Tag: anxiety

Upvote Story 8
Music intervention has been shown to reduce anxiety and sedative exposure among mechanically ventilated patients. The aim of this study was to examine ICU costs for patients receiving a patient-directed music intervention compared with patients who received usual ICU care. The base case cost-effectiveness analysis estimated patient-directed music intervention reduced anxiety by 19 points on the Visual Analogue Scale-Anxiety with a reduction in cost of... Read More | Comment
Upvote Story 5
A few years ago, I received report that a patient was ready to be weaned from the ventilator. He had no respiratory need for mechanical ventilation, and every time the medical team attempted to wean sedation to extubate, the patient “went crazy.” As I assumed care on the night shift, I looked into the eyes of this intubated 67-year-old male patient. I asked him gently... Read More | Comment
Upvote Story 12
Survivors of intensive care are known to be at increased risk of developing longer-term psychopathology issues. We present a large UK multicentre study assessing the anxiety, depression and post-traumatic stress disorder (PTSD) caseness in the first year following discharge from an intensive care unit (ICU). Over half of those who respond to postal questionnaire following treatment on ICU in the UK reported significant symptoms of... Read More | Comment
Upvote Story 7
Symptoms of post-traumatic stress, anxiety and depression assessed 1 week after ICU stay correlate with 3-month psychological outcome. The HADS and PTSS-10 may be useful aids to identify ICU survivors at high risk for clinically significant symptoms of post-traumatic stress, anxiety and depression 3 months post ICU stay. Eighty-two patients returned the follow-up questionnaires. We found correlation between early and late scores and reasonable predictive... Read More | Comment
Upvote Story 6
The majority of included studies indicated that benzodiazepine use in the ICU is associated with delirium, symptoms of posttraumatic stress disorder, anxiety, depression, and cognitive dysfunction. Future well-designed studies and randomized controlled trials are necessary to rule out confounding by indication. Forty-nine of 3,066 unique studies identified were included. Thirty-five studies reported on neuropsychiatric outcome during hospitalization, 12 after discharge, and two at both time... Read More | Comment
Upvote Story 6
Among ICU patients receiving acute ventilatory support for respiratory failure, patient-directed music (PDM) resulted in greater reduction in anxiety compared with usual care, but not compared with NCH. Concurrently, PDM resulted in greater reduction in sedation frequency compared with usual care or NCH, and greater reduction in sedation intensity compared with usual care, but not compared with NCH. The mean age was 59 years with... Read More | Comment
Upvote Story 16
The emotional trauma of a near-death experience causes ongoing emotional and physical symptoms in one-third of ICU patients. PICS doesn’t have a time limitation and can be triggered by almost anything. I was suddenly anxious every time I was outside my house, whether I was driving or not. I had no reason to be anxious, but there I was, making excuses to my kids for... Read More | Comment
Upvote Story 4
Flexible ICU visiting hours have the potential to reduce delirium and anxiety symptoms among patients and to improve family members’ satisfaction. However, they may be associated with an increased risk of burnout among ICU professionals. These conclusions are based on few studies, with small samples and moderate risk of bias. Of 16 studies identified for inclusion, seven were meta-analyzed. Most studies were rated as having... Read More | Comment
Upvote Story 5
Music and aromatherapy interventions were both effective for ICU patients. The effects of music intervention were greater than that of aromatherapy; both interventions maintained the effects for at least 30 min. The Music group had significantly better post-test VAS-A and C-STAI scores, and had lower heart rate and blood pressure than the Control group. The Aromatherapy group had significantly better VAS-A score and lower heart... Read More | Comment
Upvote Story 6
Music has been shown to reduce respiratory, cardiac and blood pressure frequencies in response to the reduction of stress hormones. In a randomized clinical trial, it was shown to reduce anxiety and sedation doses/intervals in patients receiving mechanical ventilation, but showed no superiority against noise-cancelling headphones. In addition, the study was criticized for having several limitations. Read More | Comment
Upvote Story 18
ICU experience is linked to anxiety and depression symptomatology in family members of patients. Minors may be forbidden from visiting. To bring practices in line with evidence, we determined the prevalence of anxiety and depression symptomatology in adolescents visiting a relative in the ICU. Anxiety and depression symptomatology is common in adolescent family members of ICU patients. An open visiting policy for adolescents is recommended,... Read More | Comment
Upvote Story 5
New research by Intermountain Healthcare finds family members of patients in ICU have anxiety, depression and post-traumatic stress lasting months. It’s the first study of its kind to investigate the link between cortisol levels of family members of adult ICU patients and anxiety. Knowing which family members are likely to suffer long-term effects could help caregivers offer guidance on how to help them. Read More | Comment
Upvote Story 8
A new study published in the journal Critical Care Medicine finds that a biomarker may help identify which family members will be most emotionally impacted by their loved one’s ICU stay. In particular, family members who showed a morning spike in cortisol were more likely to still be suffering from anxiety three months later. Cortisol is known as the “stress hormone,” because it can spike... Read More | Comment