Great patient video about #icudelirium

Great patient video about #icudelirium Watch this 17-year old patient explain her experience

http://abcnews.go.com/Health/teen-explains-life-coma/story?id=32473542

Thanks to Dale Needham (@DrDaleNeedham) for tweeting this to our attention.

Comments

Comment: 

Although an interesting video, it paints too rosy a picture of what MOST patients probably go through.
It is noteworthy though that at least for this person (n=1 but worthy of more study), the icu environment, especially voices and tactile input had either positive (the voices from people she loved) or negative (voices she didn't know or like) influence on her coma induced thoughts.

Email: 
flahertyinchina@yahoo.com

Comment: 

While deep sedation/coma is occasionally needed to appropriately manage patients like Claire with sepsis/ARDS, it not a routine goal of therapy in the ICU. Sedative-induced coma, particularly when it occurs over a prolonged period without interruption like it did in Claire, will frequently lead to delirium (that is often associated with both fear and negative delusions), persistent cognitive dysfunction (that may prevent patients from going back home and getting back to their pre-ICU life), serious post ICU sleep abnormalities and severe ICU-acquired weakness that prevents patients from being able to get back to normal activities. While Claire is a very lucky young lady, her story is not representative of the vast majority of patients who require deep sedation/coma during their ICU admission.

Email: 
j.devlin@neu.edu