The Intensive Care Unit is an expensive resource area and should be reserved for patients with reversible medical conditions with a reasonable prospect of substantial recovery. Patients with the following conditions are candidates for admission to the General Intensive Care Unit.
- Acute respiratory failure requiring ventilatory support
- Acute pulmonary embolism with hemodynamic instability
- Massive hemoptysis
- Upper airway obstruction
- Shock states
- Life-Threatening dysrhythmias
- Dissecting aortic aneurysms
- Hypertensive emergencies
- Need for continuous invasive monitoring of cardiovascular system
- (arterial pressure, central venous pressure, cardiac output)
- Severe head trauma
- Status epilepticus
- Meningitis with altered mental status or respiratory compromise
- Acutely altered sensorium with the potential for airway compromise
- Progressive neuromuscular dysfunction requiring respiratory support and / or cardiovascular monitoring (myasthenia gravis, Gullain- Barre syndrome).
- Brain dead or potentially brain dead patients who are being aggressively managed while determining organ donation status Program.
- Requirement for acute renal replacement therapies in an unstable patient
- Acute rhabdomyolysis with renal insufficiency
- Diabetic ketoacidosis complicated by hemodynamic instability, altered mental status
- Severe metabolic acidotic states
- Thyroid storm or myxedema coma with hemodynamic instability
- Hyperosmolar state with coma and/or hemodynamic instability
- Adrenal crises with hemodynamic instability
- Other severe electrolyte abnormalities, such as:
- Hypo or hyperkalemia with dysrhythmias or muscular weakness
- Severe hypo or hypernatremia with seizures, altered mental status
- Severe hypercalcemia with altered mental status, requiring hemodynamic monitoring
- Life threatening gastrointestinal bleeding
- Acute hepatic failure leading to coma, hemodynamic instability 3. Severe acute pancreatitis
- Severe coagulopathy and/or bleeding diathesis.
- Severe anemia resulting in hemodynamic and/or respiratory compromise.
- Severe complications of sickle cell crisis.
- Hematological malignancies with multi-organ failure.
- Medical conditions complicating pregnancy
- Severe pregnancy induced hypertension/eclampsia
- Obstetric hemorrhage
- Amniotic fluid embolism
- Severe sepsis or septic shock
- Multi-organ dysfunction syndrome
- Dengue hemorrhagic fever/dengue shock syndrome
- Drug overdose with potential acute decompensation of major organ systems
- Environmental injuries (lightning, near drowning, hypo/hyperthermia
- Severe burns
- High risk patients in the peri-operative period
- Post-operative patients requiring continuous hemodynamic monitoring/ ventilatory support, usually following:
- Vascular surgery
- thoracic surgery
- airway surgery
- craniofacial surgery
- major orthopedic and spine surgery
- general surgery with major blood loss / fluid shift
- neurosurgical procedures