• Critical care clinics · Apr 2024

    Review

    Physical and Cognitive Impairment in Acute Respiratory Failure.

    • Jonathan Taylor and Mary Elizabeth Wilcox.
    • Division of Pulmonary, Critical Care and Sleep Medicine, Mount Sinai Hospital, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, Box 1232, New York, NY 10029, USA.
    • Crit Care Clin. 2024 Apr 1; 40 (2): 429450429-450.

    AbstractRecent research has brought renewed attention to the multifaceted physical and cognitive dysfunction that accompanies acute respiratory failure (ARF). This state-of-the-art review provides an overview of the evidence landscape encompassing ARF-associated neuromuscular and neurocognitive impairments. Risk factors, mechanisms, assessment tools, rehabilitation strategies, approaches to ventilator liberation, and interventions to minimize post-intensive care syndrome are emphasized. The complex interrelationship between physical disability, cognitive dysfunction, and long-term patient-centered outcomes is explored. This review highlights the need for comprehensive, multidisciplinary approaches to mitigate morbidity and accelerate recovery.Copyright © 2024 Elsevier Inc. All rights reserved.

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