Intensive care challenges for the next pandemic
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Mar 26, 2024
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Abstract
Experience during the COVID-19 pandemic has highlighted the need for crisis preparedness, particularly in intensive care units (ICUs). Addressing key challenges is vital for improving readiness and response, as well as ensuring better protection for vulnerable populations.
Our review focuses on the recent literature examining the challenges in acute care settings during the pandemic. We aimed to identify lessons that could improve our ability to handle similar situations.
Studies have highlighted the critical role of intensive care, responsiveness, and preparedness. The key challenges identified include a shortage of trained personnel to meet high demand without compromising care quality or overburdening healthcare workers. Resource scarcity during the pandemic emphasizes the importance of reasonable resource allocation to ensure sufficient care provision.
Additionally, addressing post-ICU syndrome and early rehabilitation is crucial, as ICU treatment can lead to long-term physical, psychological, and cognitive issues that can affect patients' quality of life. Finally, fostering a culture of data sharing and research collaboration is essential for knowledge exchange and improving crisis management across healthcare centers.
Keywords:
pandemic, intensive care medicine, ICU, Staff, PICS
Article Details
How to Cite
VERA, Magdalena et al.
Intensive care challenges for the next pandemic.
Medical Research Archives, [S.l.], v. 12, n. 3, mar. 2024.
ISSN 2375-1924.
Available at: <https://esmed.org/MRA/mra/article/view/5127>. Date accessed: 23 nov. 2024.
doi: https://doi.org/10.18103/mra.v12i3.5127.
Section
Review Articles
The Medical Research Archives grants authors the right to publish and reproduce the unrevised contribution in whole or in part at any time and in any form for any scholarly non-commercial purpose with the condition that all publications of the contribution include a full citation to the journal as published by the Medical Research Archives.
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4. Lal A, Erondu NA, Heymann DL, Gitahi G, Yates R. Fragmented health systems in COVID-19: rectifying the misalignment between global health security and universal health coverage. The Lancet. 2021;397(10268 ):61-67. doi:10.1016/S0140-6736(20)32228-5
5. Arabi YM, Azoulay E, Al-Dorzi HM, et al. How the COVID-19 pandemic will change the future of critical care. Intensive Care Med. 2021;47(3):282-291. doi:10.1007/s00134-021-06352-y
6. Mello MM, Parmet WE. Public Health Law after Covid-19. New England Journal of Medicine. 2021;385(13):1153-1155. doi:10.10 56/NEJMP2112193
7. Health workforce policy and management in the context of the COVID-19 pandemic response Interim guidance. Published online 2020.
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12. WHO Guidance on Research Methods for Health Emergency and Disaster Risk Management.
13. Dargin J, Stempek S, Lei Y, Gray A, Liesching T. The effect of a tiered provider staffing model on patient outcomes during the coronavirus disease 2019 pandemic: A single-center observational study. Int J Crit Illn Inj Sci. 2021;11(3):156-160. doi:10.4103/IJCII S.IJCIIS_37_21
14. Harris G, Adalja A. ICU preparedness in pandemics: Lessons learned from the coronavirus disease-2019 outbreak. Curr Opin Pulm Med. 2021;27(2):73-78. doi:10.1097/ MCP.0000000000000749
15. Saurin TA, Wachs P, Bueno WP, et al. Coping with complexity in the COVID pandemic: An exploratory study of intensive care units. Human Factors and Ergonomics in Manufacturing & Service Industries. 2022;32(3 ):301-318. doi:10.1002/HFM.20947
16. Spencer SA, Adipa FE, Baker T, et al. A health systems approach to critical care delivery in low-resource settings: a narrative review. Intensive Care Med. 2023;49(7):772-784. doi:10.1007/S00134-023-07136-2/TABLES/3
17. Gupta N, Kumar R. Implementation of Total Quality Management in Higher Education Institutions.; 2021. www.maims.ac.in
18. Bakhsh A, Asiri R, Alotaibi H, Alsaeedi R, Shahbar R, Boker A. Rapid cycle training for non-critical care physicians to meet intensive care unit staff shortage at an academic training center in a developing country during the COVID-19 pandemic. BMC Med Educ. 2023;23(1):1-6. doi:10.1186/S12909-023-044 78-9/TABLES/2
19. Vera M, Kattan E, Cerda T, et al. Implementation of Distance-Based Simulation Training Programs for Healthcare Professionals. Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare. 2021;Publish Ah(00):1-6. doi:10.1 097/sih.0000000000000550
20. Seruwagi G, Nakidde C, Otieno F, et al. Healthworker preparedness for COVID-19 management and implementation experiences: a mixed methods study in Uganda’s refugee-hosting districts. Confl Health. 2021;15(1). doi:10.1186/S13031-021-00415-Z
21. Farooq M, Ahmad S, Hanjra FK, Zafar O, Bashir K. Interprofessional On-floor Education on Oxygen Therapy in COVID-19 Patients, Cardiac Arrest, and Procedural Sedation: Perception of Health-care Workers in Emergency Setting. Open Access Emerg Med. 2022;14:535-543. doi:10.2147/OAEM.S349656
22. Sabbagh AY, Alzaid HM, Almarshed AA, et al. A Newly Developed Interprofessional In-Situ Simulation-Based Training for Airway Management of COVID-19 Patients: Identification of Challenges and Safety Gaps, and Assessment of the Participants’ Reaction. J Clin Med Res. 2022;14(9):377-387. doi:10.1 4740/JOCMR4756
23. Papazian L, Hraiech S, Loundou A, Herridge MS, Boyer L. High-level burnout in physicians and nurses working in adult ICUs: a systematic review and meta-analysis. Intensive Care Med. 2023;49(4):387-400. doi: 10.1007/S00134-023-07025-8/FIGURES/5
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