Surviving Intensive Care: Advanced Cardiorespiratory Physiotherapy

Flashcards covering key concepts from the lecture on Surviving Intensive Care and Advanced Cardiorespiratory Physiotherapy.

What are some primary respiratory causes for ICU admission?

Main causes: Pneumonia, multi-trauma

Intubation, ciliary erosion, drugs, inflammatory mediator response, trauma from suctioning.

What are common complications associated with mechanical ventilation in ICU?

V/Q mismatching, monotonous breathing pattern, decreased surfactant release, decreased lung compliance, pulmonary atelectasis, high FiO2, high PEEP, low tidal volume.

What is atelectasis and its prevalence in ICU?

Atelectasis is the collapse of alveoli, common in ICU with prevalence reported as 95% in intubated patients.

What are some cardiovascular and musculoskeletal complications in ICU?

Cardiovascular deconditioning, muscle atrophy and weakness, immobility, inflammation, dysfunctional micro-circulation, and electrolyte disturbances.

What is the purpose of physiotherapy in critical care?

To prevent and mitigate adverse effects of prolonged bed rest and mechanical intervention, promoting recovery.

What is post intensive care syndrome (PICS)?

A range of long-term physical and psychological complications following critical illness, including cognitive impairments, mental health issues, and physical disabilities.

What are the assessment tools used to evaluate physical function in ICU patients?

PFIT, CPAx, Perme mobility scale, SOMS, IMS, FSS-ICU.

What is the Richmond Agitation and Sedation Scale (RASS)?

A scale used to assess a patient's level of consciousness and sedation in ICU.

What constitutes a positive assessment on CAM-ICU?

Presence of acute change in mental status, inattention, altered level of consciousness, or disorganized thinking.

What are some common cognitive impairments reported after ICU discharge?

Memory impairments, executive function deficits, and reduced mental processing speed.

What role does goal setting play in the rehabilitation of ICU patients?

Goals are established to facilitate recovery and reintegration into society, focusing on physical, psychological, and functional outcomes.