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Post-Intensive Care Syndrome

Post-Intensive Care Syndrome

Post-Intensive Care Syndrome

A Practical Approach
Editor:
Brad W. Butcher, University of Pittsburgh School of Medicine, Pennsylvania
Ramona O. Hopkins, , Lindsey R. Morris, Michael Baram, Samantha Bottom-Tanzer, Sarah Kader, Eric J. Mahoney, Felipe González-Seguel, Sabrina Eggmann, Owen Gustafson, Kirby P. Mayer, Selina M. Parry, Joshua I. Gordon, Nathan E. Brummel, Nicole Langton-Frost, Martin B. Brodsky, Kate J. Lambell, Lee-anne S. Chapple, Emma J. Ridley, Chukwudi A. Onyemekwu, Kelly M. Toth, Niall T. Prendergast, Timothy D. Girard, Janna R. Raphelson, Robert L. Owens, Erin L. Hall, Dorothy Wade, Heyi Li, Michael Baram, Felipe González-Seguel, Sabrina Eggmann, Owen Gustafson, Kirby P. Mayer, Selina M. Parry, Dario Villalba, Kelly S. Casey, Erin L. Hall, Dorothy Wade, Teresa Deffner, Maggie Keogh, Arvind V. Murali, Elizabeth B. Hewett, Neha S. Dangayach, Gabriel Heras La Calle, José Manuel Velasco Bueno, Cassiano Teixeira, Regis Goulart Rosa, Peter Nydahl, Brigitte Teigeler, Teresa Deffner, Sikar H. Khan, Sophia Wang, Babar Khan, Kate Tantam, Tania Lovell, Lyndsey Uglow, Kate Tantam, Louise Rose, Natalie Pattison, Anna G. Kalema, Ashely A. Montgomery, Melissa Soper, Kehllee L. Popovich, Janet A. Kloos, Leslie P. Scheunemann, Hiam Naiditch, Gitouf Elnema, Jessica Nobile, J. Lloyd Allen, Jared W. Magnani, Sarah K. ersen Kirsten Fiest, John C. Madara, Michael Baram, Neha S. Dangayach, Jenna M. Tosto-Mancuso, Karen A. Korzick, Ross H. Perfetti, Janet F. Tomcavage, Aysar Al-Husseini, Deepali Dixit, Sugeet Jagpal, Joanna L. Stollings, Taylor J. Miller, Hiam Naiditch, Florian B. Mayr, Rita Bakhru, Howard Saft, Megan Trieu, Le T. Ho, Amy Bellinghausen, Hiam Naiditch, Janna R. Raphelson, Robert L. Owens, Lauren Costa, Kirra Mediate, Lauren Tusar Van Fleet, Veronica Tyszkiewicz, Libby J. Smith, Laura Habich, Kathlene E. Hendon, Melissa A. Jacobs, Matthew D. Smith, Sara U. Dorn, Felipe González-Seguel, Kirby Mayer, Selina Parry, Hallie Zeleznik, Samantha Green, Meg Williamson, Maria Shoemaker, Avital Isenberg, Patsy Bryant, James C. Jackson, Ramona O. Hopkins, Dharman Ramnarain, Ricarda Pingel, MariaTwichell, Sjaak Pouwels, Maria Twichell, Jean-Luc Banks, Jamie L. Tingey, Jessica M. Hampton, Megan M. Hosey, Ross H. Perfetti, Jessica Lee, Taylor Lincoln, rew L. Thurston, Ji Won Shin, Judith Tate, Heather Imperato-Shedden, Annie B. Johnson, Chisom A. Ikeji, Leslie P. Scheunemann, George E. Sayde, Sachin Agarwal, Julia M. Carlson, Matthew N. Jaffa, Samuel K. McGowan, Ann M. Parker, Lekshmi Santhosh, Ericka L. Fink, Aline B. Maddux, Debbie A. Long, Brenda M. Morrow, Julia A. Heneghan, Trevor A. Hall, Karen Choong, Rubén Eduardo Lasso Palomino, Pei Fen Poh, Joseph C. Manning, Sarah Holler, Michael G. Allison, Franziska Herpich, Scott H. Hommel, Sr. Karen A. Korzick, Constance M. Bovier, Cori Davis, Derek C. Angus
Published:
December 2025
Format:
Paperback
ISBN:
9781009501484

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Paperback

    This practical book offers in-depth explorations of the pathophysiology of post-intensive care syndrome (PICS), risk factors for its development, strategies for prevention, approaches to diagnosis and management, and general principles of ICU survivorship and aftercare, accompanied by case studies and personal perspectives from survivors of critical illness and their loved ones. An international, interprofessional group of experts covers key topics, including delirium, ICU-acquired weakness, and other hazards of hospitalization; the ABCDEF bundle, ICU diaries, and family-centred care; ICU follow-up clinics and peer support programs; and comprehensive rehabilitation strategies and therapeutic interventions both in and after the hospital. Special populations, including older adults, children, those with long-COVID syndrome, and survivors of neurological injury and cardiac arrest are also discussed. The book is essential reading for physicians, nurses, and allied health professionals caring for this patient population and serves as a detailed reference to help patients with PICS better understand the condition.

    • Given the increasing number of people impacted by PICS and the need for healthcare providers to educate themselves on this syndrome, this book tackles a topical and increasingly important subject that extends well beyond critical care medicine
    • Over the course of 57 chapters authored by current leaders in the field, all the essential information for healthcare providers caring for patients with PICS is provided in this singular and comprehensive reference text
    • The book features contributions from a multi-disciplinary and international collective of authors, making it ideal for the intended readership and representing more professions and countries than any other current text

    Product details

    December 2025
    Paperback
    9781009501484
    650 pages
    234 × 156 mm
    0.25kg
    Not yet published - available from December 2025

    Table of Contents

    • Foreword
    • Part I. Introduction:
    • 1. Developing the concept of the Post-Intensive Care Syndrome (PICS): a historical narrative
    • 2. Fundamentals of PICS
    • 3. The pathophysiology of PICS
    • Part II. The Hazards of Hospitalization:
    • 4. Immobility ICU-acquired weakness
    • 5. Frailty in the critically ill
    • 6. Dysphagia in the critically ill
    • 7. Nutritional impairments in the critically ill
    • 8. Delirium in the critically ill
    • 9. Sleep impairments in the critically ill
    • 10. The psychological impacts of hospitalization
    • Part III. Strategies to Prevent PICS:
    • 11. Bundles checklists
    • 12. Physical rehabilitation in the ICU hospital
    • 13. Cognitive rehabilitation in ICU hospital
    • 14. Psychological care in the ICU hospital
    • 15. The role of spirituality throughout the continuum of care
    • 16. Humanisation of the ICU
    • 17. Family-centered Care in the ICU hospital
    • 18. ICU diaries
    • 19. Music as therapy in the ICU
    • 20. Animal assisted interventions in the ICU
    • 21. The importance of fresh air in intensive care
    • 22. Transitioning from the ICU to home
    • Part IV. General Principles of Critical illness Survivorship Follow-up Care:
    • 23. A holistic approach to care
    • 24. Health E=equity the social model of disability
    • 25. Social determinants of health their relationship with critical illness
    • 26. What matters most to patients families
    • 27. A brief history of ICU follow-up clinics
    • 28. Fundamentals of ICU follow-up clinics
    • 29. Telemedicine-based ICU follow-up clinics digital health
    • 30. Financial considerations for ICU follow-up clinics
    • 31. Best practices for interprofessional teams
    • Part V. Diagnosis Management of PICS:
    • 32. Medication management across the continuum of care
    • 33. Mortality, chronic disease, healthcare utilization in survivors of critical illness
    • 34. Quality of life in survivors of critical illness
    • 35. Pulmonary diaphragmatic complications in survivors of critical illness
    • 36. Common somatic concerns in survivors of critical illness
    • 37. Sleep impairments in survivors of critical illness
    • 38. Persistent dysphagia in survivors of critical illness
    • 39. Laryngeal disorders in survivors of critical illness
    • 40. Nutrition Impairments in Survivors of Critical
    • 41. Physical Impairments in Survivors of Critical illness
    • 42. Functional Impairments in Survivors of Critical illness
    • 43. Cognitive Impairments in Survivors of Critical illness
    • 44. Resuming Employment Driving
    • 45. The Role of Physiatry Consultation in PICS
    • 46. Psychological Outcomes in Survivors of Critical illness
    • 47. Palliative Care Needs in Survivors of Critical illness
    • 48. Post-intensive care syndrome – family
    • 49. Peer support for survivors of critical illness their loved ones
    • Part VI. PICS in Specific Populations:
    • 50. PICS in older survivors of critical illness
    • 51. PICS in survivors of cardiac arrest
    • 52. PICS in survivors of neurological Insult
    • 53. The long-COVID syndrome
    • 54. PICS in pediatric survivors of critical illness
    • Part VII. Conclusions:
    • 55. PICS advocacy
    • 56. A case study of PICS
    • 57. In their own words: Perspectives from survivors their loved ones
    • Afterword.
      Contributors
    • Ramona O. Hopkins, , Lindsey R. Morris, Michael Baram, Samantha Bottom-Tanzer, Sarah Kader, Eric J. Mahoney, Felipe González-Seguel, Sabrina Eggmann, Owen Gustafson, Kirby P. Mayer, Selina M. Parry, Joshua I. Gordon, Nathan E. Brummel, Nicole Langton-Frost, Martin B. Brodsky, Kate J. Lambell, Lee-anne S. Chapple, Emma J. Ridley, Chukwudi A. Onyemekwu, Kelly M. Toth, Niall T. Prendergast, Timothy D. Girard, Janna R. Raphelson, Robert L. Owens, Erin L. Hall, Dorothy Wade, Heyi Li, Michael Baram, Felipe González-Seguel, Sabrina Eggmann, Owen Gustafson, Kirby P. Mayer, Selina M. Parry, Dario Villalba, Kelly S. Casey, Erin L. Hall, Dorothy Wade, Teresa Deffner, Maggie Keogh, Arvind V. Murali, Elizabeth B. Hewett, Neha S. Dangayach, Gabriel Heras La Calle, José Manuel Velasco Bueno, Cassiano Teixeira, Regis Goulart Rosa, Peter Nydahl, Brigitte Teigeler, Teresa Deffner, Sikar H. Khan, Sophia Wang, Babar Khan, Kate Tantam, Tania Lovell, Lyndsey Uglow, Kate Tantam, Louise Rose, Natalie Pattison, Anna G. Kalema, Ashely A. Montgomery, Melissa Soper, Kehllee L. Popovich, Janet A. Kloos, Leslie P. Scheunemann, Hiam Naiditch, Gitouf Elnema, Jessica Nobile, J. Lloyd Allen, Jared W. Magnani, Sarah K. ersen Kirsten Fiest, John C. Madara, Michael Baram, Neha S. Dangayach, Jenna M. Tosto-Mancuso, Karen A. Korzick, Ross H. Perfetti, Janet F. Tomcavage, Aysar Al-Husseini, Deepali Dixit, Sugeet Jagpal, Joanna L. Stollings, Taylor J. Miller, Hiam Naiditch, Florian B. Mayr, Rita Bakhru, Howard Saft, Megan Trieu, Le T. Ho, Amy Bellinghausen, Hiam Naiditch, Janna R. Raphelson, Robert L. Owens, Lauren Costa, Kirra Mediate, Lauren Tusar Van Fleet, Veronica Tyszkiewicz, Libby J. Smith, Laura Habich, Kathlene E. Hendon, Melissa A. Jacobs, Matthew D. Smith, Sara U. Dorn, Felipe González-Seguel, Kirby Mayer, Selina Parry, Hallie Zeleznik, Samantha Green, Meg Williamson, Maria Shoemaker, Avital Isenberg, Patsy Bryant, James C. Jackson, Ramona O. Hopkins, Dharman Ramnarain, Ricarda Pingel, MariaTwichell, Sjaak Pouwels, Maria Twichell, Jean-Luc Banks, Jamie L. Tingey, Jessica M. Hampton, Megan M. Hosey, Ross H. Perfetti, Jessica Lee, Taylor Lincoln, rew L. Thurston, Ji Won Shin, Judith Tate, Heather Imperato-Shedden, Annie B. Johnson, Chisom A. Ikeji, Leslie P. Scheunemann, George E. Sayde, Sachin Agarwal, Julia M. Carlson, Matthew N. Jaffa, Samuel K. McGowan, Ann M. Parker, Lekshmi Santhosh, Ericka L. Fink, Aline B. Maddux, Debbie A. Long, Brenda M. Morrow, Julia A. Heneghan, Trevor A. Hall, Karen Choong, Rubén Eduardo Lasso Palomino, Pei Fen Poh, Joseph C. Manning, Sarah Holler, Michael G. Allison, Franziska Herpich, Scott H. Hommel, Sr. Karen A. Korzick, Constance M. Bovier, Cori Davis, Derek C. Angus

    • Editor
    • Brad W. Butcher , University of Pittsburgh School of Medicine, Pennsylvania

      Brad W. Butcher is Associate Professor in the Department of Critical Care Medicine at the University of Pittsburgh School of Medicine in Pittsburgh, Pennsylvania. He is a fellow of the American College of Critical Care Medicine and the founder and Director of the Critical Illness Recovery Center at UPMC Mercy, a preeminent ICU follow-up clinic. He is a recognized clinical expert on the care of patients with post-intensive care syndrome and a leader in survivorship research.