What We Do

The ICU Recovery Clinic in an innovative resource at the Toronto Western Hospital that is dedicated to addressing the multifaceted recovery needs of individuals who have survived a critical illness. This clinic is a natural extension of research done by investigators at the University of Toronto and around the world that has highlighted the existence of significant neuropsychological, mental health, physical and functional challenges among survivors of critical illness in the months and years after discharge. The ICU Recovery Clinic strives to minimize post-intensive care syndrome (PICS) and maximize recovery.

We welcome patients discharged from the ICU and their family members and/or caregivers to our clinic. We provide care for patients experiencing symptoms related to critical illness.

Patients recovering from critical illness may experience a combination of cognitive, psychological and physical signs and symptoms that remain for months to many years after critical illness, known as post-intensive care syndrome (PICS). The common symptoms of PICS include:

Physical Symptoms

  • Breathing difficulties
  • Weakness and balance problems
  • Pa​in or numbness
  • Weight loss
  • Poor wound healing

Cognitive Symptoms

  • Memory problems
  • Concentration difficulties
  • Slowed mental processing
  • Trouble carrying out tasks

Psychological Symptoms

  • Anxiety
  • Depression
  • Post-traumatic stress symptoms
  • Sleep alterations
  • Sexual dysfunction

Our clinic provides a wide array of interdisciplinary services each Wednesday and Friday afternoon in the TWH Clinic with the goal of coordinating post-ICU care, easing the transition from intensive care to home, and providing mental health treatment and cognitive rehabilitation. Directed by Elizabeth Wilcox, our team is comprised of an intensive care nurse practitioner, an intensive care dietician, an intensive care pharmacist, and a case manager. Services provided by our clinic include:

  • Coordination and referrals to primary care, subspecialty services, physical and occupational therapy
  • Medication reconciliation with pharmacist
  • Assistance obtaining medical equipment, oxygen, or non-invasive ventilation
  • Educational resources on physical, cognitive, emotional and daily living issues experienced by ICU survivors
  • Behavioural health consultations for sleep, pain, stress management, smoking cessation
  • Resources and support for caregivers and family members
  • Referral to government assistance programs

Initial Evaluation

An initial evaluation will be individualized for each patient, but it is likely to include the following:

  • Review of ICU course and related medical problems
  • Screening spirometry and six-minute walk test
  • Medication reconciliation and counselling
  • Screening for depression, anxiety, and post-traumatic stress disorder (PTSD)
  • Brief cognitive assessment
  • Targeted case management assessment

How to Prepare

Someone will call you to give you a time for your first appointment at the ICU Recovery Clinic. If you would like to be seen before then please send an email request to

First appointments take longer than follow-up appointments. Your first appointment can take 2 hours or more. Follow-up appointments usually take 30 to 60 minutes.

Learn more about what you can expect when you have a clinic appointment.​

 Materials and Resources to Help You

For additional information about Post-Intensive Care Syndrome (PICS):

 Meet Our Team

Preeti Dhar, MD
General Surgeon & ICU Physician

Karen Ng, MD

Katrina Laso, RN
ICU Nurse

Chester Mangaliman, RN
ICU Nurse

Debra MacGarvie, RD

Jennifer Teng, PharmD

Rebecca Hall, RRT
Respiratory Therapist

Amanda Rampersaud, RRT
Respiratory Therapist​

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