Year 2020 in review – Post‑acute intensive care

Česká verzia

Authors: J. Djakow ^1,2
Authors place of work: Následná intenzivní péče pro děti, NH Hospital, a. s., Nemocnice Hořovice ¹; Klinika dětské anesteziologie a resuscitace, Fakultní nemocnice Brno a Lékařská fakulta Masarykovy Univerzity, Brno ²
Published in the journal: Anest. intenziv. Med., 31, 2020, č. 6, s. 305-309
Category: Review Articles

Summary

Post-acute intensive care is intended for treatment and rehabilitation of patients who still need life-sustaining treatment (usually mechanical ventilation) after successful management of an acute phase of a disease. The goal of the therapy can be either weaning of arteficial ventilation or change and support of care with some type of home mecanical ventilation support (invasive or non-invasive). The probability of weaning from mechanical ventilation is much lower in paediatric patients as the disease spectrum associated with chronic respiratory failure also significantly differs. This ‘year-in-review’ article summarizes the most interesting publications in the field of post-acute and long-term care for adults and children published in the last 12–18 months. It covers topics from intensive care unit (ICU) factors influencing transfer and outcomes of post-acute care to chosen therapeutic modalities in post-acute care facilities. The theme of paediatric long-term ventilation and life-threatening and life-limiting diseases is outlined in separate paragraph. The last part of the review is dedicated to the health-related quality of life (HRQoL) as reported by patients and their families together with associated ethical topics. Last short section introduces the most important clinical practice guidelines published in the last year and relevant for the post-acute care facilities.

Keywords:

post‑acute care – long‑term acute care – mechanical ventilation – weaning – health‑ related quality of life – ethics

Zdroje

1. Onofri A, Broomfield A, Tan HL. Transition to Adult Care in Children on Long‑Term Ventilation. Front Pediatr 2020; 8: 548839.

2. Cederwall CJ, Naredi S, Olausson S, Rose L, Ringdal M. Prevalence and Intensive Care Bed Use in Subjects on Prolonged Mechanical Ventilation in Swedish ICUs. Respir Care 2020. doi: 10.4187/respcare.08117.

3. Lee JM, Lee SM, Song JH, Kim YS. Clinical outcomes of difficult‑to‑wean patients with ventilator dependency at intensive care unit discharge. Acute Crit Care 2020; 35: 156–163.

4. Abdelaal Ahmed Mahmoud MAA, Younis M, Jamshidi N, Hussein HA, Farag E, Hamza MK, et al. Timing of Tracheostomy in Pediatric Patients: A Systematic Review and Meta‑Analysis. Crit Care Med 2020; 48: 233–240.

5. Brown J. Tracheostomy to Noninvasive Ventilation: From Acute Care to Home. Sleep Med Clin 2020; 15: 593–598.

6. Schönhofer B, Geiseler J, Dellweg D, Fuchs H, Moerer O, Weber‑Carstens S, et al. Prolonged Weaning – S2k‑Guideline Published by the German Respiratory Society. Pneumologie 2019; 73: 723–814.

7. Mart MF, Williams Roberson S, Salas B, Pandharipande PP, Ely EW. Prevention and Management of Delirium in the Intensive Care Unit. Semin Respir Crit Care Med 2020. doi: 10.1055/s-0040-1710572.

8. Caplan GA, Teodorczuk A, Streatfeild J, Agar MR. The financial and social costs of delirium. Eur Geriatr Med 2020; 11: 105–112.

9. Siegel EJ, Traube C. Pediatric delirium: epidemiology and outcomes. Curr Opin Pediatr 2020; 32: 743–749.

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18. Ceriana P, Nava S, Vitacca M, Carlucci A, Paneroni M, Schreiber, et al. Noninvasive ventilation during weaning from prolonged mechanical ventilation. Pulmonology 2019; 25: 328–333.

19. Villalba D, Gil Rossetti G, Scrigna M, Collins J, Rocco A, Matesa A, et al. Prevalence of and Risk Factors for Mechanical Ventilation Reinstitution in Patients Weaned From Prolonged Mechanical Ventilation. Respir Care 2020; 65: 210–216.

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23. Roberts AR, Smith AC, Bowblis JR. Nursing Home Social Services and Post‑Acute Care: Does More Qualified Staff Improve Behavioral Symptoms and Reduce Antipsychotic Drug Use? J Am Med Dir Assoc 2020; 21: 388–394.

24. Foy CM, Koncicki ML, Edwards JD. Liberation and mortality outcomes in pediatric long‑term ventilation: A qualitative systematic review. Pediatr Pulmonol 2020. doi: 10.1002/ppul.25003.

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29. Kharasch SJ, Dumas H, O’Brien J, Shokoohi H, Al Saud AA, Liteplo A, et al. Detecting Ventilator‑Induced Diaphragmatic Dysfunction Using Point‑of‑Care Ultrasound in Children With Long‑term Mechanical Ventilation. J Ultrasound Med 2020. doi: 10.1002/jum.15465.

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34. Johannsen J, Fuhrmann L, Grolle B, Morgenstern L, Wiegand‑Grefe S, Denecke J. The impact of long‑term ventilator‑use on health‑related quality of life and the mental health of children with neuromuscular diseases and their families: need for a revised perspective? Health Qual Life Outcomes 2020; 18: 219.

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38. Boss RD, Henderson CM, Raisanen JC, Jabre NA, Shipman K, Wilfond BS. Family Experiences Deciding For and Against Pediatric Home Ventilation. J Pediatr 2020. doi: 10.1016/j. jpeds.2020. 10. 014.

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