Caring for the surgical patient with limited ICU resources

The current review aims to discuss the management of surgical patients in an ICU in countries where resources are limited. ICU beds in low-income and middle-income countries (LMICs) are limited and also have limited human and structural resources. The working force has been described to be the costl...

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Bibliographic Details
Published inCurrent opinion in critical care Vol. 25; no. 6; p. 697
Main Authors Ribeiro, Jr, Marcelo A F, Fonseca, Alexandre Z, Santin, Stephanie
Format Journal Article
LanguageEnglish
Published United States 01.12.2019
Subjects
Critical Care
Developing Countries
Health Resources - supply & distribution
Humans
Intensive Care Units
Surgical Procedures, Operative
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Summary:The current review aims to discuss the management of surgical patients in an ICU in countries where resources are limited. ICU beds in low-income and middle-income countries (LMICs) are limited and also have limited human and structural resources. The working force has been described to be the costliest factor. Nevertheless, costs for intensive care in LMICs are one third from the cost reported from high-income countries. Alternative options have been described, so intensive care can be delivered outside ICU. Examples are Rapid-Response Systems and Medical Emergency Teams. The care of the surgical patients in an intensive care setting in countries with resource limitations should be optimized, protocols for standardized care implemented and Better research and resource allocation, as well as investment in healthcare training are essential for the development of intensive care in LMICs is necessary.
ISSN:1531-7072
DOI:10.1097/MCC.0000000000000673