Chowdhury Debashish, Duggal Ashish K
Department of Neurology, GB Pant Institute of Post Graduate Medical Education and Research, New Delhi, India.
Neurol India. 2017 Jan-Feb;65(1):39-45. doi: 10.4103/0028-3886.198205.
Intensive care is a specialized branch of medicine dealing with the diagnosis, management, and follow up of critically ill or critically injured patients. It requires input from other branches of medicine on various issues. A critical care specialist has expertise in managing such patients round the clock. Based on his freedom to take decisions in the intensive care unit (ICU), different types of ICUs - open, closed, or semi-closed - have been defined. There is no doubt that all critical patients should be evaluated by an intensivist. Therefore, it is argued that a closed ICU model would be the ideal model. However, this may not always be feasible and other models may be more useful in resource-limited countries. In this review, we compare the different formats of ICU functioning and their suitability in different hospitals.
重症监护是医学的一个专业分支，涉及危重病患者或重伤患者的诊断、管理及随访。它在各种问题上需要其他医学分支的投入。重症监护专家具备全天候管理此类患者的专业知识。基于其在重症监护病房（ICU）的决策自由，已定义了不同类型的ICU——开放式、封闭式或半封闭式。毫无疑问，所有危重症患者都应由重症医学专家进行评估。因此，有人认为封闭式ICU模式是理想模式。然而，这可能并不总是可行的，在资源有限的国家，其他模式可能更有用。在本综述中，我们比较了ICU不同的运作形式及其在不同医院的适用性。
