Learn About CC in Detail | Blog
Give your best and be prepared for the worst. Chances are, you must have heard this quote at various different points of your lives and from different sources. And it is probable to all the things that we do in life. If you have put the effort, then there will be expectations from your side but you should be prepared for the worst case scenario too. When it comes to our health, there should be a careful approach in dealing with niggles that are caused. But if the matter is serious, there is need of intensive care. This care is provided in the form of Intensive Care Unit (ICU) in hospitals.
What is ICU?
An Intensive Care Unit (ICU) or Critical Care Unit (CCU) is a unit in hospital where seriously ill patients are cared by specially trained staff. Intensive care medicine is provided for the diagnosis and management of life-threatening conditions that require sophisticated organ support and invasive monitoring. A prime requisite for admission to an ICU is that the serious condition can be conquered.
There is constant and close monitoring of your condition with the help of specialist equipments in order to ensure adequate bodily functions. This is done with the help of highly professional doctors and trained staff who specialize in caring for critically ill patients. Patients may be directly admitted to ICU in case of sudden deterioration of health or may be transferred from an emergency department after an invasive surgery or if the patient is at high risk of complications.
Facilities in the ICU
1. There is round the clock monitoring of critically injured and ill patients.
2. Post operative care in case of highly invasive surgeries and treatments.
3. Multidisciplinary meetings in case of some highly complicated disease.
4. Patient to nurse ratio is of 1:1 and it can be elevated to 1:2 depending on the criticality of the patient.
5. Patients coming for multi organ failure are provided proper life support measures.
6. Provision of invasive as well as non-invasive ventilation.
7. Other life saving equipments such as dialysis, percutaneous tracheostomies, chest drain insertions and fiber-optic bronchoscopy.
Management of ICU
Management of ICU is critical and proportional to the speedy recovery of the patient. Proper infection control steps should be taken in the following ways –
1. Bedside analysis should be done to reduce ALOS and improve infection control indices.
2. Infection control protocols have been jointly developed with intensivists and anesthetists.
3. There is a particular checklist which should be addressed daily.
4. Each and every healthcare team members have to take responsibility to ensure compliance with hospital and unit infection control policies.
5. Even small things matter in an important place like ICU. Use of alcohol hand rubs, sterile barriers and disposable gloves, safe disposal of all sharp instruments and patient consumables, and traffic control.
6. There should be accurate information about patient’s care, verbal order, current condition, test results, recent and anticipated changes etc.
7. There should be standardized procedure for clinical handover of patient from physician to physician.
ICU Unit Specialties
1. Neonatal Intensive Care Unit
A neonatal intensive care unit (NICU) is an ICU specializing in the care of ill or premature newborn babies. Neonatal means pertaining to the newborn period of 4 weeks. This specialty unit cares for neonatal patients who are still in the hospital after birth. Common conditions in NICU include prematurity and associated complications, congenital disorders such as congenital diaphragmatic hernia or complications resulting from the birthing process. In India, there is three tier system based on weight and gestational age of neonate.
2. Coronary Care Unit
It is also known as Cardiac Intensive Care Unit (CICU) which caters to the patients specifically with congenital heart defects or life threatening acute conditions such as cardiac arrest. It takes care of the patients with heart attacks, unstable angina, cardiac dysrhythmia and other various cardiac conditions that require continuous monitoring and treatment. Coronary Care Unit should ensure the best intensive therapies for all critical cardiologic patients.
3. Surgical Intensive Care Unit
Surgical Intensive Care Unit (SICU) is a specialized care in some of the best hospitals of the city that provides inpatient care for critically ill patients in the form of surgeries. It is a primary component of general surgery related to the care of patients with acute, life threatening surgical conditions. It is unlike any other ICU where the care is managed only by surgeons trained in critical care.
At Eternal Hospital, the plan for care for the patient is prepared in consensus with the admitting specialist, the patient and the family when admitted to ICU.