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Year : 2017  |  Volume : 65  |  Issue : 1  |  Page : 39--45

Intensive care unit models: Do you want them to be open or closed? A critical review

Department of Neurology, GB Pant Institute of Post Graduate Medical Education and Research, New Delhi, India

Correspondence Address:
Dr. Debashish Chowdhury
Department of Neurology, Room No 508, Academic Block, GB Pant Institute of Post Graduate Medical Education and Research, JN Nehru Marg, New Delhi - 110 002
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0028-3886.198205

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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.


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Online since 20th March '04
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