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Interprofessional approach to postintensive care syndrome Hideaki SAKURAMOTO 1 1University of Tsukuba Hospital, ICU/ER pp.195-204
Published Date 2018/1/1
DOI https://doi.org/10.11477/mf.3102200489
  • Abstract
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Postintensive care syndrome (PICS) is defined as impairments in cognition, psychological health, and physical function in survivors of the intensive care unit (ICU). While the etiology of PICS is complex and multifactorial, evidence over the past several decades suggests that there are several important, potentially modifiable risk factors, which may be reduced through early and reliable adoption of interprofessional, evidence-based ICU interventions. The ABCDEFGH bundle (Awaken the patient daily, Breathing, Coordination, Delirium monitoring and management, Early mobility and exercise, Family involvement / follow-up referrals / functional reconciliation, Good handoff communication, Handout materials on PICS and PICS-F) is a recommended interprofessional, multicomponent strategy to improve collaboration among medical staff, standardize ICU processes, and break the cycle of over-sedation and prolonged mechanical ventilation, which may precipitate delirium and ICU-acquired weakness. This bundle may reduce the incidence of PICS. Implementation of the ABCDEF bundle requires members of the healthcare team to collaborate and coordinate care activities. Timely, repetitive interprofessional ‘joint training' or ‘shared learning' at the bedside may improve collaboration. Real-time data collection and feedback to check bundle element performance are being proposed. This article reviews recent literature and practices implemented at individual facilities regarding a interprofessional approach for the prevention of PICS.


Copyright © 2018, MEDICAL SCIENCES INTERNATIONAL, LTD. All rights reserved.

基本情報

電子版ISSN 2186-7852 印刷版ISSN 1883-4833 メディカル・サイエンス・インターナショナル

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