Journal Information
Download PDF
More article options
Update in intensive care medicine: Critical patient safety
Available online 25 April 2024
Impact of patient safety on outcomes. From prevention to the treatment of post-intensive care syndrome
Impacto de la seguridad del paciente en los resultados. Desde la prevención al tratamiento del síndrome post-cuidados intensivos
Carola Giménez-Esparzaa, María Ángeles Relucioa, Kapil Laxman Nanwani-Nanwanib, José Manuel Añónb,c,
Corresponding author

Corresponding author.
a Servicio de Medicina Intensiva, Hospital Vega Baja, Orihuela, Alicante, Spain
b Servicio de Medicina Intensiva, Hospital Universitario La Paz, IdiPAZ, Madrid, Spain
c CIBER de Enfermedades Respiratorias, Instituto de Salud Carlos III, Madrid, Spain
Received 14 December 2023. Accepted 10 March 2024
Article information
Full Text
Download PDF
Figures (5)
Show moreShow less
Tables (1)
Table 1. Tools for assessing post-intensive care syndrome.

Survivors of critical illness may present physical, psychological, or cognitive symptoms after hospital discharge, encompassed within what is known as post-intensive care syndrome. These alterations result from both the critical illness itself and the medical interventions surrounding it. For its prevention, the implementation of the ABCDEF bundle (Assess/treat pain, Breathing/awakening trials, Choice of sedatives, Delirium reduction, Early mobility and exercise, Family) has been proposed, along with additional strategies grouped under the acronym GHIRN (Good communication, Handout materials, Redefined ICU architectural design, Respirator, Nutrition). In addition to these preventive measures during the ICU stay, high-risk patients should be identified for subsequent follow-up through multidisciplinary teams coordinated by Intensive Care Medicine Departments.

Post intensive care syndrome
ABCDEF bundle

Los supervivientes de la enfermedad crítica pueden presentar síntomas físicos, psicológicos o cognitivos tras el alta hospitalaria, que se engloban en lo que se conoce como síndrome post-cuidados intensivos. Estas alteraciones son consecuencia tanto del propio proceso crítico como de las actuaciones sanitarias que ocurren en torno al mismo. Para su prevención se ha propuesto la aplicación del paquete de medidas ABCDEF (Asses/treat pain, Breathing/awakening trials, Choice of sedatives, Delirium reduction, Early mobility and exercise, Family) al que recientemente se han sumado otras, agrupadas en las siglas GHIRN (Good comunication, Handout materials, Redefined ICU architectural design, Respirator, Nutrition). Además de estas medidas de prevención durante el ingreso en la UCI, los pacientes de riesgo deben ser identificados para un posterior seguimiento mediante equipos multidisciplinares coordinados por los Servicios de Medicina Intensiva.

Palabras clave:
Síndrome post-cuidados intensivos
Paquete medidas ABCDEF


These are the options to access the full texts of the publication Medicina Intensiva (English Edition)
If you are a member of the Sociedad Española de Medicina Intensiva, Crítica y Unidades Coronarias::
Go to the members area of the website of the SEMICYUC ( )and click the link to the magazine.

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option “I have forgotten my password”
Subscribe to

Medicina Intensiva (English Edition)

Purchase article

Purchasing article the PDF version will be downloaded

Price 19.34 €

Purchase now
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
Medicina Intensiva (English Edition)
Article options
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?