The following emergencies are being handled at Koshys Hospital on a regular basis.
- Hemodynamic instability (hypertension/hypotension)
- Airway or respiratory compromise (such as ventilator support)
- Acute renal failure
- Potentially lethal cardiac dysrhythmias
- frequently the cumulative effects of multiple organ system failure
Patients admitted to the intensive care unit not requiring support for the above are usually admitted for intensive/invasive monitoring, such as the crucial hours after major surgery when deemed too unstable to transfer to a less intensively monitored unit. The high-tech facilities available in this ICU are:
- Mechanical Ventilators both invasive and non invasive.
- Infusion pumps.
- Blood Gas Analysers,Airway Acessories,Percutareous Tracheostomy.
- Invasive hemodynamic monitoring including cardiac output monitoring.
- Internal / external pacemaker.
- Intra Aortic Balloon Pump.
- Continuous ECG and BP monitors.
- Total parenteral nutritional support
- External tube nutritional support
- Inhouse hemodialysis unit
- Patient controlled pain relief system
- Acute pain relief with regional blocks and other nerve blocks with nerve locaters.
- 4D portable Echo Machine,Ultrasonography,
- C Arm for imaging
Critical care is a high-technology specialisation in medicine. People admitted are often dangerously ill on admission. They can also be high-risk cases - ill and with associated medical problems -stable but admitted for observation because they could develop a life threatening situation at any time. Proper critical care with timely diagnosis can save their lives. This second category benefits most from proper and scientific critical care.
Critically ill patients in a medically unstable state who require an intensive level of care (monitoring and treatment).Patients requiring intensive monitoring who may also require emergency interventions.Patients who are medically unstable or critically ill and who do not have much chance for recovery due to the severity of their illness or traumatic injury.
Patients who are generally not eligible for ICU admission because they are not expected to survive. Patients in this fourth category require the approval of the director of the ICU program before admission.
ICU care requires a multidisciplinary team that consists of but is not limited to intensivists (clinicians who specialize in critical illness care); pharmacists and nurses; respiratory care therapists; and other medical consultants from a broad range of specialties including surgery, pediatrics, and anesthesiology. The ideal ICU will have a team representing as many as 31 different health care professionals and practitioners who assist in patient evaluation and treatment. The intensivist will provide treatment management, diagnosis, interventions, and individualized care for each patient recovering from severe illness.
The unit consists of all private ICU capable rooms including two negative isolation rooms. Monitoring capabilities include a Philips Monitor at each bedside, which provide continuous cardiac rhythm monitoring, pulse oximetry, ventilators CO2 monitoring, noninvasive blood pressure, and invasive pressure monitoring capabilitie.
The Medical Intensive Care Unit provides care to the critically ill with conditions related to: