Chronic post-ICU pain: A review of the mechanism and the rehabilitation management

Anaesthesia, Pain & Intensive Care Pub Date : 2024-02-05 DOI:10.35975/apic.v28i1.2389

Arnengsih Nazir

{"title":"Chronic post-ICU pain: A review of the mechanism and the rehabilitation management","authors":"Arnengsih Nazir","doi":"10.35975/apic.v28i1.2389","DOIUrl":null,"url":null,"abstract":"Objectives: This review aimed to explore the pain mechanism and rehabilitation management of functional impairments due to chronic post-ICU pain (CPIP). \nMethodology: Articles were searched using PubMed and Google Scholar databases with keywords chronic pain, chronic post-ICU pain, persistent pain, ICU-related pain, ICU survivor, and rehabilitation. All types of articles that were written in English and available in full-text format were considered for analysis. \nResults: The cause of CPIP is not certainly known, but several factors associated with the incidence of CPIP have been identified including genetic, premorbid conditions, medical intervention, and ICU care, as well as psychological or social factors. CPIP management aims to prevent disabilities due to chronic pain and improve functional abilities. The rehabilitation program of CPIP begins with a prevention program from the acute phase to the follow-up phase. The rehabilitation program consists of physical modalities, exercise, occupational therapy, and psychological or social counseling, as well as cognitive behavioral therapy (CBT). The CBT program has been shown to be effective in improving long-term outcomes, preventing the incidence of PICS, and improving the functional status of ICU survivors. \nAbbreviations: ADL- Activities of Daily Living; ARDS- Acute Respiratory Distress Syndrome; CBT- Cognitive Behavioral Therapy; CPIP- Chronic Post-ICU Pain; ICU- Intensive Care Unit; PTSD- Post-Traumatic Stress Disorder; QoL- Quality of Life \nConclusion: CPIP caused functional impairments in ICU survivors and rehabilitation management has been proven beneficial in improving functional outcomes. \nKeywords: Chronic Pain; Counseling; Intensive Care Unit; Survivors \nCitation: Nazir A. Chronic post-ICU pain: A review of the mechanism and the rehabilitation management. Anaesth. pain intensive care 2024;28(1):159−165; DOI: 10.35975/apic.v28i1.2389 \nReceived: September 06, 2023; Reviewed: October 30, 2023; Accepted: December 09, 2023","PeriodicalId":108815,"journal":{"name":"Anaesthesia, Pain & Intensive Care","volume":"182 4","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2024-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Anaesthesia, Pain & Intensive Care","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.35975/apic.v28i1.2389","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 0

Abstract

Objectives: This review aimed to explore the pain mechanism and rehabilitation management of functional impairments due to chronic post-ICU pain (CPIP). Methodology: Articles were searched using PubMed and Google Scholar databases with keywords chronic pain, chronic post-ICU pain, persistent pain, ICU-related pain, ICU survivor, and rehabilitation. All types of articles that were written in English and available in full-text format were considered for analysis. Results: The cause of CPIP is not certainly known, but several factors associated with the incidence of CPIP have been identified including genetic, premorbid conditions, medical intervention, and ICU care, as well as psychological or social factors. CPIP management aims to prevent disabilities due to chronic pain and improve functional abilities. The rehabilitation program of CPIP begins with a prevention program from the acute phase to the follow-up phase. The rehabilitation program consists of physical modalities, exercise, occupational therapy, and psychological or social counseling, as well as cognitive behavioral therapy (CBT). The CBT program has been shown to be effective in improving long-term outcomes, preventing the incidence of PICS, and improving the functional status of ICU survivors. Abbreviations: ADL- Activities of Daily Living; ARDS- Acute Respiratory Distress Syndrome; CBT- Cognitive Behavioral Therapy; CPIP- Chronic Post-ICU Pain; ICU- Intensive Care Unit; PTSD- Post-Traumatic Stress Disorder; QoL- Quality of Life Conclusion: CPIP caused functional impairments in ICU survivors and rehabilitation management has been proven beneficial in improving functional outcomes. Keywords: Chronic Pain; Counseling; Intensive Care Unit; Survivors Citation: Nazir A. Chronic post-ICU pain: A review of the mechanism and the rehabilitation management. Anaesth. pain intensive care 2024;28(1):159−165; DOI: 10.35975/apic.v28i1.2389 Received: September 06, 2023; Reviewed: October 30, 2023; Accepted: December 09, 2023

查看原文本刊更多论文

重症监护室术后慢性疼痛：机制与康复管理综述

研究目的本综述旨在探讨重症监护室术后慢性疼痛（CPIP）导致功能障碍的疼痛机制和康复管理。研究方法：使用 PubMed 和 Google Scholar 数据库检索文章，关键词为慢性疼痛、ICU 后慢性疼痛、持续性疼痛、ICU 相关疼痛、ICU 幸存者和康复。所有以英文撰写并以全文形式提供的文章类型都被纳入分析范围。结果：CPIP的病因尚不明确，但已发现与CPIP发病率相关的几个因素，包括遗传、病前状况、医疗干预、ICU护理以及心理或社会因素。CPIP 的管理旨在预防慢性疼痛导致的残疾，并改善功能能力。CPIP 的康复计划从急性期的预防计划开始，直至后续阶段。康复计划包括物理疗法、运动、职业疗法、心理或社会咨询以及认知行为疗法（CBT）。CBT 计划已被证明能有效改善长期疗效、预防 PICS 的发生并改善 ICU 幸存者的功能状态。缩写：缩写：ADL- 日常生活活动；ARDS- 急性呼吸窘迫综合征；CBT- 认知行为疗法；CPIP- ICU 后慢性疼痛；ICU- 重症监护室；PTSD- 创伤后应激障碍；QoL- 生活质量结论：CPIP 会导致重症监护室幸存者的功能障碍，而康复管理已被证明有利于改善其功能结果。关键词慢性疼痛；咨询；重症监护室；幸存者引文：纳齐尔-A：纳齐尔-A.重症监护室术后慢性疼痛：机制与康复管理综述。Anaesth. pain intensive care 2024;28(1):159-165; DOI: 10.35975/apic.v28i1.2389 Received：收稿日期：2023年09月06日；审稿日期：2023年10月30日；接受日期：2023年10月30日：收稿日期：2023 年 09 月 06 日；审稿日期：2023 年 10 月 30 日；接受日期：2023 年 12 月 09 日：接受：2023 年 12 月 09 日

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Anaesthesia, Pain & Intensive Care

自引率

0.00%

发文量