Prospective meta-analysis using individual patient data in intensive care medicine.
Prospective meta-analysis using individual patient data in intensive care medicine.
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DOI:
10.1007/s00134-009-1650-x
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发表时间:
2010-01
影响因子:
38.9
通讯作者:
Angus DC
中科院分区:
文献类型:
--
作者:
Reade MC;Delaney A;Bailey MJ;Harrison DA;Yealy DM;Jones PG;Rowan KM;Bellomo R;Angus DC
To provide recommendations and standard operating procedures for intensive care unit (ICU) and hospital preparations for a mass disaster or influenza epidemic with a specific focus on surge capacity and infrastructure considerations. Based on a literature review and expert opinion, a Delphi process was used to define the essential topics including surge capacity and infrastructure considerations. Key recommendations include: (1) hospitals should increase their ICU beds to the maximal extent by expanding ICU capacity and expanding ICUs into other areas; (2) hospitals should have appropriate beds and monitors for these expansion areas; hospitals should develop contingency plans at the facility and government (local, state, provincial, national) levels to provide additional ventilators; (3) hospitals should develop a phased staffing plan (nursing and physician) for ICUs that provides sufficient patient care supervision during contingency and crisis situations; (4) hospitals should provide expert input to the emergency management personnel at the hospital both during planning for surge capacity as well as during response; (5) hospitals should assure that adequate infrastructure support is present to support critical care activities; (6) hospitals should prioritize locations for expansion by expanding existing ICUs, using postanesthesia care units and emergency departments to capacity, then step-down units, large procedure suites, telemetry units and finally hospital wards. Judicious planning and adoption of protocols for surge capacity and infrastructure considerations are necessary to optimize outcomes during a pandemic.
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DOI:
10.1177/1359786806066056
发表时间:
2006-07-01
期刊:
Journal of psychopharmacology (Oxford, England)
影响因子:
--
作者:
Geddes, John
通讯作者:
Geddes, John
影响因子:
9.3
作者:
Gonzales DA;Norsworthy KJ;Kern SJ;Banks S;Sieving PC;Star RA;Natanson C;Danner RL
通讯作者:
Danner RL
影响因子:
2
作者:
Higgins, JPT;Whitehead, A;Thompson, SG
通讯作者:
Thompson, SG
影响因子:
1.5
作者:
Barton, I
通讯作者:
Barton, I
影响因子:
2
作者:
Berlin, JA;Santanna, J;Feldman, HI
通讯作者:
Feldman, HI