What is the full form of ICU
The full form of the ICU is the intensive care unit, a special hospital department that provides intensive care and intensive care to patients who suffer an accident or a serious illness
The full form of the ICU is the intensive care unit, a special hospital department that provides intensive care and intensive care to patients who suffer an accident or a serious illness. The care by a team of specialists and nursing staff takes place in intensive care units. The team specializes in the treatment of seriously ill or seriously injured patients. Treatment center).
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History of ICU
In 1854, Florence Nightingale set out for the Crimean War in which triage was used to separate severely injured soldiers from those with non-life threatening conditions. Until recently [when?] It was reported that Nightingale reduced battlefield mortality from 40% to 2%. Although not the case, his experiences during the war formed the basis for his later discovery of the importance of sanitary conditions in hospitals, a critical part of intensive care medicine.
In response to a polio epidemic (in which many patients had to be continuously ventilated and monitored) Bjørn Aage Ibsen set up the first intensive care unit in Copenhagen in 1953. The first application of this idea in the United States of india was in 1955 by surgeon William Mosenthal. at Dartmouth Hitchcock Medical Center. In the 1960s, the importance of cardiac arrhythmias as a cause of morbidity and mortality in myocardial infarction (heart attacks) was recognized, which led to the routine use of cardiac monitoring in intensive care units, especially after heart attacks.
Equipment and systems in ICU
Common devices in an intensive care unit include mechanical ventilators that assist in breathing through an endotracheal tube or tracheostomy tube; Heart monitors for monitoring heart status; Devices for constant monitoring of body functions; a network of intravenous lines, feeding tubes, gastric tubes, suction pumps, drains and catheters, syringe pumps; and a wide range of drugs used to treat the primary conditions of hospitalization. Medically induced coma, pain relievers, and induced sedation are common tools in the intensive care unit that are needed and used to relieve pain and prevent secondary infections.
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Quality of care
The available data suggest a relationship between the volume of the intensive care unit and the quality of care for ventilated patients. When adjusted for disease severity, demographic variables, and ICU characteristics (including ICU staff), higher ICU occupancy was significantly associated with lower ICU and mortality rates. For a medical intensive care unit, a ratio of 2 patient to 1 caregiver is recommended, which is in contrast to the 4: 1 or 5: 1 ratio common on medical floors. However, this differs from country to country; B. Australasia and the UK, most intensive care units are staffed 2: 1 (for highly dependent patients who require closer follow-up or more intensive treatment than a hospital unit can provide) or on a 1: 1 basis for patients who have a need intensive care and follow up; For example, a patient on a mechanical ventilator with accompanying anesthetics or sedation such as propofol, midazolam and the use of strong pain relievers such as morphine, fentanyl and / or remifentanil.
International guidelines recommend that each patient be screened daily for delirium (usually duplicate or required) with a validated clinical tool). There are translations of these tools in more than 20 languages and they are used in many intensive care units around the world.
Operational logistics of ICU
In the United States, up to 20% of hospital beds can be classified as ICU beds; In the UK, intensive care will generally only comprise up to 2% of total beds. This large discrepancy is attributed to the admission of patients to the UK only when they are considered to be the most severe. Intensive care is an expensive health service. Research conducted in the United States found that hospital stays with intensive care services were 2.5 times more expensive than other hospital stays.
In the UK, the average cost of financing an ICU in 2003-2004 was
1.£ 838 per bed per day
2.for a neonatal ICU £ 1,702 per bed per day
3.for a pediatric ICU £ 1,328 per bed per day for an adult ICU
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Remote collaboration systems in ICU
Some hospitals have installed teleconferencing systems that allow doctors and nurses to speak to staff in a central facility (either in the same building, in a central location serving multiple local hospitals, or in a rural location in a different, more urban facility) Place to collaborate and speak to patients (a form of telemedicine), variously referred to as eICU, virtual intensive care unit, or teleICU Remote workers often have access to vital signs from live monitoring systems and tele-electronic health records for a more complete view of a patient's medical history Often the bedside staff and the remote staff met in person and can change responsibilities, which may have to be relocated to a larger facility, can have shown a significant decrease in stability