Importance of Critical Care- new trends, how awareness and education will help make a difference

By / 2 years ago / News Update / 62 Comments
Importance of Critical Care- new trends, how awareness and education will help make a difference

Intensive care medicine, also referred as ‘critical care medicine’ is a speciality concerned with management of critically ill patients who are at-risk, or have developed potentially life threatening failure of any of the body organ systems. It is a speciality involving holistic care of all aspects of critically ill patients. This includes diagnosis, monitoring, treatment and organ support for acute illness, patient safety, end of life care, ethics and the support of families. While other specialities have a predefined role of managing a single organ, in intensive care medicine, the entire spectrum of medical and surgical pathologies are managed. It is a lifesaving and dynamic branch with the responsibility of managing the sickest of patients in hospital. An intensivist is able to provide advanced organ support during critical illness and co-ordinates with other specialities for the care of ICU patient.

Till about two decades ago, there was a scarcity of a structured training program in ICU management. But there are now formal recognised courses in our country in the field of intensive care medicine like FNB (Critical care Medicine) by National board of examinations, IDCCM and IFCCM courses run by the Indian society of critical care medicine (ISCCM). MCI has recognised critical care medicine as a superspeciality.

Of late awareness about critical care and intensive care facilities has come into focus. There is increased understanding among general public about the difference in care between an ICU and ward patient. Recently several TV channels had shown several ICUs in big cities with no MBBS doctors. Now the authorities have made it mandatory to have qualified and ICU trained doctors to work in ICU. This should be ensured at all times.

A well-equipped ICU is able to provide facilities i.e. respiratory support, renal replacement therapy (kidney support), radiologic bedside investigations, echocardiography, ECMO therapy, IABP (for support to the heart) to name a few. Also, in-house microbiological (infection) and several radiological investigations facilities are a must. Because of the very nature of high tech, high intensity work involved, the care in ICU thus comes at a substantial cost. To be able to deliver optimal care lot of equipments, and manpower like intensivists, nurses, technicians, physiotherapists, dieticians, occupational therapists are required.

There are scant data on the organisational aspects, case mix and practice patterns in India. A closed ICU is defined as one in which final orders for the patient were written by the ICU team; an open ICU defined as one in which care of the patient was directed by non-ICU doctor teams, and orders could be written by non-ICU team doctors. The most common ICU is however an open ICU with mandatory critical care consultation, with shared responsibility of ICU and non- ICU teams.

As Comparative data with the west is lacking about critical care facilities no conclusion can be drawn, but it is understood that with rising number of private sector hospitals and upgrading govt hospitals the focus has been on providing better critical care services. This is both in terms of number of beds, ICU armamentarium and services. Upgrading ambulance services – both road and air ambulance has further pushed the need of ICU beds in super specialty centres. Upto 15-20% of the beds are being dedicated to Intensive care in recent times.

The need for ICU care is being emphasized for advanced monitoring as it contributes to – pre emotive / timely diagnosis and management that provides medicolegal safety.

In the Indian context the major challenge is providing adequately trained nursing staff and paramedics. As the nursing turnover is high due to several reasons, going abroad being foremost – a fresh look at developing a staff retention policy is needed.  Technicians (dialysis/radiology) physiotherapists dieticians, occupational therapists are not readily available at all centres. Telemedicine is an important modality in these times. Several satellite ICUs can be linked and expert opinion can be sought in real time. There are no head to head trials demonstrating a direct benefit of eICUs but it is presumed that remote expert opinion and supervision would translate into benefit of the critically ill in these ICUs but cannot be compared with closed ICUs.

A hospital information system with electronic record keeping is not available universally but hospitals are realizing the importance of digital records / data and imaging. This enables bed side viewing of results, prescriptions, safety alerts apart from faster data transfer and safe record keeping. In future the advances in the field of genomics and metabolomics will give us better understanding of the disease process and hopefully a treatment modality that will be individually tailored to the patient.

Conclusion

Critical care medicine is an important part of healthcare system in the developed world and is one of the fastest growing medical fields especially in terms of patient numbers.  It is now slowly being felt and recognized in developing countries where a major challenge is to ensure adequate infrastructure, training, equipments and funding for these newer members of the critical care arena.

**Authored by Dr. Yatin Mehta, Chairman Institute of Critical Care and Anaesthesiology, Medanta – The Medicity

 

admin

admin

The author didn't add any Information to his profile yet.

62 Comments

  • levitra vs cialis18. Feb, 2020

    hole levitra vs cialis solve
    risk [url=https://getcialistabsfasty.com/]levitra vs cialis[/url] union https://getcialistabsfasty.com/

  • ethivido16. Feb, 2020

    cialis super active taking l-citrulline and cialis together safest place to buy cialis

  • The Rich Get Richer and The Poor Get Poorer13. Feb, 2020

    I’ve been exploring for a bit for any high quality articles or weblog posts in this kind of space . Exploring in Yahoo I at last stumbled upon this site. Studying this information So i’m satisfied to convey that I have a very good uncanny feeling I found out exactly what I needed. I such a lot for sure will make sure to don’t omit this web site and provides it a look on a relentless basis.

  • find more12. Feb, 2020

    I have not checked in here for a while since I thought it was getting boring, but the last few posts are great quality so I guess I will add you back to my daily bloglist. You deserve it my friend 🙂

  • viagra online prescription11. Feb, 2020

    possibly [url=http://viarowbuy.com/#]viagra tablets[/url] viagra without a doctor prescription sildenafil generic resolve http://viarowbuy.com/

  • buy tadalafil08. Feb, 2020

    nuclear [url=https://cialsagen.com/#]canadian viagra generic pharmacy reviews[/url] online pharmacy when will generic viagra be
    available in the usa rest https://cialsagen.com/

  • best kratom05. Feb, 2020

    gmp standards kratom pills kratom laws [url=http://kratomsaleusa.com/#]kratom overnight[/url]
    maeng da thai kratom powder how to make kratom extract http://kratomsaleusa.com/

  • dumb american city names02. Feb, 2020

    I am really impressed with your writing skills as well as with the layout on your blog. Is this a paid theme or did you modify it yourself? Either way keep up the nice quality writing, it’s rare to see a nice blog like this one today..

  • stock investing for beginners pdf02. Feb, 2020

    Wow, marvelous blog layout! How long have you been blogging for? you made blogging look easy. The overall look of your site is great, let alone the content!

  • red generic viagra01. Feb, 2020

    wonderful [url=https://viagraivo.com/#]why is there no generic viagra[/url] cheap viagra online generic viagra 100
    palestinian https://viagraivo.com/

  • Waynereind31. Jan, 2020

    I regard this website – its so usefull and helpfull. http://www.swift-italia.it/per-mantenere-l-erezione/

  • Waynereind31. Jan, 2020

    Really, such a benevolent spider’s web page. masa muscular que es

  • Waynereind31. Jan, 2020

    Wow because this is consummate being done! Congrats and victual it up. http://nl.t-booster2020.com/testosteron-ervaringen/

  • Waynereind30. Jan, 2020

    Terrific net messenger you’ve contemporary here. [url=http://nl.detoxyn.org/jacob-hooy-detox/]jacob hooy detox[/url]

  • Waynereind30. Jan, 2020

    Astonishingly distinctive gratifying website. Astounding info offered on handful clicks on. http://nl.testosteron.space/testosteron-decanoaat/

  • Waynereind29. Jan, 2020

    symbolize thanks to so much for your entanglement site it helps a great administer. aumentare testosterone omeopatia

  • Waynereind29. Jan, 2020

    Persist in the great form and generating the crowd! http://bloggg.org/dieta-para-ganar-masa-muscular/

  • Waynereind29. Jan, 2020

    Wonderful stage, Take on the constructive hold down a post. Thanks you so much! http://nl.detoxyn.org/foot-detox/

  • Waynereind29. Jan, 2020

    Sustain the helpful work and producing in the press! testosterona sustanon

  • Waynereind28. Jan, 2020

    Awesome area you’ve gotten in here. testosteron spritze muskelaufbau nebenwirkungen

  • Waynereind28. Jan, 2020

    Numberless thanks, this placement is genuinely helpful. http://umbb-handball.fr/where-to-buy-testx-core/

  • Waynereind28. Jan, 2020

    Wow because this is deeply facts operation! Congrats and victual it up. http://it.cgtribc.org/clinica-verona-disintossicazione/

  • Waynereind28. Jan, 2020

    Unperturbed webpage you possess got right here. taux de testostérone élevé femme

  • Waynereind27. Jan, 2020

    So beneficial, looking progressing to visiting again. tens per muscoli facciali

  • Waynereind27. Jan, 2020

    Your figures is utter fascinating. symptoms of a detoxification

  • Waynereind27. Jan, 2020

    Exceedingly educational….look ahead to visiting again. ansia e testosterone

  • Waynereind27. Jan, 2020

    Superior net messenger you acquire here. voeding met testosteron

  • Waynereind26. Jan, 2020

    say thanks to a masses for your website it aids a a stack. http://publica-pr.de/bodenbeckenmuskulatur-trainieren-manner/

  • Waynereind26. Jan, 2020

    Outlandish trap page you possess exact here. metodo per far crescere il pene

  • Stacybikaf25. Jan, 2020

    Maintain the out of the ordinary m‚tier !! Lovin’ it! http://dearjoy.fr/aliment-pour-bander-fort/

  • Stacybikaf25. Jan, 2020

    I dote on this website – its so usefull and helpfull. http://publica-pr.de/wo-kann-man-sensamax-kaufen/

  • HerbertHal24. Jan, 2020

    Thanks for the purpose of supplying these substantial subject material.
    http://baraita.net/foligain/

  • HerbertHal24. Jan, 2020

    You’ve gotten among the best websites. http://baraita.net/the-best-exercises-for-slimming/

  • HerbertHal24. Jan, 2020

    Thank you for sharing this well put together web-site. http://baraita.net/which-creatine-is-the-strongest/

  • HerbertHal24. Jan, 2020

    Highly beneficial….look forward to coming back again. http://machinalansu.pl/bezpieczne-sposoby-na-przyrost-masy-miesniowej/

  • HerbertHal23. Jan, 2020

    Hello there, great websites you’ve got there. http://zdravotnidesign.cz/fast-burn-extreme/

  • HerbertHal23. Jan, 2020

    Incredibly individual pleasant website. Enormous info offered on couple of clicks. http://machinalansu.pl/virility-ex/

  • HerbertHal23. Jan, 2020

    Incredibly individual friendly site. Immense information readily available on couple of clicks on. [url=http://machinalansu.pl/ziola-na-odchudzanie-po-ktore-warto-siegnac/]http://machinalansu.pl/ziola-na-odchudzanie-po-ktore-warto-siegnac/[/url]

  • HerbertHal23. Jan, 2020

    Keep up the excellent job and producing in the crowd! http://baraita.net/african-mango/

  • Hectorspuct22. Jan, 2020

    subir la testosterona

    The data is extremely appealing.

  • Lidia Eisenmann22. Jan, 2020

    Hello, Neat post. There is a problem together with your web site in web explorer, could check thisK IE still is the market leader and a big element of people will pass over your excellent writing because of this problem.

  • Hectorspuct22. Jan, 2020

    http://fr.musclemass.space/flocon-d'avoine-pour-musculation/

    Great internet site! It looks extremely expert! Maintain the helpful job!

  • Hectorspuct22. Jan, 2020

    capsulas de testosterona

    You have got the most effective webpages.

  • Leonardvoice21. Jan, 2020

    Wow because this is very great job! Congrats and keep it up.

    http://erectionpills.space/

  • sling tv17. Jan, 2020

    This is very interesting, You’re a very skilled blogger.

    I have joined your feed and look forward to seeking more of your
    wonderful post. Also, I have shared your website in my social networks!

  • Matbroomb15. Jan, 2020

    Propecia Canada No Prescription Finasteride 1mg El Cialis Es Malo cialis Amoxicillin Dosage In Dog

  • sling tv07. Jan, 2020

    Hi there! This post couldn’t be written much better!
    Reading through this article reminds me of my previous roommate!
    He constantly kept preaching about this. I most certainly will send this post to him.
    Pretty sure he’ll have a very good read. Thanks for sharing!

  • asksylphoflight sling tv04. Jan, 2020

    Wonderful blog! I found it while browsing on Yahoo News.

    Do you have any tips on how to get listed in Yahoo News?
    I’ve been trying for a while but I never seem to get
    there! Thanks

  • sling tv02. Jan, 2020

    Saved as a favorite, I really like your website!

  • sling tv01. Jan, 2020

    You should take part in a contest for one of the most useful websites on the web.
    I’m going to recommend this site!

  • coconut oil17. Dec, 2019

    I think that is among the most vital info for me. And i’m happy reading
    your article. But should commentary on some common issues, The site taste is great, the articles is actually excellent :
    D. Just right process, cheers

  • coconut oil15. Dec, 2019

    Great article, totally what I needed.

  • ps4 games12. Dec, 2019

    Hey there, I think your site might be having browser compatibility issues.
    When I look at your blog site in Opera, it looks fine but when opening in Internet Explorer, it has some overlapping.
    I just wanted to give you a quick heads up! Other then that, very good blog!

  • ps4 games11. Dec, 2019

    I am not sure where you are getting your info, but great topic.
    I needs to spend some time learning more or understanding more.
    Thanks for wonderful info I was looking for this information for
    my mission.

  • quest bars cheap09. Dec, 2019

    What’s up to all, the contents existing at this web page are really amazing for people knowledge, well, keep up the good work fellows.

  • quest bars cheap07. Dec, 2019

    Aw, this was an extremely nice post. Spending some time and actual effort to make
    a great article… but what can I say… I procrastinate
    a lot and don’t seem to get anything done.

  • ps4 games06. Dec, 2019

    Wonderful site. Lots of useful info here. I’m sending it
    to a few buddies ans also sharing in delicious. And certainly, thank you in your sweat!

  • quest bars cheap coupon twitter02. Dec, 2019

    This site was… how do I say it? Relevant!! Finally I’ve found something
    that helped me. Many thanks!

  • quest bars cheap01. Dec, 2019

    Hi, I do think this is a great web site. I stumbledupon it 😉 I am going to come back
    yet again since i have bookmarked it. Money and freedom is the best way to change, may you be
    rich and continue to help others.

  • ps4 games28. Nov, 2019

    Fantastic items from you, man. I’ve remember your stuff prior to
    and you’re simply extremely excellent. I actually like what you’ve got right here, really like what you’re saying and the best way wherein you are saying it.
    You make it enjoyable and you still care for to stay it wise.

    I can’t wait to learn far more from you. That is actually a great website.

  • http://tinyurl.com/24. Nov, 2019

    I just like the helpful info you supply on your articles.

    I will bookmark your blog and test once more here frequently.
    I’m moderately sure I’ll learn plenty of new stuff proper
    right here! Best of luck for the next!

  • tinyurl.com23. Nov, 2019

    Thanks for your marvelous posting! I certainly enjoyed reading it, you’re a great author.I will remember to bookmark your blog
    and definitely will come back later in life. I want to encourage
    you continue your great posts, have a nice morning!

Leave a comment

Your email address will not be published. Required fields are marked. *