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Review
. 2019 Dec;25(6):697-700.
doi: 10.1097/MCC.0000000000000673.

Caring for the surgical patient with limited ICU resources

Marcelo A F Ribeiro Jr  1 , Alexandre Z Fonseca  2 , Stephanie Santin  3
Affiliations
Review

Caring for the surgical patient with limited ICU resources

Marcelo A F Ribeiro Jr et al. Curr Opin Crit Care. 2019 Dec.

Abstract

Purpose of review: The current review aims to discuss the management of surgical patients in an ICU in countries where resources are limited.

Recent findings: 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.

Summary: 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.

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