Revue Neurologique ( IF 2.8 ) Pub Date : 2021-09-23 , DOI: 10.1016/j.neurol.2021.08.003 O Ben Hadj Salem 1
Admission to ICU for patients with long-term disease is always the result of a reflection for short and long term benefit. When the disease is about functional or cognitive autonomy, we have to think with ethical considerations to allow the patient to find acceptable quality of life after Intensive Care Unit (ICU).
ICU complications through the prism of neurological incapacitated patients will be described.
As neurodegenerative disorder like Parkinson's disease shares common points with delirium or sepsis associated encephalopathy (SAE), there is a theoretic link to think that ICU could worsen cognitive function among patients with neurodegenerative disorder (ND). However, clinical data are still very poor.
Regarding long term sequelae after ICU stay and probable synergy between ICU and incapacitated patients to worsen their handicap, different angles should be considered when those patients are referred to ICU.
中文翻译:
神经功能障碍患者的神经重症监护
长期疾病患者入住 ICU 始终是对短期和长期利益进行反思的结果。当疾病与功能或认知自主有关时,我们必须从伦理考虑考虑让患者在重症监护室 (ICU) 后找到可接受的生活质量。
将描述通过神经失能患者的棱镜引起的 ICU 并发症。
由于像帕金森病这样的神经退行性疾病与谵妄或脓毒症相关脑病 (SAE) 有共同点,因此理论上认为 ICU 可能会恶化神经退行性疾病 (ND) 患者的认知功能。然而,临床数据仍然很差。
关于入住 ICU 后的长期后遗症以及 ICU 和失能患者之间可能的协同作用使他们的残障恶化,这些患者在转入 ICU 时应考虑不同的角度。