Indian Society of Critical Care Medicine Experts Committee Consensus Statement on ICU Planning and Designing, 2020

JOURNAL TITLE: Indian Journal of Critical Care Medicine

Author
1. Sanjay Dhanuka
2. Narendra Rungta
3. GC Khilnani
4. Neena Rungta
5. AK Baronia
6. Subhal Dixit
7. Rajesh Mishra
8. Ranvir Tyagi
9. Kundan Mittal
ISSN
0972-5229
DOI
10.5005/jp-journals-10071-G23185
Volume
24
Issue
S1
Publishing Year
2020
Pages
18
Author Affiliations
    1. Jaipur; MJ Rajasthan Hospitals Limited, Jaipur, Rajasthan, India; Indian Society of Critical Care Medicine; Association of SAARC, Countries Critical Care Societies; Intensive Care Chapter (IAP)
    2. Jeevan Rekha Critical Care and Trauma Hospital, Research and Training Institute, Jaipur, Rajasthan, India
    3. Critical Care Foundation, Jaipur, Rajasthan, India
    1. Sanjeevan Hospital and MJM Hospital, Pune, Maharashtra, India
    2. Sanjeevan and MJM Hospitals, Pune, Maharashtra, India
    3. Sanjeevan Hospital, Pune, Maharashtra, India
    1. Ahmedabad, Gujarat, India
    1. Pushpawati Singhania Hospital and Research Institute, New Delhi, India
    2. All India Institute of Medical Sciences, New Delhi, India
    1. Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India
    2. Pandit Bhagwat Dayal Sharma Postgraduate Institute of Medical Sciences, Rohtak, Haryana, India
  • Article keywords
    Critical care, Health care workers (HCW), HDU, Healthcare, hospital, ICU (Intensive Care Unit), ICU beds, ICU doctors, India

    Abstract

    Background: Indian Society of Critical Care Medicine (ISCCM) guidelines on Planning and Designing Intensive care (ICU) were first developed in 2001 and later updated in 2007. These guidelines were adopted in India, many developing Nations and major Institutions including NABH. Various international professional bodies in critical care have their own position papers and guidelines on planning and designing of ICUs; being the professional body of intensivists in India ISCCM therefore addresses the subject in contemporary context relevant to our clinical practice, its variability according to specialty and subspecialty, quality, resource limitation, size and location of the institution. Aim: To have a consensus document reflecting the philosophy of ISCCM to deliver safe & quality Critical Care in India, taking into consideration the requirement of regulatory agencies (national & international) and need of people at large, including promotion of training, education and skill upgradation. It also aiming to promote leadership and development and managerial skill among the critical care team. Material and Methods: Extensive review of literature including search of databases in English language, resources of regulatory bodies, guidelines and recommendations of international critical care societies. National Survey of ISCCM members and experts to understand their viewpoints on respective issues. Visiting of different types and levels of ICUs by team members to understand prevailing practices, aspiration and Challenges. Several face to face meetings of the expert committee members in big and small groups with extensive discussions, presentations, brain storming and development of initial consensus draft. Discussion on draft through video conferencing, phone calls, Emails circulations, one to one discussion Result: Based upon extensive review, survey and input of experts\' ICUs were categorized in to three levels suitable in Indian setting. Level III ICUs further divided into sub category A and B. Recommendations were grouped in to structure, equipment and services of ICU with consideration of variation in level of ICU of different category of hospitals. Conclusion: This paper summarizes consensus statement of various aspect of ICU planning and design. Defined mandatory and desirable standards of all level of ICUs and made recommendations regarding structure and layout of ICUs. Definition of intensive care and intensivist, planning for strength of ICU and requirement of manpower were also described.

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