A Review of Design Features of Intensive Care Unit in General Terms

Abstract

Intensive care units (ICU), self-contained places that have special equipment and personnel for following up life threatening diseases, injuries and potentially critical patients. It provides specialty and resource for supporting vital functions. Moreover, it provides opportunity to experienced practitioners and allied health personnel to use their skills. As in the world, different discipliner ICUs are identified and the use of them has become widespread in our country. Beside the ICUs that are incarcerated by department of Anesthesiology and Reanimation, there are ICUs belonging to departments of cardiology, cardiovascular/thoracic surgery, chest diseases, neonatology, neurology, neurosurgery, internal diseases, general surgery and emergency. Good design of ICUs provides comfort and security to patients or personnel and increase the success of treatment. Furthermore, it prevents the deficits that cannot be remedied later, and contribute renewing substructure of ICU in accordance to the current conditions. There is no single ideal geometry for the placement of ICU. The published recommendations suggest units or patient room groups from at least six beds for efficiency and economy, and up to eight to 12 beds for observation reasons.

Keywords

• Design,Intensive Care Unıt

References

1. 1- Minimum standards for intensive care units. IC-1 (2016). College of Intensive Care Medicine of Australia and New Zealand. Available at: https://www.cicm.org.au/CICM_Media/CICMSite/CICM-Website/Resources/Professional%20Documents/IC-1-Minimum-Standards-for-Intensive-Care-Units_1.pdf. Accessed August 5, 2019.
2. 2- Çelikel T. Critical Care Medicine in the World and in Turkey. Turkish Journal of Intensive Care Medicine 2001; 1(1): 5-10.
3. 3- Fiona E Kelly FE, Kevin Fong K, Nicholas Hirsch N and Nolan JP. Intensive care medicine is 60 years old: the history and future of the intensive care unit. Clinical Medicine 2014; 14 (4): 376–9.
4. 4- American College of Critical Care Medicine of the Society of Critical Care Medicine. Critical care services and personnel: Recommendations based on a system of categorization into two levels of care. Crit Care Med 1999; 27:422-6.
5. 5- 2. Faculty of Intensive Care, Australian and New Zeland College of Anesthetists (FICANZCA): Minimum standards for high dependency units seeking accreditation for training in intensive care. IC-13. Australian and New Zeland College of Anesthetists, Melbourne 2000:1-4.
6. 6- 3. Guidelines/Practice Parameters Committee of the American College of Critical Care Medicine, Society of Critical Care Medicine: Guidelines for intensive care design. Crit Care Med, 1995; 23:582-8.
7. 7- Guidelines on critical care services and personnel: Recommendations based on a system of categorization of three levels of care’’ Crit Care Med 2003; 31:2677-83.
8. 8- Communiqué amending the communiqué on the principles and procedures for the application of intensive care services in inpatient health facilities. Official Gazette of the Republic of Turkey. Number: 30015.Available at: http://www.resmigazete.gov.tr/eskiler/2017/03/20170322-31.htm. Accessed August 5, 2019.

9. 9- Thompson DR, Hamilton DK, Cadenhead CD, Swoboda SM, Schwinde SM, Anderson DC et all. Guidelines for intensive care unit design. Crit Care Med 2012; 40(5): 1586-1600.
10. 10- Morandi A, Brummel NE, Ely EW. Sedation, delirium and mechanical ventilation: the 'ABCDE' approach. Curr Opin Crit Care. 2011; 17(1):43-9.