Rehabilitation in the intensive care unit (RehabICU). Clinical practice recommendations of the national Union of Physical and Rehabilitation Medicine Specialists of Russia and of the national Federation of Anesthesiologists and Reanimatologists

After discharge from the Intensive Care Unit (ICU), more than 50 % of patients experience pathological symptoms that are not related to primary emergency but reduce quality life and require rehabilitation. Post Syndrome (PIСS) include only those conditions do have a direct causal relationship with condition gave rise hospitalization in ICU. The pathophysiological basis PICS is phenomenon “learned non-use”: state artificial limitation patient’s motor cognitive activity as result use analgosedation, bed rest immobilization. clinical picture determined by severity its individual components, detailed using package clinimetric scales. Based on results dynamic testing, index calculated. sum scores range 0 10 reflects effectiveness rehabilitation measures. For prevention PICS, Union Rehabilitologists Russia together Federation Anesthesiologists Resuscitators has developed complex “ReabICU”. In English-language literature, such called “Awakening Breathing Coordination, Delirium monitoring/management, Early exercise/mobility” bundle. ReabICU technologically therapeutic diagnostic modules “positioning mobilization”, “prevention dysphagia nutritional deficiency”, emotional impairment delirium”, loss self-care skills”. multidisciplinary team, which includes doctor for medical rehabilitation, 2 specialists physical specialist occupation therapy, psychologist, speech therapist, nurse team evaluated criteria achievement main goal — preservation premorbid status socialization.