Division of Acute Care and Trauma Surgery.
Department of Surgery, Hospital Moriah.
Curr Opin Crit Care. 2019 Dec;25(6):697-700. doi: 10.1097/MCC.0000000000000673.
The current review aims to discuss the management of surgical patients in an ICU in countries where resources are limited.
ICU beds in low-income and middle-income countries (LMICs) are limited and also have limited human and structural resources. The working force has been described to be the costliest factor. Nevertheless, costs for intensive care in LMICs are one third from the cost reported from high-income countries. Alternative options have been described, so intensive care can be delivered outside ICU. Examples are Rapid-Response Systems and Medical Emergency Teams.
The care of the surgical patients in an intensive care setting in countries with resource limitations should be optimized, protocols for standardized care implemented and Better research and resource allocation, as well as investment in healthcare training are essential for the development of intensive care in LMICs is necessary.
本综述旨在讨论资源有限国家中 ICU 中外科患者的处理。
中低收入国家（LMICs）的 ICU 床位有限，人力资源和结构资源也有限。劳动力被描述为最昂贵的因素。尽管如此，与高收入国家报告的 ICU 费用相比，LMICs 的 ICU 费用低三分之一。已经描述了替代方案，因此可以在 ICU 之外提供重症监护。例如快速反应系统和医疗应急小组。
资源有限国家的重症监护环境中外科患者的护理应得到优化，应实施标准化护理的方案，并开展更好的研究和资源分配，以及对医疗保健培训的投资，这些都是发展中至关重要的。LMICs 的重症监护。
