Textbook of Post-ICU Medicine : the Legacy of Critical Care

Surviving critical illness is not always the happy ending we imagine for patients. Many ICU survivors suffer from a range of long-lasting physical and psychological issues such end stage renal disease, congestive heart failure, cognitive impairment, neuromuscular weakness, and depression or anxiety, which affect their overall quality of life and ability to lead productive lives. This lingering burden or 'legacy' of critical illness is now recognized as a major public health issue, with major efforts underway to understand how it can be prevented, mitigated, or treated. The Textbook of Post-ICU Medicine: The Legacy of Critical Care discusses the science of the recovery process and the innovative treatment regimens which are helping ICU survivors regain function as they heal following trauma or disease. Describing the major clinical syndromes affecting ICU survivors, the book delineates established or postulated biological mechanisms of the post-acute recovery process, and discusses strategies for treatment and rehabilitation to promote recovery in the ICU and in the long term. The chapters are written by an interdisciplinary panel of leading clinicians and researchers working in the field. The book serves as a unique reference for general practitioners, internists and nurses caring for long term ICU survivors as well as specialists in intensive care medicine, neurology, psychiatry, and rehabilitation medicine. Machine Generated Contents Note: Pt. 1 Life After The Icu -- 1.introduction: Life After The Icu / Margaret S. Herridge -- 2.critical Illness And Long-term Outcomes Worldwide / Neill K.j. Adhikari -- 3.mortality After Critical Illness / Hannah Wunsch -- 4.the Role Of Long-term Ventilator Hospitals / Jeremy M. Kahn -- 5.the Overlap Of Palliative Care And Critical Illness / Judith E. Nelson -- 6.patterns Of Recovery After Critical Illness / Theodore J. Iwashyna -- 7.quality Of Life After Critical Illness / Peter E. Spronk -- 8.costs And Resource Utilization In Prolonged Critical Illness / Christopher E. Cox -- 9.caring For The Icu Survivor: The Family Caregiver Burden / Mark D. Siegel. 10.survival And Recovery: A Patients Perspective / Cheryl Misak -- 11.one Family's Perspective On The Legacy Of Critical Illness / David Dyzenhaus -- Pt. 2 Chronic Organ Dysfunction Following Critical Illness -- 12.introduction: Chronic Organ Dysfunction Following Critical Illness / Greet Hermans -- Contents Note Continued: 13.chronic Multiple Organ Dysfunction / Shannon S. Carson -- 14.prolonged Respiratory Insufficiency And Ventilator Dependence In The Icu / Laurent Brochard -- 15.the Long-term Outcomes Of Acute Kidney Injury / Ziv Harel -- 16.severe Burn Injuries And Their Long-term Implications / David N. Herndon -- 17.consequences Of Endotracheal Intubation And Tracheostomy / Stefan Kluge. Pt. 3 Cognitive And Behavioural Disorders Following Critical Illness -- 18.introduction: Cognitive And Behavioural Disorders Following Critical Illness / E. Wesley Ely -- 19.cognitive Impairment Following Critical Illness / James C. Jackson -- 20.depressive Mood States Following Critical Illness / O. Joseph Bienvenu -- 21.post-traumatic Stress Disorder Following Critical Illness / Richard D. Griffiths -- 22.sleep Disorders And Recovery From Critical Illness / Nancy A. Collop -- Pt. 4 Neuromuscular And Musculoskeletal Disorders Following Critical Illness -- Contents Note Continued: 23.introduction: Neuromuscular And Musculoskeletal Disorders Following Critical Illness / Naeem A. Ali. 24.long-term Implications Of Icu-acquired Muscle Weakness / Victoria Mccredie -- 25.bone And Joint Disease Following Critical Illness / Guy Trudel -- Pt. 5 Biological Mechanisms Of Injury And Repair -- 26.introduction: Biological Mechanisms Of Injury And Repair / Robert D. Stevens -- 27.genetic Determinants Of Sepsis Outcomes / Derek C. Angus -- 28.physiological Reserve And Frailty In Critical Illness / Sean M. Bagshaw -- 29.cognitive Reserve / Robert D. Stevens -- 30.pathophysiology Of Acute Kidney Injury, Repair, And Regeneration / Hamid Rabb -- 31.myocardial Remodelling After Myocardial Infarction / Michael Marber -- 32.sepsis-associated Encephalopathy / Tarek Sharshar. 33.critical Illness Neuropathy, Myopathy, And Sodium Channelopathy / Mark M. Rich -- 34.the Impact Of Critical Illness On Skeletal Muscle Structure / Catherine L. Hough -- Contents Note Continued: 35.skeletal Muscle Mass Regulation In Critical Illness / Stephen Harridge -- 36.malnutrition In Critical Illness: Implications, Causes, And Therapeutic Approaches / Marina Mourtzakis -- Pt. 6 Therapeutic And Rehabilitation Strategies In The Icu -- 37.introduction: Therapeutic And Rehabilitation Strategies In The Icu / Nicholas Hart -- 38.choice Of Renal Replacement Therapy And Renal Recovery / Rinaldo Bellomo -- 39.ventilator Liberation Strategies / Luca Fasano -- 40.rethinking Sedation In The Icu / Sangeeta Mehta. 41.sleep-promoting Strategies / V. Marco Ranieri -- 42.effects Of Insulin And Glycaemic Management On Neuromuscular Function / Greet Hermans -- 43.physical And Occupational Therapy In The Icu / John P. Kress -- 44.neuromuscular Electrical Stimulation: A New Therapeutic And Rehabilitation Strategy In The Icu / Serafim N. Nanas -- 45.exercise And Early Rehabilitation In The Intensive Care Unit / Rik Gosselink -- Contents Note Continued: Pt. 7 Therapeutic And Rehabilitation Strategies In The Post-icu Period -- 46.introduction: Therapeutic And Rehabilitation Strategies In The Post-icu Period / Richard D. Griffiths. 47.assessment Of Peripheral And Respiratory Muscle Strength In Icu / John Moxham -- 48.clinical Pathways For The Continuum Of Rehabilitation / Stephen Brett -- 49.prolonged Weaning / Nicholas Hart -- 50.models Of Rehabilitative Care After Critical Illness / Jill I. Cameron -- 51.post-icu Rehabilitation / Linda Denehy -- 52.narratives Of Illness And Healing After The Icu / Christina Jones -- 53.icu Follow-up Clinics / Brian H. Cuthbertson. Edited By Robert D. Stevens, Nicholas Hart, Margaret S. Herridge. Includes Bibliographical References And Index. Describing the major clinical syndromes affecting ICU survivors, this resource delineates established or postulated biological mechanisms of the post-acute recovery process, and discusses strategies for treatment and rehabilitation to promote recovery in the ICU and in the long term. Many ICU survivors suffer from a range of long-lasting physical and psychological issues such as end stage renal disease, congestive heart failure, cognitive impairment, neuromuscular weakness, and depression or anxiety, which affect their overall quality of life and ability to lead productive lives. This online work discusses the science of the recovery process and the innovative treatment regimens which are helping ICU survivors regain function as they heal following trauma or disease. This lingering burden or 'legacy' of critical illness is now recognized as a major public health issue, with major efforts underway to understand how it can be prevented, mitigated, or treated. Intensive care unit (ICU) teams have traditionally focused on short term goals, however, recent research demonstrates that many ICU survivors can suffer from ill health and mental health issues for months or years to follow. The book identifies the long term outcomes of ICU and the steps that can be taken to improve patients' health and wellbeing.