Minimizing Post-Intensive Care Syndrome to Improve Outcomes for Intensive Care Unit Survivors.
Malissa A Mulkey, Pamela Beacham, Megan A McCormick and 2 others
PMID 35908764WHAT IT FOUND
ICU survivors often develop weakness, sleep problems, cognitive deficits, and PTSD.
This review recommends nurses treat pain, limit sedation, mobilize early, protect sleep, and engage families.
Key findings
01ICU-acquired weakness occurs in more than 25% of ICU survivors and is an independent risk factor for post-ICU syndrome.
02Sleep disturbances can persist for more than 1 to 2 years after discharge and increase the risk of long-term cognitive impairment.
03Family caregivers are also at risk for post-ICU syndrome, including sleep disturbance, anxiety, depression, grief, and PTSD.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTsWhat it means for RNs
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What it does not show
The search was limited to English articles published between 2016 and 2021 and excluded pediatric, neonatal, and non-ICU populations. The paper is a literature review, not a trial, so it does not test whether any one practice prevents PICS. The authors state that PICS is a relatively new term, which limited the number of articles they included. Many recommendations involve several interventions together, so the contribution of any single component cannot be separated.
The easy way to misread this
Do not conclude that any single ICU nursing practice has been proven to prevent PICS. This paper reviews many practices together, and it does not test one component on its own.