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Case Discussion on Post ICU Syndrome
Post-ICU Syndrome is a condition that affects individuals who have been discharged from an intensive care unit (ICU). Physical Symptoms may include muscle weakness, fatigue, mobility issues, and difficulties with activities of daily living. Many individuals experience memory problems, difficulties with concentration, and other cognitive issues. This is often referred to as "ICU-related delirium." Anxiety, depression, and post-traumatic stress disorder (PTSD) are common psychological issues that can result from the ICU experience. Prolonged ICU stay, use of sedatives and medications, mechanical ventilation, and underlying health conditions can increase the risk of developing Post-ICU Syndrome. Physical and occupational therapy are often essential components of recovery to regain strength and function.
About the Speaker
Dr Sanjeev Pratap
Emergency & Critical Care Physician, NABH Assessor & Professor MIOT International, Tamilnadu
Upcoming CME Events
Overview on Symptom Assessment in Dialysis
Symptom assessment in dialysis is a critical aspect of managing patients with kidney failure undergoing renal replacement therapy. The evaluation includes monitoring common symptoms such as fatigue, nausea, itching, and fluid overload, which can significantly impact patients' quality of life. Regular assessment allows healthcare providers to tailor interventions, adjust dialysis prescriptions, and address underlying causes, ensuring optimal symptom management and improving the overall well-being of individuals undergoing dialysis.
Public Expectations and Misunderstandings About Critical Care
Public Expectations and Misunderstandings About Critical Care often revolve around the perception of medical interventions and outcomes in intensive care units (ICUs). Many people believe that advanced medical technologies and treatments can invariably save lives or fully restore health, underestimating the complexities and limitations of critical care. This misunderstanding is partly fueled by media portrayals of medicine, where recovery is often rapid and complete. In reality, critical care outcomes can vary greatly, with some patients experiencing long-term physical, cognitive, and psychological effects post-ICU. Additionally, there's a lack of awareness about the nature of end-of-life care in ICUs, leading to unrealistic expectations about the effectiveness of life-sustaining treatments. This gap in understanding underscores the need for better public education about the realities of critical care, the potential outcomes, and the importance of advance care planning.
ECHO & Ultrasound guided hemodynamic management in ICU
Bedside echocardiography (ECHO) and ultrasound play a crucial role in hemodynamic monitoring and management in the intensive care unit (ICU). They are non-invasive techniques, reducing the risks associated with invasive procedures while offering valuable insights into cardiac function. ECHO and ultrasound help evaluate intravascular volume, guiding the administration of fluids in critically ill patients to optimize cardiac output. These tools allow assessment of cardiac contractility, ejection fraction, and valvular function, aiding in the management of heart-related issues. ECHO and ultrasound are instrumental in diagnosing conditions like pericardial effusion, tamponade, cardiomyopathy, and structural heart defects in ICU patients. In some cases, ECHO and ultrasound can replace more invasive monitoring techniques, like pulmonary artery catheters, for hemodynamic data. They help monitor the effects of interventions, such as medication administration, fluid boluses, or mechanical ventilation adjustments. ECHO and ultrasound can guide procedures like central line placement, thoracentesis, or pericardiocentesis, reducing the risk of complications. ECHO and ultrasound allow evaluation of not only the heart but also other organs, including the lungs and abdomen, providing a comprehensive view of a patient's condition.
Role Played by ECMO in Critical Care
Extracorporeal Membrane Oxygenation (ECMO) plays a pivotal role in critical care, providing advanced life support for patients with severe cardiac or respiratory failure. By temporarily assuming the function of the heart and lungs, ECMO allows vital organs to recover, offering a crucial bridge to recovery or transplant. Its capacity to maintain oxygenation and circulation in critically ill patients underscores ECMO's significance as a lifesaving intervention in the intensive care setting.