The Psychiatrist in the Surgical Intensive Care Unit

Nadelson, Theodore

doi:10.1001/archsurg.1976.01360200019002

Cited by 37 publications

(17 citation statements)

References 28 publications

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“…4 Patients are simultaneously subjected to a threat to life, the awe of medical procedures, an inability to communicate needs, a new and threatening environment, and the loss of personal control.…”

Section: Psychological Factorsmentioning

confidence: 99%

Intensive Care Unit Syndrome

McGuire¹,

Basten²,

Ryan³

et al. 2000

Arch Intern Med

177

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Section: Psychological Factorsmentioning

confidence: 99%

Intensive Care Unit Syndrome

McGuire¹,

Basten²,

Ryan³

et al. 2000

Arch Intern Med

177

View full text Add to dashboard Cite

“…In their review they concluded that the collective incidence of postoperative delirium was 36.8%; however, this ranged from an incidence of 0% to a maximum rate of 73.5%. The aetiology of postoperative confusion is multifactorial and includes factors such as the type, quantity and duration of anaesthetic and time spent in the intensive care environment 11,12 . Similar factors also exist for the postoperative cardiac surgical patient; however, additional cardiac specific factors may also contribute to the occurrence of confusion and other neuropsychological abnormalities in these patients.…”

Section: Discussionmentioning

confidence: 99%

Postoperative confusion assessed with the Short Portable Mental Status Questionnaire

Eissa

Andrew

Baker

2003

ANZ Journal of Surgery

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“…[ 1 11 We have certainly experienced that feeling and continue to do so intermittently, depending on the critical medical demands on the unit. It has been our experience, however, that because of the psychological demands on the medical and nursing staff in the intensive care setting, the liaison psychiatrist who has developed a sound relationship with the unit staff is increasingly and enthusiastically called upon for his special expertise.…”

Section: I Scussl Onmentioning

confidence: 99%

Liaison Psychiatry: A Role on the Medical Intensive Care Unit

Billig

1982

Int J Psychiatry Med

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A psychiatric liaison program on a medical intensive care unit is described. The principle elements of the program include the psychiatrist becoming a member of the MICU "team" via: 1) attendance at morning medical rounds; 2) conducting case conferences; 3) availability to the nursing staff as a separate entity; 4) consulting with the unit directors; and 5 ) supervising a resident in psychiatry in his consultative work on the unit. The liaison psychiatrist's presence on the team facilitates an holistic approach to the patient and deals with intra-staff and patient-staff reactions in the critical care setting.Liaison psychiatry, in the past ten years, has assumed an increasingly important role in promoting an holistic approach to the patient. The liaison psychiatrist attempts to bridge the gap between mind and body, viewing the medically or surgically ill patient as needing attention for his physical problems as well as hs psychological reactions to those difficulties. Furthermore, he is sensitive to the interplay between staff and patient and the impact of that interaction on patient care.We have had an experience, over the past two years, in which a psychiatrist has been integrated into the treatment team of a medical intensive care unit in a large university hospital. This article will describe our experience and present a model for the psychiatrist's role on the MICU team as clinician, teacher, and consultant. Our model demonstrates a balance between liaison and consultative

show abstract

The Psychiatrist in the Surgical Intensive Care Unit

Cited by 37 publications

References 28 publications

Intensive Care Unit Syndrome

Intensive Care Unit Syndrome

Postoperative confusion assessed with the Short Portable Mental Status Questionnaire

Liaison Psychiatry: A Role on the Medical Intensive Care Unit

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