Recommendations for the structure, organization, and operation of intensive cardiac care units
Recommendations for the structure, organization, and operation of intensive cardiac care units
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DOI：
10.1093/eurheartj/ehi202
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发表时间：
2005-08-01
影响因子：
39.3
通讯作者：
Zakke, I
中科院分区：
文献类型：
--
作者：
Hasin, Y;Danchin, N;Zakke, I
最近，在患者特征和管理方面发生了两大变化，这就需要对心脏重症监护病房（ICCU）的功能进行明显的改变。这些变化包括采用早期侵入性策略治疗急性冠状动脉综合征，一方面使早期康复和缩短重症监护的需要，另一方面，需要长期和更复杂重症监护的老年和病情较重的患者数量正在稳步增加。欧洲心脏病学会急性心脏护理工作组的一个特别工作组旨在就现代重症监护病房和中间心脏单元的结构、组织和功能提出现代更新的综合建议。其中包括经过专业训练的心脏病专家和能够管理急性心脏病患者的心脏病护士应该在重症监护病房工作。包括在单位工作的医生、护士和其他个人的最佳人数。该文件指出了单位和中间心脏单位的理想建筑和结构以及它们与医院其他设施的关系。具体建议还包括最小床位数量、监测系统、呼吸器、起搏器/除颤器和必要的额外设备。讨论了期望的功能，即入院的患者，住院时间和搬迁政策。建议为中央行政区划编制统一的电子海图，以期建立一个共同的欧洲数据库。
Two major changes in patient characteristics and management occurred recently that demand distinctive alterations in the function of the intensive cardiac care unit (ICCU). These changes include the introduction of an early invasive strategy for the treatment of acute coronary syndromes, enabling early recuperation and shorter need for intensive care on the one hand, white the number of older and sicker patients requiring prolonged and more complex intensive care is steadily increasing. A task force of the European Society of Cardiology Working Group on Acute Cardiac Care was set to give a modern updated comprehensive recommendations concerning the structure, organization, and function of the modern ICCUs and intermediate cardiac units. These include the statement that specialty trained cardiologists and cardiac nurses who can manage patients with acute cardiac conditions should staff the ICCUs. The optimum number of physicians, nurses, and other personal working in the unit is included. The document indicates the desired architecture and structure of the units and the intermediate cardiac unit and their relations to the other facilities in the hospital. Specific recommendations are also included for the minimal number of beds, monitoring system, respirators, pacemaker/defibrulators, and necessary additional equipment. The desired function is discussed, namely, the patients to be admitted, the length of stay, and the relocation policy. A uniformed electronic chart for ICCUs is advised, anticipating a common European database.