Triage decisions for ICU admission
Demand for intensive care unit (ICU) resources often exceeds supply, and shortages of ICU beds and staff are likely to persist. Triage requires careful weighing of the benefits and risks involved in ICU admission while striving to guarantee fair distribution of available resources. We must ensure th...
محفوظ في:
| المؤلف الرئيسي: | |
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| مؤلفون آخرون: | , , , |
| التنسيق: | article |
| منشور في: |
2016
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| الوصول للمادة أونلاين: | http://hdl.handle.net/10725/10668 https://doi.org/10.1016/j.jcrc.2016.06.014 http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php https://www.sciencedirect.com/science/article/pii/S0883944116301368 |
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| _version_ | 1864513487062958080 |
|---|---|
| author | Blanch, Lluis |
| author2 | Abillama, Fayez Francois Amin, Pravin Christian, Michael Joynt, Gavin M. |
| author2_role | author author author author |
| author_facet | Blanch, Lluis Abillama, Fayez Francois Amin, Pravin Christian, Michael Joynt, Gavin M. |
| author_role | author |
| dc.creator.none.fl_str_mv | Blanch, Lluis Abillama, Fayez Francois Amin, Pravin Christian, Michael Joynt, Gavin M. |
| dc.date.none.fl_str_mv | 2016 2019-05-28T08:09:57Z 2019-05-28T08:09:57Z 2019-05-28 |
| dc.identifier.none.fl_str_mv | 1557-8615 http://hdl.handle.net/10725/10668 https://doi.org/10.1016/j.jcrc.2016.06.014 Blanch, L., Abillama, F. F., Amin, P., Christian, M., Joynt, G. M., Myburgh, J., ... & Vincent, J. L. (2016). Triage decisions for ICU admission: report from the Task Force of the World Federation of Societies of Intensive and Critical Care Medicine. Journal of critical care, 36, 301-305. http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php https://www.sciencedirect.com/science/article/pii/S0883944116301368 |
| dc.language.none.fl_str_mv | en |
| dc.relation.none.fl_str_mv | Journal of Critical Care |
| dc.rights.*.fl_str_mv | info:eu-repo/semantics/openAccess |
| dc.title.none.fl_str_mv | Triage decisions for ICU admission report from the task force of the world federation of societies of intensive and critical care medicine |
| dc.type.none.fl_str_mv | Article info:eu-repo/semantics/publishedVersion info:eu-repo/semantics/article |
| description | Demand for intensive care unit (ICU) resources often exceeds supply, and shortages of ICU beds and staff are likely to persist. Triage requires careful weighing of the benefits and risks involved in ICU admission while striving to guarantee fair distribution of available resources. We must ensure that the patients who occupy ICU beds are those most likely to benefit from the ICU's specialized technology and professionals. Although prognosticating is not an exact science, preference should be given to patients who are more likely to survive if admitted to the ICU but unlikely to survive or likely to have more significant morbidity if not admitted. To provide general guidance for intensivists in ICU triage decisions, a task force of the World Federation of Societies of Intensive and Critical Care Medicine addressed 4 basic questions regarding this process. The team made recommendations and concluded that triage should be led by intensivists considering input from nurses, emergency medicine professionals, hospitalists, surgeons, and allied professionals. Triage algorithms and protocols can be useful but can never supplant the role of skilled intensivists basing their decisions on input from multidisciplinary teams. Infrastructures need to be organized efficiently both within individual hospitals and at the regional level. When resources are critically limited, patients may be refused ICU admission if others may benefit more on the basis of the principle of distributive justice. |
| eu_rights_str_mv | openAccess |
| format | article |
| id | LAURepo_b8bd4993b2bcfaf48a86246486612e0d |
| identifier_str_mv | 1557-8615 Blanch, L., Abillama, F. F., Amin, P., Christian, M., Joynt, G. M., Myburgh, J., ... & Vincent, J. L. (2016). Triage decisions for ICU admission: report from the Task Force of the World Federation of Societies of Intensive and Critical Care Medicine. Journal of critical care, 36, 301-305. |
| language_invalid_str_mv | en |
| network_acronym_str | LAURepo |
| network_name_str | Lebanese American University repository |
| oai_identifier_str | oai:laur.lau.edu.lb:10725/10668 |
| publishDate | 2016 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| spelling | Triage decisions for ICU admissionreport from the task force of the world federation of societies of intensive and critical care medicineBlanch, LluisAbillama, Fayez FrancoisAmin, PravinChristian, MichaelJoynt, Gavin M.Demand for intensive care unit (ICU) resources often exceeds supply, and shortages of ICU beds and staff are likely to persist. Triage requires careful weighing of the benefits and risks involved in ICU admission while striving to guarantee fair distribution of available resources. We must ensure that the patients who occupy ICU beds are those most likely to benefit from the ICU's specialized technology and professionals. Although prognosticating is not an exact science, preference should be given to patients who are more likely to survive if admitted to the ICU but unlikely to survive or likely to have more significant morbidity if not admitted. To provide general guidance for intensivists in ICU triage decisions, a task force of the World Federation of Societies of Intensive and Critical Care Medicine addressed 4 basic questions regarding this process. The team made recommendations and concluded that triage should be led by intensivists considering input from nurses, emergency medicine professionals, hospitalists, surgeons, and allied professionals. Triage algorithms and protocols can be useful but can never supplant the role of skilled intensivists basing their decisions on input from multidisciplinary teams. Infrastructures need to be organized efficiently both within individual hospitals and at the regional level. When resources are critically limited, patients may be refused ICU admission if others may benefit more on the basis of the principle of distributive justice.PublishedN/A2019-05-28T08:09:57Z2019-05-28T08:09:57Z20162019-05-28Articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article1557-8615http://hdl.handle.net/10725/10668https://doi.org/10.1016/j.jcrc.2016.06.014Blanch, L., Abillama, F. F., Amin, P., Christian, M., Joynt, G. M., Myburgh, J., ... & Vincent, J. L. (2016). Triage decisions for ICU admission: report from the Task Force of the World Federation of Societies of Intensive and Critical Care Medicine. Journal of critical care, 36, 301-305.http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.phphttps://www.sciencedirect.com/science/article/pii/S0883944116301368enJournal of Critical Careinfo:eu-repo/semantics/openAccessoai:laur.lau.edu.lb:10725/106682021-03-19T10:45:25Z |
| spellingShingle | Triage decisions for ICU admission Blanch, Lluis |
| status_str | publishedVersion |
| title | Triage decisions for ICU admission |
| title_full | Triage decisions for ICU admission |
| title_fullStr | Triage decisions for ICU admission |
| title_full_unstemmed | Triage decisions for ICU admission |
| title_short | Triage decisions for ICU admission |
| title_sort | Triage decisions for ICU admission |
| url | http://hdl.handle.net/10725/10668 https://doi.org/10.1016/j.jcrc.2016.06.014 http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php https://www.sciencedirect.com/science/article/pii/S0883944116301368 |