POST-INTENSIVE CARE SYNDROME: RECENT ADVANCES AND PROSPECTS POST-INTENSIVE CARE SYNDROME: RECENT ADVANCES AND FUTURE PERSPECTIVES

• DOI: https://doi.org/10.22533/at.ed.159552515013

• Palavras-chave: Post-intensive care syndrome, Intensive care unit, Rehabilitation, Intensive care.

• Keywords: Post-intensive care syndrome, Intensive care unit, Rehabilitation, Intensive care.

• Abstract:

  Objective: To examine recent evidence on Post-Intensive Care Syndrome (PICS), addressing its pathophysiology, epidemiology, assessment methods, risk factors, preventive strategies and therapeutic options, in order to identify practices that improve the prognosis and quality of life of post-ICU patients. Methodology: Narrative Bibliographic Review, which used the Pubmed database, through the search strategy: (post-intensive care syndrome) AND ((rehabilitation) OR (treatment)) in the period from 2019 to 2024. After applying the inclusion and exclusion criteria, 17 articles were selected for this study. Review: Post Intensive Care Syndrome (PICS) affects up to 70% of patients in intensive care units (ICUs). Its consequences significantly compromise the quality of life of survivors and can last for months or years after hospital discharge. Prevention and management strategies, such as early mobilization, have proven effective in reducing muscle atrophy and functional recovery, while innovative technologies, such as therapeutic vibration devices and virtual reality, help with physical and cognitive rehabilitation. Final considerations: Multidisciplinary support is essential to address the multiple aspects of PICS in an integrated and individualized way. However, the implementation and integration of these new strategies face challenges, such as a lack of resources, inadequate team training and logistical barriers, which limit their consistent and comprehensive application in the hospital and post-discharge environment. Therefore, future research should focus on validating effective interventions and optimizing post-ICU care.