March critical care journal club: sequelae of critical care

Southwest Journal of Pulmonary and Critical Care

Owen-Reece H¹  Raschke RA¹ 

[1] Banner Good Samaritan Medical Center, Phoenix, AZ;

关键词: critical care;    ARDS;    mechanical ventilation;    sequelae;    post-traumatic stress disorder;    chronic critical illness;    physical therapy;    mobilization;    outcomes;    delirium;   

DOI  :  10.13175/swjpcc049-14

来源: DOAJ

【 摘 要 】

No abstract available. Article truncated at 150 words. We focused on the topic of long-term sequelae of acute respiratory failure requiring mechanical ventilation. Our discussion panel included the fellows, many of our faculty including Drs. Robbins, Mathew, Singarajah, Thomas, Rinne, Garcia-Orr, and Nair, and invited guests from Palliative Care Medicine: Dr. Carleton, and Julie Lehn (from the VAMC and BGSMC respectively). The long term clinical outcomes of two groups of patients were examined. The first group was comprised of survivors of acute respiratory distress syndrome (ARDS) requiring mechanical ventilation of any duration. Although the short-term mortality of ARDS has improved, previously unrecognized long-term sequelae have become a focus of research.Studies have now shown that significant depression, cognitive deficits similar in magnitude to those of mild Alzheimer’s, and post-traumatic stress disorder (PTSD) each occur in approximately 25-30% of these patients (1-4). PTSD continues in about a quarter of patients even out to eight years after discharge (2). Functional ...

【 授权许可】

Unknown