{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T07:00:44Z","timestamp":1790060444027,"version":"4.0.1"},"reference-count":15,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T00:00:00Z","timestamp":1787616000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T00:00:00Z","timestamp":1787616000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing in Critical Care"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Severe sepsis requiring prolonged intensive care and advanced life support may be followed by complex recovery\u2010phase complications that are difficult to recognise. This case study describes the critical care nursing management and long\u2010term recovery of a 60\u2010year\u2010old woman with severe sepsis who developed rhabdomyolysis during post\u2010ECMO recovery and suspected remifentanil withdrawal during ventilator weaning. Nursing care focused on continuous assessment, early recognition of complications, renal protection, symptom monitoring during opioid tapering, nutrition support, family communication and staged rehabilitation. After 62\u2009days of intensive care, the patient regained independent ambulation and was successfully weaned from remifentanil. At follow\u2010up in February 2026, she was living independently without readmission, with stable renal function, PaO\n                    <jats:sub>2<\/jats:sub>\n                    \/FiO\n                    <jats:sub>2<\/jats:sub>\n                    ratio of 360\u2009mmHg, muscle strength of 4\u20135\/5 and a Barthel Index score of 90\/100. This case highlights the role of recovery\u2010oriented critical care nursing beyond ICU survival.\n                  <\/jats:p>","DOI":"10.1111\/nicc.70654","type":"journal-article","created":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T03:38:57Z","timestamp":1787715537000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Long\u2010Term Recovery After Severe Sepsis: A Case Study of Rhabdomyolysis and Suspected Remifentanil Withdrawal During\n                    <scp>ICU<\/scp>\n                    Recovery"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-7780-9268","authenticated-orcid":false,"given":"Hanyang","family":"Su","sequence":"first","affiliation":[{"name":"Teaching and Research Section of Clinical Nursing, Xiangya Hospital Central South University  Changsha China"},{"name":"Department of Respiratory Medicine, National Key Clinical Specialty, Branch of National Clinical Research Center for Respiratory Disease, Xiangya Hospital Central South University  Changsha China"},{"name":"National Clinical Research Center for Geriatric Disorders, Xiangya Hospital Central South University  Changsha China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-3038-8467","authenticated-orcid":false,"given":"Guozhu","family":"Xie","sequence":"additional","affiliation":[{"name":"Teaching and Research Section of Clinical Nursing, Xiangya Hospital Central South University  Changsha China"},{"name":"National Clinical Research Center for Geriatric Disorders, Xiangya Hospital Central South University  Changsha China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,25]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-020-06106-2"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000005337"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0b013e3181fd66e5"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12871-025-02964-9"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.3346\/jkms.2020.35.e106"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/1752-1947-7-223"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/nicc.70015"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.suc.2021.09.013"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/ams2.70087"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000005951"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.3389\/fphys.2021.751374"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.12998\/wjcc.v10.i23.8152"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-016-1314-5"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.21037\/jtd-22-157"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(09)60658-9"}],"container-title":["Nursing in Critical Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/nicc.70654","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/nicc.70654","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/nicc.70654","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T06:03:43Z","timestamp":1790057023000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/nicc.70654"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,25]]},"references-count":15,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1111\/nicc.70654"],"URL":"https:\/\/doi.org\/10.1111\/nicc.70654","archive":["Portico"],"relation":{},"ISSN":["1362-1017","1478-5153"],"issn-type":[{"value":"1362-1017","type":"print"},{"value":"1478-5153","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,25]]},"assertion":[{"value":"2026-05-08","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-05","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-25","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70654"}}