POST-INTENSIVE CARE SYNDROME (PICS)

April 17, 2020

After leaving the ICU, some Covid-19 patients may suffer from what is known as post-intensive care syndrome (PICS).

About:

  • PICS is defined as new or worsening impairment in physical (ICU-acquired neuromuscular weakness), cognitive (thinking and judgment), or mental health status arising after critical illness and persisting beyond discharge from the acute care setting.

  • Further, such patients may experience neuromuscular weakness, which can manifest itself in the form of poor mobility and recurrent falls.

  • Psychological disability may arise in a person in the form of depression, anxiety and post-traumatic stress disorder (PTSD).

  • The most common PICS symptoms are generalised weakness, fatigue, decreased mobility, anxious or depressed mood, sexual dysfunction, sleep disturbances and cognitive issues.

  • Cause: PICS may be induced if a person was on prolonged mechanical ventilation, experienced sepsis, multiple organ failure and a prolonged duration of “bed-restore deep sedation”. 

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