Geriatric intensive care unit is a special intensive care unit dedicated to management of critically ill elderly.
| Geriatric intensive-care unit | |
|---|---|
| Specialty | Intensive care medicine |
Origin
editGeriatric intensive care units began because the world population is aging. Geriatric medicine is distinct from adult or pediatric medicine, especially if they are critically ill. Geriatric medicine was not included in the curricula of undergraduate or advanced medical training until recently, so not all critical care physicians are oriented to the specific needs of geriatric patients. Despite the fact that many critically ill patients are older, the training of critical care teams still lacks a geriatric focus.[1][2][3][4]
Older adults admitted to intensive care units can suffer from severe infections, such as MRSA or systemic fungal infections,[5] and may need special post-operative analgesia.[6] People age 75+ may need assessment by special instruments to predict their ICU prognosis.[7] One quotation has said "geriatric ICUs are the future".[8]
World distribution
editGeriatric care units are present in Japan,[9] United States, China,[10][11][12] Egypt, Europe[13] France,[14] Italy,[15][16] Iran,[17] and India.[18][19][20]
Training & education programs
editPhysicians are trained in geriatric medicine & critical care medicine.[21][22][23]
Nurses receive special training in critical care of elderly in their basic training, advanced and clinical training.[24][25][26]
Ventilators
edit
A geriatric ventilator is a machine that provides mechanical ventilation by moving breathable air into and out of the lungs, to deliver breaths to a geriatric patient who is physically unable to breathe, or breathing insufficiently.
Open-source ventilators
editA geriatric open-source ventilator uses open-source hardware.
See also
editReferences
edit- ^ Fisher, Malcolm (June 1993). "Geriatric intensive care". Critical Care Medicine. 21 (6): 823. doi:10.1097/00003246-199306000-00006. ISSN 0090-3493. PMID 8504647.
- ^ The Geriatric Patient in The Intensive Care Unit, Cuba
- ^ RELATION BETWEEN ELDERLY AND INTENSIVE CARE UNIT, Turkey
- ^ Neuroscience ICU[permanent dead link]
- ^ Invasive mycosis in the Elderly – an appraisal on an geriatric intensive care unit[permanent dead link]
- ^ "postoperative analgesia for geriatric intensive care patients" (PDF). Archived from the original (PDF) on 2015-09-23. Retrieved 2008-11-06.
- ^ Geriatric Intensive Care Unit, Peking University, China
- ^ The geriatric intensive care unit - Dr Eryl Davies: geriatric ICUs are the future
- ^ Dojin Hospital’s geriatric intensive care unit, Japan
- ^ Geriatric Intensive Care Unit, Peking University, China
- ^ Geriatric Intensive Care Unit, Nanjing, China
- ^ Zeng, A; Song, X; Dong, J; Mitnitski, A; Liu, J; Guo, Z; Rockwood, K (2015). "Mortality in Relation to Frailty in Patients Admitted to a Specialized Geriatric Intensive Care Unit". J Gerontol A Biol Sci Med Sci. 70 (12): 1586–94. doi:10.1093/gerona/glv084. PMC 4631107. PMID 26400736.
- ^ "4 beds geriatric intensive care unit in France". Archived from the original on 2007-10-25. Retrieved 2013-01-17.
- ^ Invasive mycosis in the Elderly – an appraisal on an geriatric intensive care unit[permanent dead link]
- ^ "New treatments in Geriatric Intensive Care Ward of the University Hospital in Florence, Italy" (PDF). Archived from the original (PDF) on 2006-10-04. Retrieved 2013-01-17.
- ^ Fumagalli, Stefano (2002). "Does Advanced Age Affect the Immediate and Long-Term Results of Direct-Current External Cardioversion of Atrial Fibrillation?". Journal of the American Geriatrics Society. 50 (7): 1192–1197. doi:10.1046/j.1532-5415.2002.50304.x. PMID 12133012. S2CID 40143191.
- ^ "Permanent Geriatric Intensive Care, Poland". Archived from the original on 2008-06-04. Retrieved 2013-01-17.
- ^ Geriatric Intensive Care Unit, King George Medical University, Lucknow, Uttar Pradesh, India
- ^ Geriatric intensive-care unit (GICU) at Kumar Hospital, Jabalpur
- ^ The New Indian Express
- ^ Geriatric intensive care (1993) article
- ^ The Geriatric Patient in The Intensive Care Unit, Cuba
- ^ RELATION BETWEEN ELDERLY AND INTENSIVE CARE UNIT, Turkey
- ^ "geriatric medical intensive care nurse photo". Archived from the original on 2008-09-05. Retrieved 2008-11-06.
- ^ geriatric intensive-care school
- ^ "Training courses in pediatric and geriatric intensive care, India". Archived from the original on 2007-08-23. Retrieved 2008-11-06.