Suggestions for preventing the post intensive care syndrome provided by the 2013 PAD guidelines, the ABCDE bundle and the eCASH concept

doi:10.3877/cma.j.issn.2096-1537.2017.04.003

Abstract

Abstract:

Post intensive care syndrome (PICS) describes the disability that remains in the survivors of critical illness after an intensive care unit (ICU) stay. This syndrome comprises of impairment in cognition, psychological health, and physical function in the ICU survivors, and may lead to reduced quality of life, causing a lot of suffering to these patients and their families. Recommendations have been made for preventing PICS in the 2013 PAD guidelines, in the ABCDE bundle and in the eCASH concept, all of which prioritise the management of pain, agitation and delirium in adult patients in ICU.

Key words: Post intensive care syndrome, Analgesia, Sedation

Xiaoxia Guo, Youzhong An. Suggestions for preventing the post intensive care syndrome provided by the 2013 PAD guidelines, the ABCDE bundle and the eCASH concept[J]. Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition), 2017, 03(04): 250-253.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://icu.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2096-1537.2017.04.003

https://icu.cma-cmc.com.cn/EN/Y2017/V03/I04/250

References 12

1	万献尧，张久之. ICU综合征 [J]. 中华内科杂志, 2009, 48(9):779-781.
2	Chung CR, Yoo HJ, Park J, et al. Cognitive Impairment and Psychological Distress at Discharge from Intensive Care Unit [J]. Psychiatry Investig, 2017, 14(3):376-379.
3	Barr J, Fraser GL, Puntillo K, et al. Clinical practice guidelines for the management of pain, agitation, and delirium in adult patients in the intensive care unit [J]. Crit Care Med, 2013, 41(1):263-306.
4	Davidson JE, Harvey MA, Bemis-Dougherty A, et al. Implementation of the Pain, Agitation, and Delirium Clinical Practice Guidelines and promoting patient mobility to prevent post-intensive care syndrome [J]. Crit Care Med, 2013, 41(9 Suppl 1):S136-S145.
5	Shehabi Y, Chan L, Kadiman S, et al. Sedation depth and long-term mortality in mechanically ventilated critically ill adults: a prospective longitudinal multicentre cohort study [J]. Intensive Care Med, 2013, 39(5):910-918.
6	Tan JA, Ho KM. Use of dexmedetomidine as a sedative and analgesic agent in critically ill adult patients: a meta-analysis [J]. Intensive Care Med, 2010, 36(6):926-939.
7	Balas M, Buckingham R, Braley T, et al. Extending the ABCDE bundle to the post-intensive care unit setting [J]. J Gerontol Nurs, 2013, 39(8):39-51.
8	Morandi A, Brummel NE, Ely EW. Sedation, delirium and mechanical ventilation: the ′ABCDE′ approach [J]. Cur Opin Crit Care, 2011, 17(1):43-49.
9	Vincent JL, Shehabi Y, Walsh TS, et al. Comfort and patient-centred care without excessive sedation: the eCASH concept [J]. Intensive Care Medicine, 2016, 42(6):962-971.
10	吕杰，刘丹，安友仲, 等. 以瑞芬太尼镇痛为基础的镇静治疗对危重患者谵妄发生的影响 [J]. 中华危重病急救医学, 2015, 27(9):845-849.
11	Aitken LM, Bucknall T, Kent B, et al. Sedation protocols to reduce duration of mechanical ventilation in the ICU: a Cochrane systematic review [J]. J Adv Nurs, 2016, 72(2):261-272.
12	Patel J, Baldwin J, Bunting P, et al. The effect of a multicomponent multidisciplinary bundle of interventions on sleep and delirium in medical and surgical intensive care patients [J]. Anaesthesia, 2014, 69(6):540-549.

[1]	Luqiao Pu, Baochuang Qi, Zhifang Tang, Tao Ye, Dan Xing, Dongyang Qian, Hongxin Shi, Yongqing Xu, Chuan Li. Prospectus on clinical practice guidelines for topical drugs for osteoarthritis in China [J]. Chinese Journal of Joint Surgery(Electronic Edition), 2023, 17(02): 161-164.
[2]	Juan Xu, Ruxian Sun, Dongya Zhao, Qingyan Zhang, Zhaochen Jin, Yan Cai. Effect of dexmedetomidine sequential sedation mode on prognosis and delirium in mechanically ventilated patients with moderate and deep sedation requirements [J]. Chinese Journal of Critical Care Medicine(Electronic Edition), 2023, 16(05): 363-369.
[3]	Xiao Liang, Shaonong Huang, Juzhao Zhao, Zhicong Chen, Yaomin Zhu, Yumeng Wang. Effects of dexmedetomidine combined with ropivacaine on postoperative pain, nausea and vomiting in patients undergoing temporomandibular joint surgery [J]. Chinese Journal of Stomatological Research(Electronic Edition), 2023, 17(01): 49-54.
[4]	Jinhong Gao, Shaolong Hao, Yong Liu, Yibing Weng, Wei Han, Guan Wang, Teng Zhang, Peng Liu, Lei Zhang, Xinyu Zhao. Comparison of the therapeutic effects of indomethacin suppository and lornoxicam application before laparoscopic appendectomy [J]. Chinese Archives of General Surgery(Electronic Edition), 2023, 17(04): 293-297.
[5]	Yifei Zhang, Qiang Guo, Huajian Lai, Wenwen Zhong, Lei Ye, Bo Ma, Hu Qu, Bing Yao, Jianguang Qiu, Dejuan Wang. Analysis of the effectiveness of enhanced recovery after surgery in the perioperative period of children with hypospadias [J]. Chinese Journal of Endourology(Electronic Edition), 2023, 17(04): 367-371.
[6]	Zhihui Yu, Jianjun Zhao. Application effect of posterior quadratus lumborum block combined with general anesthesia during trans-abdominal preperitoneal surgery for indirect inguinal hernia [J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2023, 17(06): 734-739.
[7]	Wenlong Xie, Jianjun Zhou. Effect of ultrasound-guided ilioinguinal and inferior iliac nerve block combined with transversus abdominis plane block in elderly patients with inguinal hernia [J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2023, 17(05): 588-592.
[8]	Tiegang Huang, Fengxia Xiao. Analgesic effect of dexamethasone combined with ropivacaine after inguinal hernia repair and its influence on serum characteristic indexes [J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2023, 17(05): 574-578.
[9]	Shaohua Zhang, Zhenhua Cui, Bin Ma, Weijuan Zhong. Effect of dexmedetomidine combined with bupivacaine in patients with Lichtenstein of inguinal hernia repair [J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2023, 17(03): 312-315.
[10]	Ning Hu, Jun Jing, Zhen Ma. Application of general anesthesia combined with ilioinguinal nerve block and rectus abdominis sheath block in patients undergoing inguinal hernia repair [J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2023, 17(03): 307-311.
[11]	Bangfeng Sun, Zhenhua Cui, Bin Ma. Comparison of anesthesia and analgesia of different concentrations of ropivacaine in inguinal hernia repair [J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2023, 17(01): 65-69.
[12]	Wenzhong Duan, Yanxia Bai, Wenting Xu, Hongxia Qi, Zhijian Lyu. Anesthetic effects of sevoflurane and propofol in hepatectomy: a Meta-analysis [J]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2023, 12(06): 640-645.
[13]	Shuai Liu, Shanshan Xu, Shuya Wang, Mengxue Hou, Mingyue Miao, Ying Tian, Linlin Zhang, Jianxin Zhou. Protocolized diagnosis and treatment for pain and agitation in critically ill adults [J]. Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition), 2023, 09(02): 135-142.
[14]	Hongyu Xu, Yashuang He. Efficacy of oxycodone and hydromorphone in postoperative analgesia after radical gastrectomy for gastric cancer [J]. Chinese Journal of Digestion and Medical Imageology(Electronic Edition), 2023, 13(05): 312-316.
[15]	Hongling La, Yugeng Li, Guiping Xu, Tao Su. Effects of conscious sedation with dexmedetomidine and sufentanil in obese patients gastroscopy [J]. Chinese Journal of Gastroesophageal Reflux Disease(Electronic Edition), 2023, 10(02): 77-81.

Please choose a citation manager

Content to export