Details

Autor(en) / Beteiligte

• Hwang, David Y.

Titel

Is Post-Neurointensive Care Syndrome Actually a Thing?

Ist Teil von

• Neurocritical care, 2019-12, Vol.31 (3), p.453-454

Ort / Verlag

New York: Springer US

Erscheinungsjahr

2019

Link zum Volltext

Quelle

SpringerLink (Online service)

Beschreibungen/Notizen

• Consider the myasthenic patient with prolonged weakness, the intracerebral hemorrhage (ICH) patient with permanent cognitive deficits, or the hemispheric stroke patient with long-term depression. Because of how these patients’ specific disorders inevitably drive their physical, cognitive, and mental disabilities far beyond ICU discharge, their situations are different from that of the recovering ARDS/sepsis patient without primary brain injury. While studying risk factors of and interventions for PICS-F is an area where general intensivists and neurointensivists can and should collaborate, LaBuzetta and colleagues close their review with the important concept that preventing PICS-F among caregivers may actually have important implications—not just for the well-being of families as an end to itself, but also for patient recovery, as patient recovery is inevitably impacted by caregiver health. Given the high potential for caregiver burden and long-standing psychological distress among families to impact physical, cognitive, and mental outcomes among patients (whether one wants to label these outcomes collectively as “PICS” or not!), the Neurocritical Care Society would likely be wise to consider supporting family-centered approaches into its upcoming strategies to “cure coma” as a unifying society-wide research mission.