The Mechanical Ventilation-Respiratory Distress Observation Scale as a surrogate of self-reported dyspnoea in intubated patients

Intensive care unit (ICU) patients are exposed to many sources of discomfort, among which dyspnoea is one of the more severely distressing [1]. In invasively mechanically ventilated patients, dyspnoea is frequent (47% of intubated patients report breathing discomfort when they can first communicate with caregivers) and severe (median rating of 5 on a dyspnoea visual analogue scale (D-VAS); association with anxiety and neurovegetative signs of stress) [2]. It is often linked to ventilator settings and seems to be associated with poorer clinical outcomes (e.g. delayed extubation and post-traumatic stress disorders) [2, 3]. As in other settings, identifying and quantifying dyspnoea in mechanically ventilated patients is therefore a major clinical issue. This is challenging because self-report and self-assessment, prerequisites for D-VAS assessment [4], are often impossible or very difficult in this setting. Unfortunately, caregivers markedly underestimate dyspnoea in this context [5, 6]. The risk of occult respiratory suffering is therefore major in the ICU setting and neglecting it would amount to medical error [7].
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Original Articles: Research letters Source Type: research

Related Links:

Anxiety occasionally visits us all. When we give an important presentation, take a test, go on a first date or walk down a dark alley our minds and bodies naturally respond by going on high alert and attuning to the potential dangers and risks of these endeavors. A healthy amount of anxiety prevents us from falling victim to those dangers and risks. Choosing not to go down that dark alley could be a life-saving response. But an excessive amount of anxiety can increase our risk of suffering negative consequences. The millions of people who suffer from social anxiety disorder, panic disorder, post-traumatic stress disorder...
Source: Psych Central - Category: Psychiatry Authors: Tags: Anxiety Creativity Amygdala Humor Laughter Neuroscience Source Type: news
CONCLUSION: The FAA and LF:HF ratio may be biomarkers that represent the pathological conditions of BFM with suicidal ideation. If researched further, they may shed light on the interaction between bereavement with suicidal ideation and social resources for therapeutic intervention. PMID: 30518171 [PubMed - as supplied by publisher]
Source: Psychiatry Investigation - Category: Psychiatry Tags: Psychiatry Investig Source Type: research
This study examined the link between depression/anxiety/PTSD and dementia by evaluating the prevalence of these disorders in people with dementia, relative to their healthy peers. Existing meta-analyses have examined the prevalence of clinically-significant depression and anxiety in Alzheimer ’s disease (AD), and depression in frontotemporal dementia (FTD), but have not considered vascular dementia (VaD), dementia with Lewy bodies (DLB), PTSD, or anxiety in FTD. The current meta-analysis compared the prevalence of clinically-significant depression, anxiety and PTSD in the four most com mon types of dementia (AD, VaD,...
Source: Neuropsychology Review - Category: Neuroscience Source Type: research
 Growing up with a mentally ill parent can be a traumatic experience for any child. For Ally Golden, her mother’s mental illness was major depression, later diagnosed as borderline personality disorder. Ally’s book, A Good Soldier, chronicles her life growing up in this environment, with a mentally ill mother who frequently threatened suicide, and the psychological trauma that resulted for her. Decades later, her mother carried out her threat. Listen to hear Ally’s fascinating story. Subscribe to Our Show! And Remember to Review Us! About Our Guest Ally Golden is the author ...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Borderline Personality General Relationships The Psych Central Show Gabe Howard Suicide Vincent M. Wales Source Type: blogs
For deployed veterans from the wars in Iraq and Afghanistan, the estimated costs of posttraumatic stress disorder (PTSD) and depression were between $4.0 billion and $6.2 billion in the first 2 years after they returned home. A number of efficacious treatments for PTSD exist, including pharmacotherapy and psychotherapies, although the gap between those who could benefit from evidence-based treatment and those who receive it remains large. Across populations, selective serotonin reuptake inhibitors (SSRIs), such as sertraline, have demonstrated moderate effects, while exposure-based therapies, such as prolonged exposure (PE...
Source: JAMA Psychiatry - Category: Psychiatry Source Type: research
This article aims to (a) explore the impact of witnessing workplace bullying on emotional exhaustion, work-related anxiety, and work-related depression and (b) determine whether the resources of trait optimism, coworker support, and supportive supervisory ...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news
Safety behaviors-actions performed to prevent, escape from, or reduce the severity of perceived threat-are typically eliminated during exposure therapy for clinical anxiety. Yet some experts have called for the strategic and "judicious use" of safety behav...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news
Resilience is a psychological characteristic which enhances personal assets and protects individuals from potential negative effects of various stressors. While this topic has been considered in the separate context of sports injuries and anxiety states, t...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news
It’s tempting. I’ve been there. You hit a rough patch with your psychiatrist and you think, “I’m outta here.” There may be some things you can do to not only get your relationship back on track but also give it a turbo boost. I want to explore just a few of the things we can do to improve our relationships with our doctors. First some basic facts. Psychiatry is a rare discipline of medicine and the population of psychiatrists is aging and not being replaced quickly enough by younger physicians. There are many areas of the country, small town and rural particularly, that have few to no psychiat...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Bipolar Communication Personal Psychotherapy PTSD Schizophrenia Psychiatry Source Type: blogs
CONCLUSIONS: The strength of the intimate relationship serves as a buffer for suicide in National Guard service members who have PTSD, anxiety, or depression. Interventions that strengthen these intimate relationships could reduce suicide in service members. PMID: 30507054 [PubMed - as supplied by publisher]
Source: Suicide and Life-Threatening Behavior - Category: Psychiatry & Psychology Authors: Tags: Suicide Life Threat Behav Source Type: research
More News: Anxiety | Brain | Intensive Care | Neurology | Post Traumatic Stress Disorder | Respiratory Medicine