The Society of Critical Care Medicine’s (SCCM) ICU Liberation initiative aims to liberate patients from the harmful effects of pain, agitation/sedation, delirium, immobility, and sleep disruption (PADIS) in the intensive care unit (ICU). This initiative aims to improve patient outcomes after an ICU stay and reduce the risk of long-terms consequences from an ICU stay.
Among the harmful effects possible is post-intensive care syndrome (PICS), defined as new or increased physical, cognitive, or mental health impairment in a patient after hospitalization in a critical care unit.
Through the 2018 Clinical Practice Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU, known as the PADIS Guidelines, and the ABCDEF Bundle, the ICU Liberation initiative seeks to empower the multiprofessional team to provide care that can improve outcomes for patients after they leave the ICU.
Studies have shown that implementing ventilator weaning protocols, maintaining light levels of sedation, and preventing and managing delirium can improve patient outcomes. Early mobilization and family engagement also play a key role in reducing long- and short-term consequences of an ICU stay. The greatest benefit occurs when these interventions are combined.
ICU Liberation offers numerous tools and resources to educate each member of the multiprofessional team on how to implement these interventions.
The PADIS Guidelines foster the delivery of excellent care in these areas and stimulate the completion of pragmatic, patient-centered research across each of these important critical care domains.
The ABCDEF Bundle offers guidance on how to implement the guidelines. ICU Liberation provides resources related to bundle implementation, including those specific to each bundle element.
The ICU Liberation Resource Library is a robust library of resources by bundle element, providing a wealth of presentations, implementation tools, articles, and other educational material.