Design, organization and staffing of the intensive care unit

Bennett, Sean

doi:10.1016/j.mpsur.2009.04.004

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Cited by 3 publications

(2 citation statements)

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“…16 Different frequencies and intensities of care may warrant different types relationships or routing (adjacent, easily accessible, or located within same building) by the thickness of the arrows.…”

Section: Patient Modulesmentioning

confidence: 99%

Intensive Care Unit Facility Design

Robben¹

2015

Small Animal Critical Care Medicine

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Section: Patient Modulesmentioning

confidence: 99%

Intensive Care Unit Facility Design

Robben¹

2015

Small Animal Critical Care Medicine

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“…In recent years, questions concerning the physical environment in patient rooms in the intensive care unit (ICU) have increasingly come to the fore largely due to the increasing number of new hospital constructions and renovations occurring in Europe and in other parts of the world. 1,2 Unfortunately, most existing studies are descriptive in nature and only a few have been randomised controlled trials (RCTs). Without RCTs, generating results that could be helpful to healthcare organisations and other stakeholders, such as architects, designers and acousticians, is challenging.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of a sound environment intervention in an ICU: A feasibility study

Johansson

Lindahl

Knutsson

et al. 2018

Australian Critical Care

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Sepsis in the intensive care unit

Bennett¹

2012

Surgery (Oxford)

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Sepsis remains a major cause of mortality in intensive care. The past 15 years has seen a more uniform, world-wide approach to the management of sepsis, severe sepsis and septic shock with improved survival. Recognizing the early symptoms and signs of sepsis are key: the confused, hypoxic, hypotensive patient with pyrexia, tachycardia, tachypnoea and leucocytosis. Examination must include search for a source of infection and early drainage or debridement. Next to take appropriate cultures, give fluids and broad-spectrum antibiotics. If the picture does not improve over the next 6 hours step-up the treatment to include urine output monitoring, blood gases for base excess, lactate, haemoglobin and glucose. These will guide the management of vasopressors, insulin, fluids, transfusion and bicarbonate. If the hypotension persists (septic shock) the patient should be moved to intensive care. The most recent recommendations include the withdrawal of starch based colloids, dobutamine in place of dopamine and a higher threshold for the use of steroids. This should be instituted within 24 hours of the start of sepsis. Advanced care includes mechanical ventilation using the ARDSnet protocol. Prevention by screening, stopping cross infection and appropriate use of antibiotics remains the first priority.

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Design, organization and staffing of the intensive care unit

Cited by 3 publications

References 17 publications

Intensive Care Unit Facility Design

Intensive Care Unit Facility Design

Evaluation of a sound environment intervention in an ICU: A feasibility study

Sepsis in the intensive care unit

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