Authors: Herr D, Martin C, Kort I, Reinecke M, Schieffer B, Markus B.
Based on the study results of the last twenty years, there has been predominantly positive experience with providing intensive care diaries for critical ill patients. But now, recent data from a large-scale, multi-center prospective randomised study has shown a rather opposite result. According to the results of this study, the most feared diseases after a time of unconsciousness due to serious illness which consquences intensive care unit (ICU) stay, like post post-traumatic stress disorder (PTSD) anxiety and depression could not be significantly affected and reduced. Thus, the effect and the efficacy of the ICU diary becomes critically questioned. Against the background of our own experiences in Cardiac Arrest Center at University Hospital of Marburg, where we see more than 250 patients with severe multiorgan dysfunction due to cardiogenic- septic shock, partly after cardiopulmonary rescusitation every year, and the results of the currend literature, we will here discuss these new study results in order to ensure the best possible support for this patient cohort on ICU and their relatives in an exceptional cruel and stressfull situation.
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