Viele Intensivpatienten sind nach der Klinik-Entlassung von schwerwiegenden persistierenden
oder neu aufgetretenen körperlichen, kognitiven, psychischen und sozialen Folgen betroffen
(Post-ICU-Syndrom). Dies hat sowohl Auswirkung auf das weitere Leben als auch auf
die Prognose. Maßnahmen zur Verminderung bzw. Vermeidung dieser Komplikationen und
eine strukturierte Behandlung nach Entlassung müssen wesentliche Ziele der Intensivmedizin
darstellen.
Abstract
Many intensive care patients are affected by serious persistent or new physical, cognitive,
psychological, and social consequences after discharge (post-ICU syndrome). This has
an impact on the rest of life as well as the prognosis. To reduce or avoid these complications
and structured treatment after discharge must be essential goals of intensive care
medicine. Prevention of PICS is of central importance. The knowledge that many elements
of the symptoms are triggered or intensified by therapeutic treatments as part of
intensive therapy offers the opportunity to modify. Therapy must be designed to reduce
potential sequelae, with the avoidance of overtreatment, such as sedation. These understanding
must lead to critically questioning who is admitted to an intensive care unit and
for whom a realistic therapy goal in terms of functionality, quality of life and life
expectancy can be achieved. Ultimately, the treatment of intensive care patients must
not end when they are discharged from the intensive care unit or hospital. Patients
at risk for the very different facets of a PICS must be identified and linked to appropriate
care institutions. This requires the establishment of post-ICU facilities, such as
consultation hours in clinics or outpatient clinics.
Schlüsselwörter
Intensivtherapie - Langzeitfolgen - Beatmung - Post-ICU-Syndrom - Post-ICU-Care
Keywords
intensive therapy - long-term consequences - post-ICU syndrome - ventilation - post-ICU
care
