Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province, China.
Int J Clin Pract. 2021 May;75(5):e13949. doi: 10.1111/ijcp.13949. Epub 2021 Jan 3.
Critically ill patients with coronavirus disease 2019 (COVID-19) were surging and far outnumbered existing beds.
To describe how to rapidly convert general wards to intensive care units for critically ill patients with COVID-19.
Comprehensive assessment and analysis of available resources and standard requirements.
The ICUs were successfully assembled in 4 days. The conversion included environment reconstruction, configuration and management of equipment, information system construction and human resource allocation. A total of 172 critically ill patients had been admitted to the contemporary ICUs and none medical staff was infected.
The epidemic situation of COVID-19 poses a great challenge to various management departments of the hospital, especially for critically ill patients with a high mortality rate. To save more critically ill patients, the conversion of a general ward to a quarantine ICU ward must be completed in a short time, and the optimal allocation of resources must be appropriate to ensure that the medical team works effectively and is of high quality. In face of the overloaded medical system, the ideal non-negative pressure ward is hard to achieve. However, we have demonstrated with evidence that our conversions are effective in both providing care to critical patients and protecting the safety of our staff.
The conversion is successful and the running experience would be a reference for hospitals in other areas nationally or globally.
患有 2019 年冠状病毒病（COVID-19）的危重症患者数量激增，远远超过了现有床位数量。
描述如何将普通病房快速转换为 COVID-19 危重症患者的重症监护病房。
对现有资源和标准要求进行全面评估和分析。
在 4 天内成功组建了 ICU。转换包括环境重建、设备配置和管理、信息系统建设和人力资源配置。共有 172 名危重症患者被收治到当代 ICU，没有医护人员感染。
COVID-19 的疫情对医院的各个管理部门构成了巨大挑战，特别是对死亡率较高的危重症患者。为了拯救更多的危重症患者，必须在短时间内完成普通病房到隔离 ICU 病房的转换，并且要对资源进行最优配置，以确保医疗团队高效、高质运转。面对超负荷的医疗系统，很难实现理想的负压病房。然而，我们已经用事实证明，我们的转换在为危重症患者提供护理和保护我们员工安全方面是有效的。
转换是成功的，运行经验将为全国乃至全球其他地区的医院提供参考。
