scholarly journals Mapping the characteristics of critical care facilities: Assessment, distribution, and level of critical care facilities from central India

2017 ◽  
Vol 21 (10) ◽  
pp. 625-633 ◽  
Author(s):  
Rajnish Joshi ◽  
Sanjay Kumar ◽  
Santosh Bhaskar ◽  
Saurabh Saigal ◽  
Abhijit Pakhare ◽  
...  
Keyword(s):  
Critical Care ◽  
Central India ◽  
Care Facilities

scholarly journals Does "Flattening the Curve" Affect Critical Care Services Delivery for COVID-19? A Global Health Perspective

2020 ◽  
Author(s):  
Ramiro E. Gilardino
Keyword(s):  
Critical Care ◽  
Health Systems ◽  
Essential Element ◽  
Protective Equipment ◽  
Care Providers ◽  
Care Services ◽  
Services Delivery ◽  
Medical Supplies ◽  
Global Pandemic ◽  
Care Facilities

During this coronavirus disease 2019 (COVID-19) global pandemic, nations are taking bold measures to mitigate the spread of Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections in order to avoid the overwhelming its critical care facilities. While these "flattening the curve" initiatives are showing signs of impeding the potential surge in COVID-19 cases, it is not known whether these measures alleviate the burden placed on intensive care units. Much has been made of the desperate need for critical care beds and medical supplies, especially personal protective equipment (PPE). But while these initiatives may provide health systems time to bolster their critical care infrastructure, they do little to protect the most essential element – the critical care providers. This article examines bolder initiatives that may be needed to both protect crucial health systems and the essential yet vulnerable providers during this global pandemic.

A national survey of critical care nurses' practices related to administration of neuromuscular blocking agents

2001 ◽  
Vol 10 (3) ◽  
pp. 139-145 ◽  
Author(s):  
JG Foster ◽  
SK Kish ◽  
CH Keenan
Keyword(s):  
Critical Care ◽  
Peripheral Nerve ◽  
The United States ◽  
Neuromuscular Blocking ◽  
Neuromuscular Blocking Agents ◽  
Critical Care Nurses ◽  
Blocking Agents ◽  
Care Facilities ◽  
Acute Care Facilities

BACKGROUND: Recommendations on use of neuromuscular blocking agents include using peripheral nerve stimulators to monitor depth of blockade and concomitantly administering sedatives and/or analgesics. OBJECTIVE: To evaluate critical care nurses' practices in administering neuromuscular blocking agents. METHODS: A 16-item survey was mailed to 483 acute care facilities in the United States. Of these, 246 surveys (51%) were returned and analyzed to determine use of neuromuscular blocking agents, peripheral nerve stimulators, sedatives, and analgesics. Logistic regression analysis was used to find independent predictors of use of peripheral nerve stimulators. RESULTS: Seventy-five percent of respondents reported long-term use of neuromuscular blocking agents in critically ill patients. Of those, 63% monitored the level of blockade with peripheral nerve stimulators. Reasons for not using peripheral nerve stimulators included unavailability of equipment (48%), lack of training (36%), and insufficient evidence that peripheral nerve stimulators improve care (23%). Predictors of use of stimulators were facilities with more than 150 beds (P < .001) and administration of neuromuscular blocking agents by continuous infusion (P < .001). Ninety-five percent of respondents reported using concurrent analgesics/sedatives always or most of the time. Facilities with fewer than 10 beds in the intensive care unit used concurrent analgesics/sedatives significantly less often than did facilities with 10 beds or more (90% vs 98%, respectively; P = .03). CONCLUSIONS: Small and large facilities differ in concomitant use of analgesics/sedatives and peripheral nerve stimulators. Education and research are needed to ensure that patients receive adequate monitoring and sedation during administration of neuromuscular blocking agents.

Short-Term Ventilation of Critically Ill Patients in Recovery

2003 ◽  
Vol 13 (5) ◽  
pp. 214-217 ◽  
Author(s):  
David Ryan ◽  
Gillian Tobin
Keyword(s):  
Critical Care ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Short Term ◽  
Recovery Unit ◽  
Number Of Patients ◽  
Care Facilities

There is often a shortfall of critical care facilities which can result in a number of patients who need management in intensive care units (ICUs) being treated in a recovery unit prior to being found an ICU bed. This article describes a study which examined this situation. The patients’ origins, durations of stay in recovery, outcomes and final destinations are discussed. The authors conclude that recovery provides a hidden resource to supplement the lack of intensive care beds and suggest ways that the problem might be addressed.

scholarly journals Establishing a 130-Bed Field Intensive Care Unit to Prepare for COVID-19 in 7 Days in Bahrain Military Hospital

2020 ◽  
pp. 1-10
Author(s):  
Nayef A. Louri ◽  
Jalal Abdulla Alkhan ◽  
Hayyan Hamad Isa ◽  
Yaser Asad ◽  
Abdulla Alsharooqi ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Critical Care ◽  
Intensive Care ◽  
Military Hospital ◽  
Project Implementation ◽  
Implementation Team ◽  
Care Facilities ◽  
Car Park ◽  
Step Down ◽  
Set Up

ABSTRACT This article reports the establishment of an isolated, fully functional field intensive care unit (FICU) unit equipped with all necessary critical care facilities as a part of the national pre-emptive preparedness to treat an unexpected surge outbreak of coronavirus disease 2019 (COVID-19) patients in Bahrain. One floor of an existing car parking structure was converted into a 130-bed FICU set-up by the in-house project implementation team comprised of multidisciplinary departments. The setting was a military hospital in the Kingdom of Bahrain, and the car park was on the hospital premises. The FICU contained a 112-bed fully equipped ICU and an 18-bed step-down ICU, and was built in 7 d to cater to the intensive care of COVID-19 patients in Bahrain.

Critical Care Technology – Can't Live with It…Can't Live without It

2009 ◽  
Vol 53 (16) ◽  
pp. 990-993
Author(s):  
Carla J. Alvarado ◽  
Pascale Carayon ◽  
Rollin J. (Terry) Fairbanks ◽  
Shawna J. Perry ◽  
Dean F. Sittig ◽  
...  
Keyword(s):  
Critical Care ◽  
Patient Safety ◽  
Human Factors ◽  
Systems Engineering ◽  
Health Care Facilities ◽  
Design And Implementation ◽  
Care Facilities ◽  
American Health Care ◽  
Engineering Information ◽  
Care Technology

The proposed Macroergonomics and Patient Safety panel will address the particular challenges of technology in critical care and emergency medicine and patient safety. Critical care technology remains a driving force in American health care facilities, yet little human factors and systems engineering information is available to improve the design and implementation of these technologies. Given the complexity of the clinical technology and the intricacy of modern critical and emergent medical care, human factors (HF) and macroergonomic analysis (MA) are especially important in the design, implementation, and use of the various technologies. HF and MA should be used to better understand the challenge of developing multi-perspective evaluations for this technology. The panel of experts' presentations and the discussion to follow will address current problems and patient safety and integration of critical technologies.

Sign in / Sign up

Export Citation Format

Share Document