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MAI) Mosul for Anesthesia & ICU)

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MAI) Mosul for Anesthesia & ICU)

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MAI) Mosul for Anesthesia & ICU)

This website belong to department of anaesthesia & ICU in Mosul city , Iraq


2 posters

    DISCHARGE CRITERIA FROM ICU

    ashdom
    ashdom


    عدد الرسائل : 171
    العمر : 42
    العمل/الترفيه : Anesthesiologist
    تاريخ التسجيل : 2010-07-08

    DISCHARGE CRITERIA FROM ICU Empty DISCHARGE CRITERIA FROM ICU

    Post by ashdom Wed Feb 05, 2014 10:09 pm



    DISCHARGE CRITERIA FROM ICU



    The status of patients admitted to an ICU should be reviewed continuously to identify patients who may no longer need ICU care.

    (Patients no longer meeting Admission Criteria to the ICU )

    This includes:

    A. When a patient's physiologic status has stabilised and the need for ICU monitoring and care is no longer necessary

    B. When a patient's physiological status has deteriorated and / or become irreversible and active interventions are no longer beneficial, withdrawal of therapy should be carried out in the intensive care unit.

    Patient should only be discharged to the ward if bed is required.



    Discharge will be based on the following criteria:

    1- Stable haemodynamic parameters



    2- Stable respiratory status (patient extubated with stable arterial blood gases) and airway patency

    3- Oxygen requirements not more than 60%



    4- Intravenous inotropic/ vasopressor support and vasodilators are no longer necessary. Patients on low dose inotropic support may be discharged earlier if ICU bed is required.

    ( Systolic Blood pressure> 90 mmHg without vasoactive agents - Diastolic Blood pressure< I 00 mm Hg without vasoactive agents )



    5- Cardiac dysrhythmias are controlled



    6- Neurologic stability with control of seizures



    7- Patients who require chronic mechanical ventilation (eg motor neuron disease, cervical spine injuries) with any of the acute critical problems reversed or resolved

    ( Patients without an endotracheal tube and maintaining Sp02 >or equal to 92% )



    8- Patients with tracheostomies who no longer require frequent suctioning

    9- Patients not requiring blood products within a 24hour period



    10- Resolution of acute abnormal laboratory values


    yagocom
    yagocom
    المشرف العام


    عدد الرسائل : 213
    العمر : 52
    تاريخ التسجيل : 2008-07-26

    DISCHARGE CRITERIA FROM ICU Empty Re: DISCHARGE CRITERIA FROM ICU

    Post by yagocom Thu Feb 06, 2014 10:18 pm

    thank you Mr. Ashdom , please write down the refrences of these information
    ashdom
    ashdom


    عدد الرسائل : 171
    العمر : 42
    العمل/الترفيه : Anesthesiologist
    تاريخ التسجيل : 2010-07-08

    DISCHARGE CRITERIA FROM ICU Empty Re: DISCHARGE CRITERIA FROM ICU

    Post by ashdom Fri Feb 07, 2014 12:48 am

    yagocom wrote:thank you Mr. Ashdom , please write down the refrences of these information

    thanks dear & great prof

    1- Admission a nd Discharge Criteria for Special Cnre Units

    The University of Toledo Medical Center and its Medical Staff


    2- ADMISSION, DISCHARGE CRITERIA AND TRIAGE

    Program Anestesiologi & Cawangan Kualiti Penjagaan Kesihatan BPP, KKM

    ( NAICU/ Management Protocol/ Admission Discharge and Triage /August 2006 )


    3- Admission/Discharge/Transfer Criteria to SICU

    UTMB HANDBOOK OF OPERATING PROCEDURES


    4- Guidelines on Admission and Discharge for Adult Intermediate Care Units

    American College of Critical Care Medicine of the Society of Critical Care Medicine


    5- Guidelines for ICU Admission, Discharge, and Triage

    American College of Critical Care Medicine of the Society of Critical Care Medicine

      Current date/time is Sat Jan 29, 2022 1:36 pm