• Cleve Clin J Med · Dec 2021

    Review

    Neuropsychiatric assessment and management of the ICU survivor.

    • Erin A Dean, Michelle Biehl, Kathryn Bash, Jeremy Weleff, and Leopoldo Pozuelo.
    • Staff Physician, Department of Psychiatry and Psychology, Cleveland Clinic, Cleveland, OH deane2@ccf.org.
    • Cleve Clin J Med. 2021 Dec 2; 88 (12): 669-679.

    AbstractAny survivor among the millions of patients admitted to the intensive care unit (ICU) for critical illness each year is susceptible to persistent health problems that continue after discharge and may lead to post-intensive care syndrome (PICS), defined as new or worsening dysfunction from physical impairment, cognitive impairment, or emotional impairment, or a combination. Considering the increased rates of ICU survival and the growing elderly population more likely to utilize ICU resources, critical care practitioners have broadened their focus on outcomes and care of ICU survivors to include the acute post-ICU survival period as well as months and even years after ICU discharge. This review focuses on the neuropsychiatric aspects of PICS in ICU survivors including diagnostic, screening, and treatment recommendations. It also highlights the value of post-ICU clinics and the unique role of the consultation psychiatrist in the care of this patient population.Copyright © 2021 The Cleveland Clinic Foundation. All Rights Reserved.

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