Psychiatric complications in a surgical ICU

Pathological behavior patterns are often observed in patients in the ICU. In a Surgical ICU (SICU), 7% (22/322) of a patient population required psychiatric consultation during a 6-month period. As a group, these patients had more prolonged stays, more frequent requirements for mechanical ventilatio...

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Bibliographic Details
Published inCritical care medicine Vol. 5; no. 4; p. 199
Main Authors Hale, M, Koss, N, Kerstein, M, Camp, K, Barash, P
Format Journal Article
LanguageEnglish
Published United States 01.07.1977
Subjects
Adolescent
Adult
Aged
Anxiety - therapy
Burns
Cardiac Surgical Procedures
Depression - therapy
Female
Humans
Intensive Care Units
Male
Mental Disorders - therapy
Middle Aged
Neurocognitive Disorders - therapy
Postoperative Care
Psychotic Disorders - therapy
Suicide, Attempted
Surgical Procedures, Operative
Vascular Surgical Procedures
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Summary:Pathological behavior patterns are often observed in patients in the ICU. In a Surgical ICU (SICU), 7% (22/322) of a patient population required psychiatric consultation during a 6-month period. As a group, these patients had more prolonged stays, more frequent requirements for mechanical ventilation, a higher incidence of cardiac arrest and a higher mortality rate than the entire SICU population. The psychiatrist was asked to evaluate multiple behavioral syndromes, some of which were irreversible concomitants of grave illnesses. However, with certain syndromes, psychiatric assistance greatly facilitated the resolution of problems that hampered pre- and postoperative management and the patient's eventual recovery.
ISSN:0090-3493
DOI:10.1097/00003246-197707000-00008