ICU Rehabilitation

의학이 발전하면서 중환자 치료의 기술이 발전하여 점차 사망률이 낮아지고 있지만 생존자가 증가할수록 이환율의 증 가, 장기적 합병증에 대해 관심이 많아지고 있다. 1980년대에 처음으로 critical illness polyneuropathy (CIP)가 정의되었고 [1], 2011년도 성인호흡곤란증후군으로 중환자실 치료를 받은 109명의 생존자를 5년까지 추적 관찰하였던 연구에서 호흡기 Abstract Post-intensive care unit (ICU) syndrome including decreased physical function, cognitive decline, and mental problems may occur after intensive care unit treatment. It is an independent predictor of mortality and associated with a longer duration of mechanical ventilation and hospital stay. In the ICU, everyday interruption of sedation, and encouraging spontaneous breathing trial can be done, and patients are selected for early mobilization and rehabilitation according to inclusion criteria. ICU rehabilitation is safe, feasible, and carried out through a team approach of ICU physicians, rehabilitation doctors, physical therapists, and nurses.