Rehabilitation in the intensive care unit (RehabICU). Clinical practice recommendations of the national Union of Physical and Rehabilitation Medicine Specialists of Russia and of the national Federation of Anesthesiologists and Reanimatologists-Reference-Cited by-同舟云学术

Rehabilitation in the intensive care unit (RehabICU). Clinical practice recommendations of the national Union of Physical and Rehabilitation Medicine Specialists of Russia and of the national Federation of Anesthesiologists and Reanimatologists

Published:2022-04-29 Issue:2 Volume: Page:7-40
ISSN:1818-474X
Container-title:Annals of Critical Care
language:
Short-container-title:Annals of Critical Care

Author:

Belkin Andrey A.¹^ORCID,Alasheev A. M.²^ORCID,Belkin V. A.³^ORCID,Belkina Y. B.³^ORCID,Belova A. N.⁴^ORCID,Belskii D. V.⁵^ORCID,Bodrova R. A.⁶^ORCID,Bryusov G. P.⁷^ORCID,Varako N. A.⁸^ORCID,Voznyuk I. A.⁹^ORCID,Gorbachev V. I.¹⁰^ORCID,Grechko A. V.¹¹^ORCID,Gumarova L. Sh.⁶^ORCID,Daminov V. D.¹²^ORCID,Ershov V. I.¹³^ORCID,Zhiguzhevskiy R. A.³^ORCID,Zabolotskikh I. B.¹⁴^ORCID,Zaytsev O. S.¹⁵^ORCID,Zakharov V. O.¹⁵^ORCID,Zinchenko Y. P.¹⁶^ORCID,Ivanova G. E.¹⁷^ORCID,Kaurkin S. N.¹⁸^ORCID,Knyazenko P. A.¹⁹^ORCID,Kovyazina M. S.⁸^ORCID,Kondratiev A. N.²⁰^ORCID,Kondratyeva E. A.²¹^ORCID,Kostenko E. V.²²^ORCID,Kulakova A. A.³^ORCID,Krylov V. V.²³^ORCID,Kupreychik V. L.²⁴^ORCID,Laysheva O. A.⁷^ORCID,Lebedinskii K. M.²⁵^ORCID,Levit A. L.²^ORCID,Leiderman I. N.²⁰^ORCID,Lubnin A. Yu.¹⁵^ORCID,Lukoianova E. A.⁹^ORCID,Maltceva M. N.²⁶^ORCID,Makarova M. R.²²^ORCID,Melnikova E. V.²⁷^ORCID,Mitrakov N. N.²⁸^ORCID,Mishina I. E.²⁹^ORCID,Pomeshkina S. A.²⁹^ORCID,Petrikov S. S.³⁰^ORCID,Petrova M. V.¹¹^ORCID,Pinchuk E. A.³^ORCID,Piradov M. A.³¹^ORCID,Popugaev K. A.³⁰^ORCID,Polyakova A. V.⁹^ORCID,Pogonchenkova I. V.²²^ORCID,Protsenko D. N.²⁴^ORCID,Raseva N. V.³^ORCID,Rudnik Y. N.³^ORCID,Rudnov V. A.³²^ORCID,Ryabinkina Y. V.³¹^ORCID,Savin I. A.¹⁵^ORCID,Safonova T. Yu.³^ORCID,Semenova G. B.³³^ORCID,Skripai E. Y.³^ORCID,Solodov A. A.²³^ORCID,Suvorov A. Yu.¹⁸^ORCID,Suponeva N. A.³¹^ORCID,Tokareva D. V.⁹^ORCID,Urazov S. P.³⁴^ORCID,Usachev D. Yu.¹⁵^ORCID,Fadeeva A. S.¹⁹^ORCID,Khasanova D. R.³⁵^ORCID,Khasanshin V. T.⁵^ORCID,Tsarenko S. V.²⁴^ORCID,Chuprina S. E.³⁶^ORCID,Shestopalov Y. Yu.¹⁹^ORCID,Shchegolev A. V.²¹^ORCID,Shchikota A. M.²²^ORCID,Engaus R. E.³⁷^ORCID,Norvils S. N.³⁸^ORCID

Affiliation:

1. Clinical Institute of Brain, Yekaterinburg, Russia; Ural State Medical University, Yekaterinburg, Russia

2. Sverdlovsk Regional Clinical Hospital No 1, Yekaterinburg, Russia

3. Clinical Institute of Brain, Yekaterinburg, Russia

4. Privolzhsky Research Medical University, Nizhni Novgorod, Russia

5. City Hospital No 40, Yekaterinburg, Russia

6. Kazan State Medical Academy, Kazan, Russia

7. Pirogov Russian National Research Medical University (RNRMU), Moscow, Russia

8. Lomonosov Moscow State University, Moscow, Russia; Psychological Institute of the Russian Academy of Education, Moscow, Russia; Research Center of Neurology, Moscow, Russia

9. I.I. Dzhanelidze Research Institute of Emergency Care, St. Petersburg, Russia

10. Russian Medical Academy of Continuous Professional Education, Irkutsk, Russia

11. Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia

12. Pirogov National Medical and Surgical Center, Moscow, Russia

13. Orenburg State Medical University, Orenburg, Russia

14. Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia; Kuban State Medical University, Krasnodar, Russia

15. National Medical Research Center of Neurosurgery named after N.N. Burdenko, Moscow, Russia

16. Lomonosov Moscow State University, Moscow, Russia; Psychological Institute of the Russian Academy of Education, Moscow, Russia

17. Kuban State Medical University, Krasnodar, Russia

18. Federal Center of Brain Research and Neurotechnologies, Moscow, Russia

19. Vladivostok Clinical Hospital No. 1, Vladivostok, Russia

20. Polenov Neurosurgical Institute, St. Petersburg, Russia

21. Military Medical Academy, St. Petersburg, Russia

22. Moscow Centre for Research and Practice in Medical Rehabilitation, Restorative and Sports Medicine of Moscow Healthcare Department, Moscow, Russia

23. A.I. Yevdokimov Moscow State University of Medicine and Dentistry, Moscow, Russia

24. City Clinical Hospital No 52, Moscow, Russia

25. Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia; North-Western State Medical University named after I.I. Mechnikov, St. Petersburg, Russia

26. Pavlov First State Medical University of St. Petersburg, St. Petersburg, Russia

27. Pediatric Research and Clinical Center for Infectious Diseases under the Federal Medical Biological Agency, St. Petersburg, Russia

28. Dmitry Rogachev National Research Center of Pediatric Hematology, Oncology and Immunology, Moscow, Russia

29. Ivanovo State Medical Academy, Ivanovo, Russia

30. N. V. Sklifosovskii Research Institute for Emergency Medicine of Moscow Healthcare Department, Moscow, Russia

31. Research Center of Neurology, Moscow, Russia

32. Ural State Medical University, Yekaterinburg, Russia

33. Clinical and Research Institute of Emergency Pediatric Surgery and Trauma, Moscow, Russia

34. City Hospital No 40, St. Petersburg, Russia

35. Kazan State Medical University, Kazan, Russia

36. Voronezh Region Clinical Hospital No 1, Voronezh, Russia

37. Perm Clinical Hospital named after S.N. Grinberg, Perm, Russia

38. S.S. Yudin City Clinical Hospital, Moscow, Russia

Abstract

After discharge from the Intensive Care Unit (ICU), more than 50 % of patients experience pathological symptoms that are not related to the primary emergency but reduce the quality of life and require rehabilitation. Post Intensive Care Syndrome (PIСS) include only those conditions that do not have a direct causal relationship with the emergency condition that gave rise to hospitalization in the ICU. The pathophysiological basis of the PICS is the phenomenon of “learned non-use”: a state of artificial limitation of the patient’s motor and cognitive activity as a result of the use of analgosedation, bed rest and immobilization. The clinical picture of PICS is determined by the severity of its individual components, detailed using a package of clinimetric scales. Based on the results of dynamic testing, the PICS severity index is calculated. The sum of the scores in the range from 0 to 10 reflects the severity and effectiveness of rehabilitation measures. For the prevention of PICS, the Union of Rehabilitologists of Russia together with the Federation of Anesthesiologists and Resuscitators of Russia has developed the rehabilitation complex “ReabICU”. In the English-language literature, such a complex is called “Awakening and Breathing Coordination, Delirium monitoring/management, and Early exercise/mobility” bundle. ReabICU is a complex of technologically therapeutic and diagnostic modules “positioning and mobilization”, “prevention of dysphagia and nutritional deficiency”, “prevention of emotional and cognitive impairment and delirium”, “prevention of loss of self-care skills”. The basis of the multidisciplinary rehabilitation team, which includes a doctor for medical rehabilitation, 2 specialists in physical rehabilitation, a specialist in occupation therapy, a medical psychologist, a medical speech therapist, a nurse for medical rehabilitation. The activity of multidisciplinary rehabilitation team is evaluated on the basis of quality criteria and the achievement of the main goal of ReabICU — the preservation of the premorbid status of the patient’s socialization.

Publisher

Practical Medicine Publishing House

Subject

Law,Anesthesiology and Pain Medicine,Critical Care and Intensive Care Medicine,Emergency Medicine

Reference145 articles.

1. Improving long-term outcomes after discharge from intensive care unit

2. ICU Survivorship—The Relationship of Delirium, Sedation, Dementia, and Acquired Weakness

3. SYNDROME EFFECTS OF INTENSIVE THERAPY - POST INTENSIVE CARE SYNDROME (PICS)

4. Long-Term Outcomes and the Post-Intensive Care Syndrome in Critically Ill Children: A North American Perspective

5. Respiratory Neuropathy as an Important Component of Critical Illness Polyneuromyopathy

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