Department of Respiratory and Critical Care Medicine, Singapore General Hospital, Outram Road, Singapore, 169608, Singapore.
Division of Anaesthesiology, Singapore General Hospital, Singapore, Singapore.
Crit Care. 2020 May 11;24(1):215. doi: 10.1186/s13054-020-02916-4.
The coronavirus disease 2019 (COVID-19) has rapidly evolved into a worldwide pandemic. Preparing intensive care units (ICU) is an integral part of any pandemic response. In this review, we discuss the key principles and strategies for ICU preparedness. We also describe our initial outbreak measures and share some of the challenges faced. To achieve sustainable ICU services, we propose the need to 1) prepare and implement rapid identification and isolation protocols, and a surge in ICU bed capacity; (2) provide a sustainable workforce with a focus on infection control; (3) ensure adequate supplies to equip ICUs and protect healthcare workers; and (4) maintain quality clinical management, as well as effective communication.
新型冠状病毒病 2019（COVID-19）迅速演变成全球大流行。为重症监护病房（ICU）做准备是任何大流行应对措施的一个组成部分。在这篇综述中，我们讨论了 ICU 准备的关键原则和策略。我们还描述了我们最初的爆发措施，并分享了所面临的一些挑战。为了实现可持续的 ICU 服务，我们提出需要：1）制定并实施快速识别和隔离方案，增加 ICU 床位容量；2）提供可持续的劳动力，重点是感染控制；3）确保 ICU 设备和医护人员防护用品的充足供应；4）保持高质量的临床管理和有效的沟通。
