Innovative ICU Solutions to Prevent and Reduce Delirium and Post–Intensive Care Unit Syndrome

Alawi Luetz, MD, PhD; Julius J. Grunow; Rudolf Mörgeli, MD; Max Rosenthal, MD, PhD; Steffen Weber-Carstens, MD, PhD; Bjoern Weiss; Claudia Spies, MD, PhD

Disclosures

Semin Respir Crit Care Med. 2019;40(5):673-686. 

In This Article

General Modifications for Innovative Environments

General approaches did not have target-specific therapeutic effects but were rather aimed at functionality, aesthetics, and a more comfortable environment. On the macrolevel, one example is the move from institutionalized postwar hospitals to patient- and family-centered mall-hospital structures of the late 20th and early 21st century.[14] In the critical care setting, the most prominent change is the shift from large-scale patient rooms, containing 20 or more individuals, to smaller rooms with fewer patients per room. Both of these historical changes represent first aspects of the greater underlying realization that aesthetic deprivation can potentially influence the well-being of patients.[15] This realization has led to several initiatives at the intersection of architecture and medicine.[16] However, the new paradigm shift is to operationalize the environment to a therapeutic tool which may help to reduce stress, pain, agitation and anxiety, and, specifically, enhance recovery.

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