Bakgrunden tar upp tidigare studier att intensiwårdspatienter utsätts kontinuerligt for stress,   höga ljudnivåer och störd sömn, som tillsammans kan leda till en utveckling av IVA syndromet.   Syftet med studien var attkartlägga larmstarter från teknisk apparatur och andra störande     ljud på en intensiwårdsavdelning. Metoden var en observationsstudie dagtid under tre     dagar på två intensiwårdssalar och larmstartsprotokoll användes, for att dokumentera   varje larmstart från teknisk apparatur. En ljudnivåmätare användes ftir att få en uppskattning av decibel på larmstarter från     den tekniska apparaturen. Resultaten belyser att teknisk   apparatur såsom respiratorer, stod for 262larmstarter (cirka 33yo), övervakningsutrustning   som mäter invasivt blodtryck, for 175 larmstarter (cirka 22%o) och saturationlarm ftir 143   larmstarter (cirka 18o/o) av alla larmstarter i studien. Ett medelvärde påvisar 0,72larmstarter   per minut. Andra frekvent störande ljudfaktorer tas också upp i studien, som kan medfora en   ökad ljudnivå fiir patienterna på intensiwårdsavdelningen. Mätningarna visade att respiratorerna och sprutpumparnas larmstarter stod     ft)r de högst uppmätta decibelnivåerna på   80 decibel.

Due to advances in medical care, the number of patients surviving critical illness is on the rise. As a result, our healthcare system has a new and growing subset of patients dealing with a variety of issues related to survivorship. These issues, called post-intensive care syndrome, fall into three pillars: physical, cognitive, and psychiatric. While targeted efforts have begun to attempt to manage the physical and cognitive deficits, how to treat the psychiatric deficits remains unclear. So far, the handful of studies attempting to treat these psychiatric outcomes via a variety of approaches have had only limited success. Further, there is an inadequate understanding of the patient perception of these experiences and to better grasp this may help target future studies. The proposed study is a randomized, non-blinded, longitudinal controlled trial with the goal to limit the development of psychiatric symptoms following ICU admission. The intervention, conducted by a trained, Licensed Clinical Social Worker will take place in the form of a one time, in hospital debriefing of the ICU experience. Following the intervention, the patients will be surveyed to identify the presence of PTSD symptoms at various time intervals following hospital discharge. In addition, a number of interviews will be recorded and undergo qualitative analysis to identify cohesive themes and develop a better understanding of the patient perception of their experience. If successful, this study would lead to an improved quality of life for this patient population, as well as lessen their dependence on the healthcare system, reducing the associated financial burden following ICU admission.