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Ludwig H. Lin, MD, and Benjamin Moses, MD, MS, discuss Dr. Moses' talk from the 48th Critical Care Congress titled "Drug-Seeking Behavior in the ICU." They review the opioid crisis and managing addiction in the ICU. Dr. Moses is assistant professor of anesthesiology and critical care medicine at the University of Virginia in Charlottesville, Virginia, USA.
Margaret M. Parker, MD, MCCM, and Christopher S. Parshuram, MBChB, PhD, discuss clinician moral distress in Canadian pediatric and neonatal intensive care units (Dryden-Palmer,K, et al. Pediatri Crit Care Med. 2020;21(4): 314-323). They dive into a discussion on depersonalization, potentially mitigating factors, and more. Dr. Parshuram is a pediatric critical care medicine physician at The Hospital for Sick Children and professor of pediatrics at the University of Toronto in Toronto, Ontario, Canada.
Todd Fraser, MD, speaks with Arjen Slooter, MD, PhD, about the article, “Long-Term Mental Health Problems After Delirium in the ICU,” published in Critical Care Medicine. Dr. Slooter is Professor of Intensive Care Neuropsychiatry at Utrecht University’s Rudolf Magnus Brain Center. He also serves as a consultant neurologist-intensivist in the Department of Intensive Care Medicine at University Medical Center Utrecht in the Netherlands. In this article, Dr. Slooter and coauthors examine whether delirium during ICU stay is associated with long-term mental health problems defined as symptoms of anxiety, depression, and posttraumatic stress disorder. Crit Care Med. 2016; 44(10):1808-1813.
Michael S. Weinstein, MD, FACS, FCCM, speaks with Janice L. Zimmerman, MD, and Courtenay R. Bruce, JD, MA, about the article, “A Qualitative Study Exploring Moral Distress in the ICU Team: The Importance of Unit Functionality and Intrateam Dynamics*,” published in Critical Care Medicine. Dr. Zimmerman is a Professor of Clinical Medicine in the Department of Medicine at Weill Cornell Medical College, adjunct Professor of Medicine at Baylor College of Medicine, and Head of the Critical Care Division for the Department of Medicine at the Houston Methodist Hospital in Houston, Texas. Professor Bruce is an Assistant Professor of Medicine & Medical Ethics at the Center for Medical Ethics & Health Policy at Baylor College of Medicine, and Director of the Bioethics Program for the Houston Methodist Hospital System. In this article, the authors examine the key sources of moral distress in diverse critical care professionals and how they manage it in the context of team-based models.
Intensive care unit (ICU) clinicians pride themselves on their ability to care for others, even at the expense of caring for themselves. Kyle B. Enfield, MD, FSHEA, FCCM, was joined by Emily K. Valcin, DNP, RN, FCCM, during SCCM’s 2023 Critical Care Congress to discuss ICU clinician well-being and the importance of self-care.
Intensive care unit (ICU) clinicians tend to pride themselves on their ability to care for others, even if it is at the expense of taking care of themselves. Some think of this mantra of "others before me" as a badge of honor, according to James C. Jackson, PhD, PsyD, research professor and assistant director of the ICU Recovery Center at Vanderbilt University Medical Center. Dr. Jackson has a strong message to these clinicians: Now is not the time to dismiss your own needs.
To help understand what moral distress looks like and how to manage and prevent it, the Society of Critical Care Medicine recently hosted the webcast Managing Moral Distress During a Pandemic.
COVID-19 survivors who experience severe critical illness are at risk even when they leave the ICU. Long COVID is becoming recognized as a widespread problem, resulting in lower quality of life and productivity. Ludwig H. Lin, MD, is joined by E. Wesley Ely, MD, MHP, MCCM, to discuss the range of symptoms encompassing long COVID, as well as the latest research and treatment. Dr. Ely is a subspecialist in pulmonary and critical care medicine who conducts patient-oriented health services research as a professor of medicine in the Division of Allergy, Pulmonary, and Critical Care Medicine at Vanderbilt University Medical Center in Nashville, Tennessee, USA. He is a practicing intensivist and the author of Every Deep-Drawn Breath: A Critical Care Doctor on Healing, Recovery, and Transforming Medicine in the ICU. As associate director for research for the VA Tennessee Valley Geriatric Research Education and Clinical Center, his focus is on geriatric ICU care.