06 Sep 2023 | Ricki Nusser-Müller-Busch, MSc
Publication of S2e Guideline for Multimodal Neurorehabilitation Concepts for 'Post-Intensive Care Syndrome'
The aim of the AWMF S2e guideline is to develop a multidisciplinary and -professional guideline for the rehabilitation of PICS.
ICU survivors often suffer from various impairments in their physical, cognitive, and mental health conditions called post-intensive care syndrome (PICS). PICS is a variable and complex syndrome that requires an individual and multidisciplinary treatment-approach.
A multi-professional working group of 15 health professionals has answered 10 scientific questions using a structured, evidence-based approach.
The evidence resulted in 12 recommendations, 4 treatment options and a statement about the prevention or treatment of PICS.
Recommendations: Early mobilization, motor training, and nutritional/dysphagia management should be put into practice.
Delirium prophylaxis focuses on behavioral interventions. Diaries in the intensive care unit can prevent psychological, mental health problems such as anxiety and post-traumatic stress disorder.
Early rehabilitation-interventions are required during the stay in the intensive care unit, acute and rehabilitative inpatient and outpatient care.
Renner, C., Jeitziner, M.-M., Albert, M., Brinkmann, S., Diserens, K., Dzialowski, I., Heidler, M.-D., Lück, M., Nusser-Müller-Busch, R., Sandor, P. S., Schäfer, A., Scheffler, B., Wallesch, C., Zimmermann, G., & Nydahl, P. (2023, 2023/07/31). Guideline on multimodal rehabilitation for patients with post-intensive care syndrome. Critical Care, 27(1), 301.
https://doi.org/10.1186/s13054-023-04569-5