Litcius/Paper detail

Preparing your intensive care unit for the COVID-19 pandemic: practical considerations and strategies

Ken Junyang Goh, Jolin Wong, C. Tien, Shin Yi Ng, Sewa Duu Wen, Ghee Chee Phua, Carrie Kah‐Lai Leong

2020Critical Care157 citationsDOIOpen Access PDF

Abstract

The coronavirus disease 2019 (COVID-19) has rapidly evolved into a worldwide pandemic. Preparing intensive care units (ICU) is an integral part of any pandemic response. In this review, we discuss the key principles and strategies for ICU preparedness. We also describe our initial outbreak measures and share some of the challenges faced. To achieve sustainable ICU services, we propose the need to 1) prepare and implement rapid identification and isolation protocols, and a surge in ICU bed capacity; (2) provide a sustainable workforce with a focus on infection control; (3) ensure adequate supplies to equip ICUs and protect healthcare workers; and (4) maintain quality clinical management, as well as effective communication.

Topics & Concepts

MedicinePandemicPreparednessIntensive care unitCoronavirus disease 2019 (COVID-19)Isolation (microbiology)WorkforceSurge CapacityMedical emergencyHealth careInfection controlIntensive careIntensive care medicineDiseaseInfectious disease (medical specialty)BioinformaticsPolitical scienceBiologyLawPathologyEconomicsEconomic growthDisaster Response and ManagementRespiratory Support and MechanismsIntensive Care Unit Cognitive Disorders