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Kyle B. Enfield, MD, and Kimberley J. Haines, PhD, BHSc, discuss implementing post-ICU clinics and peer support groups following critical illness to help reduce the burden of post-intensive care syndrome. Dr. Haines participated in the Society of Critical Care Medicine’s (SCCM) THRIVE Collaborative which is an ongoing initiative to provide resources and education for ICU patient survivors and families following their ICU stay. Drs. Enfield and Haines clarify qualitative methods used in the study published in the September 2019 issue of Critical Care Medicine (Haines K, et al. Crit Care Med. 2019;47:1194-1200), and navigate ways to overcome some of the barriers in implementing post-ICU clinics. Dr. Haines is a senior ICU physiotherapist and physiotherapy researcher lead at Western Health in Melbourne, Australia. Dr. Haines discloses that her research team was funded by SCCM and that she was the recipient of an SCCM THRIVE Research Grant. This podcast is sponsored by Sound Critical Care.
Ranjit Deshpande, MD, and Pratik P. Pandharipande, MD, FCCM, discuss the impact of critical illness on neurocognitive and physical functions. Dr. Pandharipande explains his findings from the BRAIN-ICU cohort (Jackson C, et al. The Lancet. 2014;2:369-379) on depression, post-traumatic stress disorder, and functional disability in survivors of critical illness funded by the National Institutes of Health. Dr. Pandharipande also presented on this topic at the Society’s 48th Critical Care Congress. Dr. Pandharipande is professor of anesthesiology and surgery at Vanderbilt University Medical Center in Nashville, Tennessee, USA. This podcast is part 2 of a series sponsored by Baxter Healthcare Corporation.
Richard J. Wall, MD, MPH, and Nancy Chambers, MDiv, discuss an article published in the April issue of Critical Care Medicine titled, "Spiritual Care of Families in the ICU." Dr. Wall is a senior research fellow in the division of pulmonary of critical care medicine and Reverend Chambers is the director of spiritual care in the University of Washington Healthcare System.
Susan Bratton, MD, MPH, discusses an editorial published in the September 2006 issue of Pediatric Critical Care Medicine, "Physician Experience with Family Presence During Pediatric Cardiopulmonary Resuscitation." Dr. Bratton is professor of pediatric critical care medicine at the University of Utah.
Crit Care Med. 2017;45(1):103-128
In the ICU, medical staff do all they can to assist patients and get them back to health as quickly as possible. In the process of saving lives, bedside manner and communication may suffer. Host Elizabeth H. Mack, MD, MS, FCCM, is joined by Lauren Rissman, MD, to discuss the eye-opening experience Dr. Rissman had when she was admitted to the ICU from the labor and delivery unit and the importance of having a patient advocate (Rissman L. Pedtr Crit Care Med. 2021;22:1072-1073). Dr. Rissman is a pediatric specialist in the Division of Pediatric Critical Care Medicine at Ann and Robert H. Lurie Children’s Hospital of Chicago in Chicago, IL.
Ranjit Deshpande, MD, speaks with Guideline co-chairs Judy E. Davidson, DNP, RN, FAAN, FCCM, and J. Randall Curtis MD, MPH, about the newly released “Guidelines for Family-Centered Care in the Neonatal, Pediatric, and Adult ICU.” Dr. Davidson is a member of the American Association of Critical-Care Nurses, National Association of Clinical Nurse Specialists, American Academy of Nursing Ethics Advisory Board, American Nurses Association, and Sigma Theta Tau International. Dr. Curtis is a member of the American Thoracic Society. Access the guidelines and related tools at www.sccm.org/guidelines. Crit Care Med. 2017; 45(1):103-128.
Michael S. Weinstein, MD, FACS, FCCP, speaks with Marc Moss, MD, lead author of an article published in the September Critical Care Medicine, “Surrogate and Patient Discrepancy Regarding Consent for Critical Care Research.” The article highlights differences between critically ill patients and their surrogate decision makers regarding their willingness to participate in critical care research studies. Moss is the Roger S. Mitchell Professor of Medicine at the University of Colorado Denver in Aurora, Colorado.
Former SCCM president Mitchell M. Levy, MD, FCCM, discusses communications bundles with podcast editor Jeffrey Guy, MD, MSc, MMHC. Levy was a presenter for the April 26th webcast titled “Integrating the Communication Bundles into your ICU,” which outlined strategies to reduce patient and family anxiety and to create a positive environment for the critically ill patient. Levy is a professor of medicine and a division chief of pulmonary and critical care medicine at Brown University School of Medicine in Providence, Rhode Island.
Clinicians aim to communicate with surrogates of ICU patients in ways that both inform them of the patient’s medical condition and support their emotional needs. Written communication, as a supplement to traditional verbal communication, may overcome some of the challenges that clinicians face when engaging with families in the ICU. Diane C. McLaughlin, DNP, AGACNP-BC, CCRN, FCCM, is joined by Jared Greenberg, MD, MSc, to discuss the article “Daily Written Care Summaries for Families of Critically Ill Patients: A Randomized Controlled Trial,” published in the September 2022 issue of Critical Care Medicine (Greenberg J, et al. Crit Care Med. 2022;50:1296-1305). Dr. Greenberg is assistant professor of internal medicine in the Division of Pulmonary, Critical Care and Sleep Medicine at Rush University Medical Center in Chicago, Illinois. This podcast is sponsored by Sound Physicians.
Fifteen-year-old Rowen Cartmill played basketball for Westside Christian High School’s freshman team on January 8, 2022. Three days later, he was in the pediatric intensive care unit (ICU) at Randall Children’s Hospital in Portland, Oregon, intubated, sedated, and paralyzed, and on extracorporeal membrane oxygenation (ECMO).
There are five key areas patients and families should consider they prepare to be discharged from the ICU or hospital. These include the equipment you may need for daily activities at home, what medications you may need and common mistakes about medications, follow-up appointments, and what do if you are struggling at home.
Children may experience post-intensive care syndrome (PICS) after a stay in the intensive care unit. Symptoms include learning and attention difficulties, post-traumatic stress disorder, sadness and depression, difficulty sleeping, behavior changes, motor dysfunction, breathing problems, feeding problems and difficulty hearing and seeing. Families may also be impacted by PICS. Help prepare your whole family to identify and treat PICS.
As children leave the pediatric intensive care unit, parents may notice changes. Some children may have additional needs after a stay in the PICU. This video aims to share stories and examples that exemplify challenges after a PICU stay.
Sepsis is the body’s overwhelming and life-threatening response to infection. This video offers strategies for sepsis survivors and their families
The Warrior Within is an audio relaxation exercise that post-intensive care syndrome (PICS) suffers can use as part of a meditation practice.
Intensive Care: A Guide for Patients and Relatives is a booklet produced by ICUSteps. It contains advice and information about intensive care. It tells you how critical illness may be treated and what recovery may be like.
ICUsteps is the United Kingdom's only support group for people who have been affected by critical illness and has helped many former patients, their relatives and medical staff from organisations around the world.
After the ICU is a group of doctors, former patients and other healthcare professionals, working together to provide ICU patients, their families and other medical professionals with information about the road to recovery after critical illness
healthtalk.org provides free, reliable information about health issues by sharing people's real-life experiences.