Post-Intensive Care Syndrome - An Opportunity For Collaborative Transition Between the Intensive and Primary Settings.

Critical care advancements have allowed clinicians to discover the many functional disabilities that survivors suffer. Recent research has focused on improving the long-term outcomes of critical illness survivors and optimizing their functional recovery. Post-intensive care syndrome (PICS) describes the disability that remains in those surviving critical illness following discharge from the intensive care unit (ICU). This comprises impairment in cognition, neuropsychiatric health, and physical function of the ICU survivor. Consequent to this, the health of family members of the survivor may also be affected adversely, termed PICS-family. PICS is defined as a new or worsening impairment in physical (ICU-acquired neuromuscular weakness), cognitive (thinking and judgment), or mental health status arising after critical illness and persisting beyond discharge from the acute care setting.

Ruptured Ovarian Artery Aneurysm Complicating a Term Vaginal Delivery in the Early Puerperium Period: A Case Study.

Spontaneous rupture of a gonadal artery aneurysm is an extremely rare occurrence and can lead to a rapidly lifethreatening retroperitoneal hemorrhage. We report a case of a pregnancy-related spontaneous rupture of a right ovarian artery aneurysm in a multiparous woman. A 37-year-old woman, gravida 4, para 4, presented to an outside facility with right flank pain roughly six hours following spontaneous vaginal delivery of full-term baby with complication of advanced maternal age (AMA). Computerized tomography at our facility revealed contrast extravasation from a right ovarian artery aneurysm and retroperitoneal hematoma. Successful management was achieved via selective angiography and embolization using both micro-coils and gel-foam. Diagnostic angiography followed by transcatheter arterial embolization is an effective and minimally invasive technique for management of ovarian artery aneurysm.