitation, ABCDEFGH bundle.
[This article belongs to International Journal of Cardiovascular Nursing(ijcn)]
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|Received||February 15, 2022|
|Accepted||April 27, 2022|
|Published||March 2, 2022|