Critical care unit

1. Critical care unit By Dr. SaharElkaradawy Professor in Anaesthesia and Pain Management saharelkaradawy@yahoo.com

2. Objectives • Critical care patients • Critical care unit • Equipments • How can you deal with patient safely?

3. Critical care patient • Patients with life threatening illness or injuries who need special care and handling. • This care usually takes place in a region called an intensive care unit (ICU). • Problems that might need critical care treatment include :complications from surgery, accidents, infections and severe breathing or cardiac problems.

4. Critical care patients

5. Critical care design

6. Critical care design

7. Critical care design

8. Who are working in ICU? ICU team include • Physicians • Nurses • Physiotherapists • Clinical engineering staff. • Workers

9. Critical care equipments ICU is well equipped place • Monitors • Ventilators • Surgical and anaesthetic equipments (tubes ,catheters, endotracheal tubes, intercostal tubes) • Syringe pump. • Defibrillator.

10. ICU Equipments

11. ICU Equipments

12. problems in ICU Patients’ Patients are bedridden • Increase liability to deep venous thrombosis (DVT) • Lung atelectasis and infection • Bed sores Invasive procedures • Increase liability to infection Stress • Cognitive changes • Depression • Ischemic heart disease • Decrease immunity

13. How do you handle the patients safely? • Educationabout ICU design. • Have an infection control education ( decrease HCPs and patients cross infection) • Work as a team. • Be familiar with equipments and know what is your job description? ( safety of patients)

14. in ICU? How to deal with patients • Monitor physiological responses such as heart rate, blood pressure, respiratory rate and oxygen saturation at all times. • Be aware of effects of positioning and mobility of the patient on the various monitoring devices and their readings.

15. in ICU? How to deal with patients • deal with the patient as if he/she were conscious and (talk to him and explain all procedures he is going through,. • do not talk about his condition within his hearing • Frequency y of physical sessions should generally be at least twice a day. • Treatment should be carried out at least 1 1/2 hrs after feeding time. • Be aware of patient's medication

16. What is your job description? • incidence of bed sore • incidence of DVT and pulmonary embolism. • incidence of lung atelectasis and enhance respiratory function • Improve circulation. • Improve muscle tone and enhance muscle strength. • Enhance recovery of the patients and decrease hospital stay.

17. Improve Circulatory System Function

18. Keep musculoskeletal System withinFunctional Limit • a) Improve ROM • b) Improve Muscle Strength and Endurance • c) Prevent Joint Deformities and Contractures

19. Improve / Maintain Normal or Baseline Ventilation and Oxygenation

20. Enhance respiratory function. Semi setting position.

21. Prone position

22. Improve / Maintain Normal or Baseline Ventilation and Oxygenation a) Clearance of Airways b) Improve Chest Expansion c) Improve Breath Sound d) Improve Cough Effectiveness e) Improve Breathing Pattern

23. Breathing exercise

24. In conclusion • Patients in critical care unit are critically ill needs special care and management. • ICU is specialized place full equipped with monitors and other supportive devices and has special design. • ICU team collaborates together to manage patients and enhance recovery.

25. Thank you