Intensive Care Unit

Guidelines for Intensive Care Unit Admission, Discharge and Triage

Issue:

Vol 68 (Suppl. 2) 2019: Guidelines for Selected Surgical Diseases

DOI:

10.7727/wimj.2018.197

Pages:

46–54

The Intensive Care Unit (ICU) is a highly specialized area within the medical facility where advanced and critically ill patients are managed and should be reserved for patients with reversible medical conditions with reasonable prospects of recovery. It involves both significant human and capital resources. This is particularly challenging in developing countries such as the Caribbean where limitation of both financial and human resources demands that ICU beds be appropriately utilized.

Received:

02 Oct, 2018

Accepted:

08 Dec, 2018

Published:

18 Jul, 2019

PDF Attachment:

vol_68_suppl_2_2019_guidelines_for_intensive_care_unit_admission_discharge_and_triage.pdf

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e-Published: 25 Mar, 2019

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Relationship between Mortality and the Timing of Admission to Intensive Care Units

DOI:

10.7727/wimj.2017.046

Synopsis:

We report on mortality rates and ICU admission times at the Dr. Lutfi Kirdar Kartal Training and Research Hospital. It should be of interest to readers regarding precautions that can be taken to reduce ICU mortality through improved ICU care and staffing

ABSTRACT

Objectives: The objective of this study was to assess the effect of the timing of intensive care unit (ICU) admissions (“off hours” or “business hours”) on patients’ subsequent risk of death.

Received:

13 Feb, 2017

Accepted:

21 Mar, 2017

PDF Attachment:

tarsagol_et_al-mortality_and_the_timing_or_admission.pdf

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e-Published: 22 Mar, 2017

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Disclaimer

Manuscripts that are Published Ahead of Print have been peer reviewed and accepted for publication by the Editorial Board of the West Indian Medical Journal. They may appear in their original format and may not be copy edited or formatted in the style guide of this Journal. While accepted manuscripts are not yet assigned a volume, issue or page numbers, they can be cited using the DOI and date of e-publication. See our Instructions for Authors on how to properly cite manuscripts at this stage. The contents of the manuscript may change before it is published in its final form. Manuscripts in this section will be removed once they have been issued to a volume and issue, but will still retain the DOI and date of e-publication.

Burden of Paediatric Sepsis in a Tertiary Centre from a Developing Country

Issue:

Vol 67, Issue 2: 2018

DOI:

10.7727/wimj.2017.040

Pages:

137-42

Synopsis:

This study estimated the case fatality rate of doctor diagnosed pediatric sepsis using administrative data. There was a high (13%) overall case fatality rate from doctor diagnosed pediatric sepsis during the five-year period studied.

ABSTRACT

Background: Sepsis causes significant pediatric morbidity and mortality in developing countries. This audit describes the outcome of pediatric sepsis in the University Hospital of the West Indies (UHWI), Jamaica using administrative data from hospital records during 2010 to 2014.

Received:

07 Feb, 2017

Revised:

04 Jun, 2018

Accepted:

21 Mar, 2017

PDF Attachment:

wimj-iss2-2018_137_142.pdf

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e-Published: 22 Mar, 2017

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Evaluation of Device-associated Nosocomial Infections in a Paediatric Intensive Care Unit

Issue:

Vol 65, Issue 2: 2016

DOI:

10.7727/wimj.2014.231

Pages:

295–9

Synopsis:

The present study was a surveillance study performed in an paediatric intensive care unit, which is the largest study in its area conducted in Turkey. We aimed to determine the device-associated healthcare-associated infections rates and their responsible pathogens.

ABSTRACT

Objectives: The aim of this study was to evaluate the rate of device-associated healthcare-associated infections (DA-HAI) in a pediatric intensive care unit (PICU). In addition, the identities of the responsible microorganisms and of their antibiotic sensitivities were determined.

Received:

01 Oct, 2014

Accepted:

31 Oct, 2014

PDF Attachment:

wimj_iss2_2016_295-99.pdf

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Original Articles

Keywords:

Intensive Care Unit

surveillance

invasive device utilization

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e-Published: 06 May, 2015

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Utilization Pattern and Cost of Sedation, Analgesia and Neuromuscular Blockade in a Multidisciplinary Intensive Care Unit

Issue:

Vol 57, issue 2 (2008)

Pages:

112–17

Synopsis:

This prospective study highlights the utilization pattern and financial burden of the paradigm of sedation, analgesia and neuromuscular blockade in an intensive care unit. Cost for this treatment alone accounts for more than 50% of the total drug cost in the intensive care unit.

ABSTRACT

Objectives: To study the utilization pattern and the cost of sedatives, analgesics and neuromuscular blocking agents in a multidisciplinary intensive care unit (ICU).

PDF Attachment:

hariharan_utilization_pattern_and_cost_of_sedation.pdf

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e-Published: 18 Jul, 2013

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Risk-Adjusted Outcome Evaluation in a Multidisciplinary Intensive Care Unit

Issue:

Vol 56, Issue 3 (2007)

Pages:

240–5

Synopsis:

This prospective study evaluated the risk-adjusted outcome of a multidisciplinary Intensive Care Unit of a tertiary care hospital in Trinidad and Tobago applying and validating different prognostic scoring systems for adult and paediatric patients.

ABSTRACT

Objective: To evaluate the outcome of a multidisciplinary Intensive Care Unit (ICU) by applying the Acute Physiology and Chronic Health Evaluation (APACHE II) and Paediatric Index of Mortality (PIM) – version-2 scoring systems.

PDF Attachment:

hariharan_risk-adjusted_outcome_evaluation_in_a_mutlidisciplinary_icu.pdf

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e-Published: 02 Jul, 2013

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Characteristics of Patients Requiring Prolonged Length of Stay in a Surgical Intensive Care Unit in Barbados

Issue:

Vol 55, Issue 1 (2006)

Pages:

25–9

Synopsis:

This prospective study found that a considerable number of long-stay ICU patients required just an intermediate care unit and highlighted the need of such a unit and a protocol to transfer fit patients to this unit.

ABSTRACT

Objective: To evaluate the clinical characteristics and costs incurred for patients who stayed for a prolonged period in a surgical intensive care unit (ICU)

PDF Attachment:

hariharan_md_characteristics_of_patients.pdf

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