Cardiovascular critical care delivery involves multiple clinical stakeholders, use of mechanical circulatory support devices, and patients who often require prolonged lengths of stay. Effectively supporting family members in a cardiac intensive care unit (CICU) and other ICUs with critically ill cardiac patients is challenging, and evidence-based approaches to family-centered care are lacking. The 2022 American Heart Association (AHA) Statement (“Engaging Families in Adult Cardiovascular Care”) highlights suggestions for supporting families in acute cardiac care settings in order to “decrease the residual trauma that can be associated with these hospitalizations” [1]. Similar to the Society of Critical Care Medicine guidelines [2], the AHA statement stresses the importance of providing open visitation, being present during procedures and resuscitation, participating in family-centered rounds, and having families contribute to direct care [1].

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Family-Centered Care in the Cardiac Intensive Care Unit

  • Jonathan Ludmir

摘要

Cardiovascular critical care delivery involves multiple clinical stakeholders, use of mechanical circulatory support devices, and patients who often require prolonged lengths of stay. Effectively supporting family members in a cardiac intensive care unit (CICU) and other ICUs with critically ill cardiac patients is challenging, and evidence-based approaches to family-centered care are lacking. The 2022 American Heart Association (AHA) Statement (“Engaging Families in Adult Cardiovascular Care”) highlights suggestions for supporting families in acute cardiac care settings in order to “decrease the residual trauma that can be associated with these hospitalizations” [1]. Similar to the Society of Critical Care Medicine guidelines [2], the AHA statement stresses the importance of providing open visitation, being present during procedures and resuscitation, participating in family-centered rounds, and having families contribute to direct care [1].