Diagnostic Criteria for Chronic Critical Illness Should Be Standardized

2021 ◽  
Vol 49 (10) ◽  
pp. e1060-e1061
Author(s):  
Sicheng Li ◽  
Xiuwen Wu ◽  
Jianan Ren
Keyword(s):  
Critical Illness ◽  
Diagnostic Criteria ◽  
Chronic Critical Illness

scholarly journals Attending to Methodological Challenges in Qualitative Research to Foster Participation of Individuals with Chronic Critical Illness and Communication Impairments

2021 ◽  
Vol 8 ◽  
pp. 233339362110000
Author(s):  
Fuchsia Howard ◽  
Sarah Crowe ◽  
Scott Beck ◽  
Gregory Haljan
Keyword(s):  
Qualitative Research ◽  
Critical Illness ◽  
Therapeutic Relationship ◽  
Prolonged Mechanical Ventilation ◽  
Future Research ◽  
Interpretive Description ◽  
Study Participation ◽  
Chronic Critical Illness ◽  
Conducting Research ◽  
Communication Impairments

Individuals with chronic critical illness experience multiple complex physiological disturbances including ongoing respiratory failure, requiring prolonged mechanical ventilation, and thus communication impairments. In conducting a qualitative interpretive description study, we sought to ensure that individuals with chronic critical illness themselves were included as participants. Our commitment to recruiting these individuals to the study and ensuring their data meaningfully informed the analysis and findings required us to reconsider and challenge some of the traditional notions of high-quality qualitative research and develop appropriate practical strategies. These strategies included: (1) centering participant abilities and preferences, (2) adopting a flexible approach to conducting interviews, (3) engaging in a therapeutic relationship, and (4) valuing “thin” data. In this article, we extend existing literature describing the complexities of conducting research with individuals with communication impairments and strategies to consider in the hopes of informing future research with other populations historically excluded from study participation.

Incidence and risk factors for chronic critical illness: A prospective cohort study

2017 ◽  
Vol 42 ◽  
pp. 405-406
Author(s):  
Paola Tonin Carpeggiani ◽  
Júlia Bertholdo Bossardi ◽  
Fabricio Piccoli Fortuna ◽  
Vanessa Piccoli ◽  
Nicole Elen Lira ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cohort Study ◽  
Critical Illness ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Chronic Critical Illness

Association of Glycemic Control Parameters with Clinical Outcomes in Chronic Critical Illness

2014 ◽  
Vol 20 (9) ◽  
pp. 884-893 ◽  
Author(s):  
Rifka Schulman ◽  
Erin Moshier ◽  
Lisa Rho ◽  
Martin Casey ◽  
James Godbold ◽  
...  
Keyword(s):  
Critical Illness ◽  
Glycemic Control ◽  
Clinical Outcomes ◽  
Control Parameters ◽  
Chronic Critical Illness

scholarly journals Persistent inflammation, immunosuppression and catabolism syndrome: mechanisms of sarcopenia and ways of correction

2021 ◽  
Vol 16 (7-8) ◽  
pp. 110-117
Author(s):  
S.M. Chuklin ◽  
S.S. Chuklin ◽  
G.V. Shershen
Keyword(s):  
Intensive Care ◽  
Critical Illness ◽  
Necrotizing Pancreatitis ◽  
Clinical Manifestations ◽  
Severe Trauma ◽  
Significant Loss ◽  
Mild Degree ◽  
Persistent Inflammation ◽  
Chronic Critical Illness ◽  
Severe Pathology

Due to advances in intensive care, many patients with severe pathology are discharged from intensive care units. However, prolonged mild degree inflammation persists in some patients, recovery is protracted, and chronic critical illness develops in them. In addition, persistent inflammation, immunosuppression and catabolism arise. In 2012, this condition was identified as a separate syndrome, which can be observed after severe trauma and burns, sepsis, necrotizing pancreatitis. Significant loss of muscle mass that is difficult to correct is one of the leading clinical manifestations in this case. Using literature from the MEDLINE database, modern ideas about the mechanisms of sarcopenia in the persistent inflammation, immunosuppression and catabolism syndrome and possible ways of optimal anabolic support are described.

scholarly journals Deciding in the dark: Advance directives and continuation of treatment in chronic critical illness*

2009 ◽  
Vol 37 (3) ◽  
pp. 919-925 ◽  
Author(s):  
Sharon L. Camhi ◽  
Alice F. Mercado ◽  
R Sean Morrison ◽  
Qingling Du ◽  
David M. Platt ◽  
...  
Keyword(s):  
Critical Illness ◽  
Advance Directives ◽  
Chronic Critical Illness

Pediatric Chronic Critical Illness, Prolonged ICU Admissions, and Clinician Distress

2021 ◽  
Author(s):  
Alison H. Miles ◽  
Cynda H. Rushton ◽  
Brian M. Wise ◽  
Aka Moore ◽  
Renee D. Boss
Keyword(s):  
Intensive Care Unit ◽  
Content Analysis ◽  
Intensive Care ◽  
Critical Illness ◽  
Pediatric Intensive Care Unit ◽  
Pediatric Intensive Care ◽  
Goals Of Care ◽  
Chronic Critical Illness ◽  
Conventional Content Analysis ◽  
Clinical Interactions

AbstractTo gain an in-depth understanding of the experience of pediatric intensive care unit (PICU) clinicians caring for children with chronic critical illness (CCI), we conducted, audiotaped, and transcribed in-person interviews with PICU clinicians. We used purposive sampling to identify five PICU patients who died following long admissions, whose care generated substantial staff distress. We recruited four to six interdisciplinary clinicians per patient who had frequent clinical interactions with the patient/family for interviews. Conventional content analysis was applied to the transcripts resulting in the emergence of five themes: nonbeneficial treatment; who is driving care? Elusive goals of care, compromised personhood, and suffering. Interventions directed at increasing consensus, clarifying goals of care, developing systems allowing children with CCI to be cared for outside of the ICU, and improving communication may help to ameliorate this distress.

Metabolic and endocrine changes in acute and chronic critical illness

2020 ◽  
pp. 3906-3913
Author(s):  
Eva Boonen ◽  
Greet Van den Berghe
Keyword(s):  
Critical Illness ◽  
Anterior Pituitary ◽  
Chronic Phase ◽  
Stressful Event ◽  
Metabolic Alterations ◽  
Exogenous Substrate ◽  
Chronic Critical Illness ◽  
Substrate Deprivation ◽  
Hormonal Release ◽  
Persistent Critical Illness

Critical illness, an extreme form of severe physical stress, is characterized by important endocrine and metabolic changes. The development of critical care medicine has made possible survival from conditions that were previously rapidly fatel, and as a result many patients now enter a prolonged phase of chronic or persistent critical illness. Acute endocrine adaptations are directed towards providing energy and substrates for the vital fight or flight response in the context of exogenous substrate deprivation. Distinct endocrine and metabolic alterations characterize the chronic phase of critical illness, which seems to no longer be solely beneficial and may hamper recovery and rehabilitation. Onset of the stressful event causes an acute activation of pulsatile hormonal release from the anterior pituitary, followed by suppression in the chronic phase of illness, ultimately resolving to normality if recovery occurs.

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