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超越生存:理解重症监护后综合征。

Beyond survival: understanding post-intensive care syndrome.

作者信息

Gupta Lovish, Subair Maazen Naduthra, Munjal Jaskaran, Singh Bhupinder, Bansal Vasu, Gupta Vasu, Jain Rohit

机构信息

Maulana Azad Medical College, New Delhi, India.

Sri Ramachandra Institute of Higher Education and Research, Chennai, India.

出版信息

Acute Crit Care. 2024 May;39(2):226-233. doi: 10.4266/acc.2023.01158. Epub 2024 May 24.

Abstract

Post-intensive care syndrome (PICS) refers to persistent or new onset physical, mental, and neurocognitive complications that can occur following a stay in the intensive care unit. PICS encompasses muscle weakness; neuropathy; cognitive deficits including memory, executive, and attention impairments; post-traumatic stress disorder; and other mood disorders. PICS can last long after hospital admission and can cause significant physical, emotional, and financial stress for patients and their families. Several modifiable risk factors, such as duration of sepsis, delirium, and mechanical ventilation, are associated with PICS. However, due to limited awareness about PICS, these factors are often overlooked. The objective of this paper is to highlight the pathophysiology, clinical features, diagnostic methods, and available preventive and treatment options for PICS.

摘要

重症监护后综合征(PICS)是指在重症监护病房停留后可能出现的持续性或新发的身体、精神和神经认知并发症。PICS包括肌肉无力;神经病变;认知缺陷,包括记忆、执行功能和注意力障碍;创伤后应激障碍;以及其他情绪障碍。PICS在患者入院后可能会持续很长时间,并会给患者及其家庭带来重大的身体、情感和经济压力。一些可改变的风险因素,如脓毒症持续时间、谵妄和机械通气,与PICS有关。然而,由于对PICS的认识有限,这些因素常常被忽视。本文的目的是强调PICS的病理生理学、临床特征、诊断方法以及现有的预防和治疗选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ab1/11167423/e89d564c92b1/acc-2023-01158f1.jpg

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