دانلود کتاب سندرم پس از مراقبت های ویژه

Until relatively recently, our role as intensivists focused solely on managing patients within the intensive care unit (ICU), with little (if any) thought about the patient’s post-ICU discharge course. We were happy if the patient survived their critical illness and reached a stage where they could be discharged! In recent years, however, we have begun to be increasingly aware of the long-term outcomes of ICU patients – the physical, cognitive, and/or psychological problems that are encountered by many patients for months and even years after their ICU discharge. The psychological impact of critical illness on family members is also a concern, with many close relatives suffering symptoms of anxiety, posttraumatic stress, and depression for many years after the discharge of their loved one. Importantly, many of these post-ICU complaints could be reduced with improved patient management during the ICU admission. Less sedation, more careful use of medications known to impact long-term outcomes such as corticosteroids, earlier mobilization, improved nutritional support, better communication, and involvement of family members are some examples of approaches that can help limit the development and severity of post-ICU complications and improve post-ICU quality of life. As intensivists, we need to think not just about survival per se but also about the quality of that survival to reflect on how our interventions may impact the health and well-being of each patient and their family after discharge. As the demand for intensive care increases and ICU mortality rates decreases, so the population of ICU survivors is also increasing, carrying with it an urgent need to heighten awareness of post-intensive care syndrome, improve our understanding of the underlying mechanisms and causes, and determine how best to prevent and treat these complications. This book, written by international experts in this field, is therefore an important and timely volume and of value for all intensivists as we strive to maximize long-term, quality-of-life outcomes for our patients and their families.