Who Needs Critical Care?
Patients with life-threatening injuries and illnesses need intensive care. Some of these are:
What Happens in a Critical Care Unit?
In an intensive care unit, the doctors and nurses use different machines and equipment like
Dialysis machines (for patients with kidney failure).
Feeding tubes- to provide nutritional support.
Catheters- These are the flexible tubes that help the doctors to give in or take out fluids and medicines.
Machines with monitors to check the vital stats of the patients.
Oxygen therapy to aid in breathing.
Ventilators (for patients with respiratory failure).
Intensive care units have POC diagnostics like X-ray, Ultrasound and portable chest radiography to reduce morbidity and mortality and provide access to the body's internal organs.
Hemodynamic monitoring includes the physical and static examination of vital signs like temperature, respiratory rate, heart rate, arterial haemoglobin oxygen, and means arterial pressure.
Commonly used hemodynamic monitors are central venous catheters, pulmonary artery catheters and arterial pulse-wave analysis.
The Blood Gas Analysis measures oxygen and carbon dioxide quantity in the blood. It also assesses the acid-base status.
The test is commonly known as the blood gas analysis or arterial blood gas (ABG) test.
The test helps the doctors to evaluate the adequacy of the patient's ventilation.
Blood coagulation monitoring helps doctors to assess the risk of excessive bleeding or developing clots. The test measures the blood's ability to clot and how long it takes to clot.
A lumbar puncture (spinal tap) takes out the cerebrospinal fluid to determine diseases of the central nervous system. During the procedure, the doctors insert a needle into the space between the two lumbar bones (lower back) to remove the cerebrospinal fluid for testing.
Tracheostomy is a surgical procedure in which surgeons make a hole through the front of the neck into the trachea (windpipe). A tracheostomy tube gets inserted inside the hole that assists in breathing. This procedure of creating this opening is called a tracheostomy. Visit Manipal Hospitals for tracheostomy treatment in Patiala.
The surgeons perform the procedure on patients whose usual route for breathing is blocked or reduced for some reason. Tracheostomy creates an air passage to help them breathe.
A central line insertion is a procedure of inserting a tiny tube (catheter) in the patient's vein. It helps in long-term drug therapy or kidney dialysis. It reduces the pain and botheration of getting pricked by needles every time the patient needs treatment.
The procedure involves placing a tiny catheter in the vein under the shoulder bone and threading it by creating a tunnel under the skin. The catheter stays for as long as the patient needs drug treatment or dialysis.
An arterial line insertion is a procedure of inserting a catheter (tiny tube) in an artery in the wrist.
It helps to monitor continuous blood pressure readings in severely ill and injured patients. An arterial line insertion is helpful for critical patients or those with unstable blood pressure.
It is also helpful in taking frequent blood samples for testing purposes and saves the patient from repeated needle punctures.
A temporary pacemaker or temporary cardiac pacing is a device to regulate the heartbeat to the correct pace when it temporarily goes out of rhythm.
Herein, the cardiologists insert wires through the chest (during heart surgery) or a large vein in the groin or neck and connect them directly to the heart. On the outside, these wires connect to an external pacing box. It works by sending current to the heart to regulate the heartbeat.
The patients can use temporary pacemakers for days or weeks. If the problem of irregular heartbeat continues, doctors recommend a permanent pacemaker.
Chest tube thoracostomy is a procedure to drain out fluid, air, or blood from around the lungs. It involves placing a hollow plastic tube between the ribs and the patient's chest.
Doctors recommend thoracostomy to patients with pneumonia, cancer, pleural effusion, hemothorax and pneumothorax. It aids in better breathing also.
A ventilator is a breathing machine helpful for patients with respiratory failures. Ventilators work to move air in and out of the lungs. The patient wears a mask or breathing tube to get air into the lungs from the ventilator. The respiratory healthcare team decides when to take the patient off the ventilator and slowly weans off the ventilator support.
Bronchoscopy is the endoscopic technique that allows doctors to view inside the air passages and lungs for diagnostic and therapeutic purposes. The procedure involves passing a tube through the nose or mouth via the throat and into the lungs.
Pericardiocentesis is the procedure to remove the fluid buildup in the pericardium. The doctors use a small catheter and a needle to drain the excess liquid.
Renal replacement therapy is a dialysis therapy used in critical care settings. It involves solute removal using hemofiltration, hemodialysis or hemodiafiltration.
Renal replacement therapy is of two types:
Continuous renal replacement therapy (CRRT)
Intermittent renal replacement therapy (IRRT)
Percutaneous Endoscopic Gastronomy Tube Placement
Percutaneous endoscopic gastronomy (PEG) is a procedure in which doctors place a flexible feeding tube through the abdominal wall and into the stomach. It helps to give nutrition, fluid and medication directly to the stomach, bypassing the mouth and the oesophagus.
With a reputation as the best ICU hospital near me, Manipal Hospitals offers exceptional care and expertise for critical conditions.