Click to Return to Search Page VIEW SELECTED LIBRARY MEDIA Name of Media: The Efficacy of Albumin Dialysis in the Reversal of Refractory Vasoplegic Shock Due to Amlodipine Toxicity Author(s): Randi L. Connor-Schuler, MD; Jennifer M. Carr, MS; Matthew S. Reaven, MD; Bob T. Bridgman, PharmD; Deepa M. Patel, MD; Ram M. Subramanian, MD Publisher or Source: Critical Care Explorations Type of Media: Medical Journal Media Originally for: Critical Care Physicians,General Medical Professionals,Nurses and/or Other Critical Care Medical Professionals Country of Origin: United States of America (the) Primary Focus of Media: Pre-Use of PICS Designation COVID-19 Related: No Description: Objectives: Calcium channel blockers are highly protein-bound medications frequently used in the management of hypertension. Overdose results in severe hypotension and is the fourth most common cause of toxicity-related deaths in the United States. Management is mostly supportive, with currently no standard role for targeted drug removal. The protein-bound nature of these medications presents the option of utilizing albumin dialysis for their removal and for the reversal of associated shock. Design and Subjects: We present two cases of life-threatening intentional amlodipine overdoses successfully treated with albumin dialysis. Both patients experienced profound distributive shock in the setting of preserved cardiac contractility that was refractory to maximal vasoactive agent support. Interventions and Results: After initiation of albumin dialysis, the patients showed rapid hemodynamic improvement and were able to be weaned off vasopressor support. Conclusions: These cases demonstrate the safety and efficacy of albumin dialysis in the management of near-fatal calcium channel blocker overdoses related to amlodipine and offer an additional therapeutic option apart from conventional supportive care. Importantly, these cases were not associated with impaired cardiac contractility, thereby making venoarterial extracorporeal membrane oxygenation a less preferable option. Furthermore, this therapeutic benefit of albumin dialysis can potentially be extended to the management of toxicity related to other highly protein-bound drugs and toxins. To view the PDF, Article, Photo, or Chart, Click Icon: To view the attached Video media file, Click Icon: PostICU, Inc's library staff reviewed this copyrighted material contained in the library and reasonably believes that its inclusion in our library complies with the "Fair Use Doctrine" because: (1) our library's is for nonprofit and educational purposes; (2) the nature of the copyrighted work is related to our mission; (3) the amount and substantiality of the portion used in relation to the copyrighted work as a whole is fair and reasonable; and (4) the potential market for or value of the copyrighted work will if impacted, should be enhanced, by its presence in our library.

Click to Return to Search Page VIEW SELECTED LIBRARY MEDIA Name of Media: Clinical Practice Guideline for the Treatment of Posttraumatic Stress Disorder (PTSD) in Adults Author(s): Christine A. Courtois, Jeffrey Sonis, Laura S. Brown, Joan Cook, John A. Fairbank, Matthew Friedman, Joseph P. Gone, Russell Jones, Annette La Greca, Thomas Mellman, John Roberts, Priscilla Schulz Publisher or Source: American Psychological Association Type of Media: Medical Professional Education Media Originally for: Critical Care Physicians, General Medical Professionals, Nurses and/or Other Critical Care Medical Professionals Country of Origin: United States Primary Focus of Media: Post Traumatic Stress Disorder (PTSD) COVID-19 Related: No Description: The American Psychological Association (APA) developed this guideline to provide recommendations on psychological and pharmacological treatments for post traumatic stress disorder (PTSD) in adults. To view the PDF, Article, Photo, or Chart, Click Icon: To view the attached Video media file, Click Icon: PostICU, Inc's library staff reviewed this copyrighted material contained in the library and reasonably believes that its inclusion in our library complies with the "Fair Use Doctrine" because: (1) our library's is for nonprofit and educational purposes; (2) the nature of the copyrighted work is related to our mission; (3) the amount and substantiality of the portion used in relation to the copyrighted work as a whole is fair and reasonable; and (4) the potential market for or value of the copyrighted work will if impacted, should be enhanced, by its presence in our library.

Click to Return to Search Page VIEW SELECTED LIBRARY MEDIA Name of Media: DELIRIUM MANAGEMENT IN THE ICU Author(s): the Department of Surgical Education Publisher or Source: Orlando Regional Medical Center Type of Media: Medical Professional Education Media Originally for: Critical Care Physicians, Nurses and/or Other Critical Care Medical Professionals Country of Origin: United States Primary Focus of Media: Pre-Use of PICS Designation COVID-19 Related: No Description: Delirium has been previously described as a syndrome of organ dysfunction involving the central nervous system. The prevalence of delirium in the ICU varies from 20-80%. Delirium has been associated with increased hospital length of stay, duration of mechanical ventilation, and mortality. Sedative and narcotic use has been shown to increase the risk and severity of delirium. Haloperidol is the mainstay of delirium management as recommended by the Society of Critical Care Medicine (SCCM) due to extensive clinical experience with this medication. However, its usage is often limited by safety concerns. Atypical antipsychotics such as quetiapine have been shown to have equivalent success in the treatment of delirium while being associated with fewer side effects. To view the PDF, Article, Photo, or Chart, Click Icon: To view the attached Video media file, Click Icon: PostICU, Inc's library staff reviewed this copyrighted material contained in the library and reasonably believes that its inclusion in our library complies with the "Fair Use Doctrine" because: (1) our library's is for nonprofit and educational purposes; (2) the nature of the copyrighted work is related to our mission; (3) the amount and substantiality of the portion used in relation to the copyrighted work as a whole is fair and reasonable; and (4) the potential market for or value of the copyrighted work will if impacted, should be enhanced, by its presence in our library.

Surviving an ICU stay is a tremendous victory, but many ICU survivors face ongoing struggles that aren’t immediately visible. Post-ICU Syndrome (PICS)  affects many patients, impacting their emotional, physical, and cognitive health. Here's what every ICU survivor needs to know about this syndrome and how to navigate it. What is Post-ICU Syndrome (PICS)? Post-ICU Syndrome is a collection of symptoms that can affect patients long after they leave the ICU. These may include long-term physical weakness, difficulty concentrating, anxiety, depression, and even PTSD. It’s crucial to recognize these signs early so that ICU survivors can receive the right support and treatment. Key Symptoms of PICS Some of the most common symptoms of Post-ICU Syndrome include: Physical Symptoms: Extreme fatigue, muscle weakness, difficulty with daily activities, and a general lack of energy. Emotional Symptoms: Anxiety, depression, post-traumatic stress, feelings of isolation, and mood swings. Cognitive Symptoms: Memory loss, difficulty concentrating, trouble making decisions, and processing information. These symptoms can range from mild to severe, and they often impact a survivor's ability to adjust back to their normal life. It’s essential for ICU survivors to be aware of these symptoms and seek help when needed. How to Cope and Recover from PICS Managing Post-ICU Syndrome starts with acknowledging the challenges. Here are some ways to cope and begin your recovery journey: Physical Therapy: If muscle weakness and physical fatigue are part of your recovery, a structured rehabilitation plan can help restore strength and mobility. Rehab programs that focus on gentle exercises can help you regain your stamina and improve your quality of life. Mental Health Support: Post-traumatic stress, anxiety, and depression are common for ICU survivors. Reach out to a mental health professional or join support groups where you can connect with others who understand your struggles. If you’re looking for a specific support community, you can join the Post-ICU Forum , where other survivors share their experiences and coping strategies. Self-Care: Simple activities like light exercise, mindfulness practices, and maintaining a balanced diet can play a huge role in emotional recovery. These practices can help combat fatigue and improve overall mental health. Use Resources Like PICS 2.0 Test: If you're unsure where to start in understanding your symptoms, take the PICS 2.0 Test , available on our website. It's a free tool designed to help ICU survivors assess the extent of their symptoms and determine the next steps in their recovery process. External Resources & Further Reading Want to learn more about Post-ICU Syndrome? Check out these external resources: The American Psychological Association on ICU Survivors Post-ICU Care from the National Institute on Aging These articles provide more insights into post-ICU care and offer additional tips for ICU survivors looking to improve their recovery journey. Conclusion Post-ICU Syndrome is real, and recovery can be a long journey. By acknowledging the symptoms and seeking the right help, ICU survivors can significantly improve their quality of life. You are not alone—reach out for support today. If you’re struggling with PICS, try taking the PICS 2.0 Test  or connect with others in the Post-ICU Forum . The right resources and support are essential for your recovery.

A stay in the Intensive Care Unit (ICU) is often a life-saving experience, but for many survivors, the journey doesn't end when they leave the hospital. The long-term effects of being in the ICU can be challenging to navigate, affecting both the body and mind. Whether you or a loved one has been through ICU care, it's essential to understand these long-term impacts and how to manage them effectively. In this post, we’ll explore the lingering effects of ICU stays and discuss how to recover with the right resources and support. What Are the Long-Term Effects of ICU? ICU survivors often face a variety of physical, emotional, and cognitive challenges once they leave the hospital. These challenges can persist long after discharge, impacting daily life and overall well-being. 1. Physical Weakness and Fatigue One of the most common effects of ICU stays is extreme physical weakness. Prolonged bed rest and intensive care can lead to muscle atrophy, making even simple activities, such as walking or carrying groceries, feel exhausting. Many survivors experience what’s known as "ICU-acquired weakness," which can be a significant barrier to recovery. 2. Cognitive Impairments Cognitive issues are also prevalent among ICU survivors. Difficulty with memory, concentration, and decision-making are common side effects of a long ICU stay. These impairments, often referred to as Post-ICU Cognitive Dysfunction (PICS), can make returning to normal routines feel overwhelming. Studies have shown that up to 60% of ICU survivors experience some form of cognitive decline. 3. Emotional and Psychological Effects Mental health is another critical aspect of recovery. Many ICU survivors report experiencing anxiety, depression, and symptoms of PTSD due to the trauma of their ICU experience. Being in a life-threatening situation, coupled with the isolation of intensive care, can cause emotional scars that take time to heal. How to Manage the Long-Term Effects of ICU While the effects of ICU can be overwhelming, the good news is that recovery is possible with the right support and care. Here are some strategies for managing the long-term effects: 1. Physical Rehabilitation The road to physical recovery often involves rehabilitation. Working with a physical therapist can help rebuild muscle strength and improve mobility. Gradually increasing activity levels and exercising within your capacity can help prevent further physical decline and improve stamina. 2. Cognitive Support If you're experiencing cognitive impairments, you don't have to struggle alone. Cognitive rehabilitation, which includes memory exercises and mental stimulation, can improve memory and concentration. Specialized programs for ICU survivors, like PICS 2.0 , can be an excellent resource for tracking cognitive health and guiding recovery efforts. 3. Emotional Support and Counseling Managing emotional health is essential in the recovery process. Therapy or counseling can be beneficial for those dealing with anxiety, depression, or PTSD after an ICU stay. Support groups, such as the Post-ICU Forum , offer a safe space to connect with others who have experienced similar challenges. How Our Products and Services Can Help At PostICU , we understand the challenges ICU survivors face. That's why we’ve developed resources like the PICS 2.0 Test , which helps assess the physical, emotional, and cognitive impacts of an ICU stay. This free tool is an excellent starting point for those looking to track their recovery progress. Additionally, our Post-ICU Forum  connects survivors with others on similar journeys, fostering a sense of community and support. We also offer a range of PostICU products , including stress-relief items like yoga leggings and journals, designed to support both physical and emotional well-being. For more information on our services and to access these resources, visit our website PostICU . External Resources for Further Reading For additional insights on the long-term effects of ICU stays, consider checking out these external resources: American Psychological Association: The Impact of Trauma on ICU Survivors National Institutes of Health: Post-ICU Syndrome and Recovery Journal of Intensive Care Medicine: Cognitive and Psychological Outcomes These articles provide further information about the ongoing challenges faced by ICU survivors and offer expert advice on managing long-term effects. Conclusion Surviving an ICU stay is only the beginning of the journey toward recovery. Understanding the long-term effects—whether physical, cognitive, or emotional—is key to navigating life after an ICU experience. Fortunately, with the right tools, support, and resources, recovery is possible. At PostICU , we are here to help every step of the way. From the PICS 2.0 Test  to our online support forums and specialized products, we provide comprehensive support for ICU survivors. If you or a loved one are struggling with the long-term effects of an ICU stay, don't hesitate to reach out to our community and start your journey toward healing today.

Introduction Post-Intensive Care Syndrome (PICS) is a multifaceted condition that affects many individuals who have survived critical illness and require intensive care unit (ICU) treatment. It encompasses a range of physical, cognitive, and psychological challenges that can persist long after discharge from the ICU. Understanding PICS is essential for patients, families, and healthcare providers, as it plays a crucial role in recovery and rehabilitation. This article will delve into the causes, symptoms, impact, and strategies for managing PICS, providing a comprehensive overview for those affected. Understanding Post-Intensest Care Syndrome PICS is characterized by a constellation of symptoms that arise following an extended stay in the ICU. While the immediate goal of intensive care is to stabilize and treat life-threatening conditions, the experience can lead to long-term effects that disrupt patients' quality of life. The syndrome typically manifests in three primary areas: Physical Impairments : Muscle weakness, fatigue, and mobility issues are common after critical illness. Prolonged bed rest, sedative medications, and mechanical ventilation can contribute to significant physical decline. Cognitive Impairments : Many survivors report memory, attention, and problem-solving difficulties. These cognitive challenges can be exacerbated by delirium experienced during ICU stay, which can lead to long-term cognitive dysfunction. Psychological Impairments : Mental health conditions such as anxiety, depression, and post-traumatic stress disorder (PTSD) are prevalent among ICU survivors. The traumatic nature of critical illness, along with the emotional toll of hospitalization, can lead to lasting psychological effects. The Causes of Post-Intensive Care Syndrome Several factors contribute to the development of PICS. Understanding these factors can help in identifying those at risk and facilitating early interventions: Severity of Illness : The more severe the illness, the greater the likelihood of developing PICS. Conditions that require prolonged ICU stays, such as sepsis, respiratory failure, or traumatic injury, increase the risk. Delirium : Many ICU patients experience delirium, a severe confessional state. Research indicates that delirium can lead to long-term cognitive impairments and increase the risk of psychological symptoms. Sedation and Immobility : The use of sedatives and the necessity of immobilization can contribute to muscle atrophy and cognitive decline. Extended use of ventilators can also lead to physical deconditioning. Psychological Factors : Pre-existing mental health conditions can exacerbate the risk of developing PICS. Patients with a history of anxiety or depression may be more vulnerable to the psychological impacts of their ICU experience. Support Systems : The availability and quality of social support during and after the ICU stay can influence recovery. Strong family and community support can mitigate some of the adverse effects of PICS. Symptoms of PICS The symptoms of PICS can vary significantly among individuals, but some common manifestations include: Physical Symptoms : Muscle weakness, joint pain, fatigue, and difficulties with coordination or balance are frequently reported. Many survivors also experience chronic pain or other physical ailments. Cognitive Symptoms : Patients may struggle with memory loss, trouble concentrating, confusion, or difficulty in performing daily tasks. Some report feeling "foggy" or mentally drained. Psychological Symptoms : Anxiety, depression, and PTSD can manifest as irritability, nightmares, flashbacks, or feelings of hopelessness. Survivors may also experience mood swings or emotional detachment. The Impact of PICS on Daily Life The repercussions of PICS extend beyond the individual, affecting families, caregivers, and communities. The impact on daily life can include: Challenges in Returning to Work : Cognitive impairments and physical limitations can make it difficult for survivors to return to their previous employment or perform everyday tasks, leading to financial strain. Family Dynamics : Families may struggle to adjust to the changes in their loved one, experiencing stress, frustration, and emotional fatigue. Caregivers often need support themselves, as they may be dealing with their own feelings of helplessness or anxiety. Social Isolation : Survivors of PICS may withdraw from social activities due to fatigue, cognitive challenges, or psychological distress. This isolation can further exacerbate feelings of loneliness and depression. Quality of Life : Overall quality of life can be significantly diminished due to the physical, cognitive, and psychological effects of PICS. Survivors may find it difficult to engage in hobbies, exercise, or maintain relationships. Strategies for Managing PICS Managing PICS involves a multi-faceted approach , including medical treatment, rehabilitation, psychological support, and lifestyle changes. Here are some strategies that can aid recovery: Early Intervention : Recognizing the signs of PICS early can help initiate appropriate interventions. Healthcare providers should monitor patients during their ICU stay and provide follow-up care post-discharge. Rehabilitation Programs : Physical, occupational, and speech therapy can aid in regaining physical strength and cognitive function. Customized rehabilitation programs can address specific needs, helping survivors regain independence. Cognitive Training : Engaging in cognitive exercises can improve memory, attention, and problem-solving skills. Various programs and apps are designed to stimulate cognitive function and aid in recovery. Psychological Support : Accessing mental health resources, such as counseling or support groups, can help individuals process their experiences and cope with anxiety or depression. Cognitive-behavioral therapy (CBT) is often effective in treating PTSD and other psychological symptoms. Family Involvement : Involving family members in the recovery process can provide emotional support and improve communication. Family education programs can help families understand PICS and learn how to provide effective support. Lifestyle Modifications : Encouraging healthy habits, such as regular exercise, a balanced diet, and good sleep hygiene, can support overall recovery. Mindfulness practices, like meditation or yoga, may also help reduce anxiety and improve emotional well-being. Peer Support : Connecting with other ICU survivors can foster a sense of community and understanding. Peer support groups provide a platform for sharing experiences, coping strategies, and encouragement. Patient Advocacy : Survivors and their families should be encouraged to advocate for themselves within the healthcare system. This includes discussing concerns, seeking second opinions, and actively participating in care decisions. Conclusion Post-Intensive Care Syndrome is a significant yet often overlooked consequence of critical illness. By understanding the complexities of PICS, its symptoms, and its impact on recovery, patients, families, and healthcare providers can work together to develop effective strategies for rehabilitation and support. Recovery is a journey that requires patience, understanding, and a commitment to holistic care. With the right resources and support, survivors of PICS can regain their quality of life and move forward into a healthier future. In navigating the challenges of post-intensive care syndrome, it is crucial to foster awareness, advocate for appropriate resources, and promote a compassionate approach to recovery. Ultimately, every survivor's journey is unique, but with the right tools and support, a fulfilling life beyond the ICU is possible.

Opportunity to chat with other former ICU patients and their family members about ICU and post ICU experiences.

Meet with one of our non-medical professionals to ask any questions about PICS, available services, our research library, articles and other materials of interest, PICS Clinics, etc.