Geriatric intensive-care unit explained

Geriatric intensive-care unit
Specialty:Intensive care medicine

Geriatric intensive care unit is a special intensive care unit dedicated to management of critically ill elderly.

Origin

Geriatric 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

Geriatric 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

Physicians 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

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

See main article: Open-source ventilator. A geriatric open-source ventilator uses open-source hardware. They are valorated in COVID-19 pandemic.

See also

Notes and References

  1. Fisher. Malcolm. June 1993. Geriatric intensive care. Critical Care Medicine. en-US. 21. 6. 823. 0090-3493. 8504647. 10.1097/00003246-199306000-00006.
  2. http://bvs.sld.cu/revistas/san/vol5_4_01/san06401.pdf The Geriatric Patient in The Intensive Care Unit, Cuba
  3. http://geriatri.dergisi.org/pdf/pdf_TJG_72.pdf RELATION BETWEEN ELDERLY AND INTENSIVE CARE UNIT, Turkey
  4. http://www.ohsu.edu/ohsuedu/academic/som/neurosurgery/news-and-events/upload/volume3issue1.pdf Neuroscience ICU
  5. http://www.eugms-symposium2007.de/files/final%20program%20-%20sortiert.pdf Invasive mycosis in the Elderly – an appraisal on an geriatric intensive care unit
  6. Web site: postoperative analgesia for geriatric intensive care patients . 2008-11-06 . 2015-09-23 . https://web.archive.org/web/20150923182529/http://www.baskent-adn.edu.tr/shmyo/document/anis_aribogan_cv.pdf . dead .
  7. http://www.medscape.com/medline/abstract/15924633 Geriatric Intensive Care Unit, Peking University, China
  8. http://www.wessexics.com/Training/Wessex_ICM_Blog/files/492a4ec4f31bb8cad93bf34617f2bc86-9.html The geriatric intensive care unit - Dr Eryl Davies: geriatric ICUs are the future
  9. http://www.japanupdate.com/?id=5828 Dojin Hospital’s geriatric intensive care unit, Japan
  10. http://www.medscape.com/medline/abstract/15924633 Geriatric Intensive Care Unit, Peking University, China
  11. http://www.ijge-online.com/article/S1873-9598(14)00010-6/abstract Geriatric Intensive Care Unit, Nanjing, China
  12. 26400736 . 10.1093/gerona/glv084 . 4631107 . 70 . 12 . Mortality in Relation to Frailty in Patients Admitted to a Specialized Geriatric Intensive Care Unit . 2015 . J Gerontol A Biol Sci Med Sci . 1586–94 . Zeng . A . Song . X . Dong . J . Mitnitski . A . Liu . J . Guo . Z . Rockwood . K.
  13. Web site: 4 beds geriatric intensive care unit in France . 2013-01-17 . 2007-10-25 . https://web.archive.org/web/20071025024051/http://www.chu-montpellier.fr/gb/la-pm-axestransversaux1.html . dead .
  14. http://www.eugms-symposium2007.de/files/final%20program%20-%20sortiert.pdf Invasive mycosis in the Elderly – an appraisal on an geriatric intensive care unit
  15. Web site: New treatments in Geriatric Intensive Care Ward of the University Hospital in Florence, Italy . 2013-01-17 . https://web.archive.org/web/20061004005944/http://www.schiller.ch/docudb/psfile/doc/56/MB_Cansell42d77d0b37b53.pdf . 2006-10-04 . dead .
  16. 10.1046/j.1532-5415.2002.50304.x . 12133012 . 50 . 7 . Does Advanced Age Affect the Immediate and Long-Term Results of Direct-Current External Cardioversion of Atrial Fibrillation? . 2002 . Journal of the American Geriatrics Society . 1192–1197 . Fumagalli . Stefano. 40143191 .
  17. Web site: Permanent Geriatric Intensive Care, Poland . 2013-01-17 . 2008-06-04 . https://web.archive.org/web/20080604221745/http://www.niewyjasnione.pl/Kasta_Bog%C3%B3w-t7760.html . dead .
  18. https://www.dovepress.com/diagnostic-accuracy-of-urinary-neutrophil-gelatinase-associated-lipoca-peer-reviewed-article-IJNRD Geriatric Intensive Care Unit, King George Medical University, Lucknow, Uttar Pradesh, India
  19. http://kumarhospitaljabalpur.com/intesnsive-care-unit-icu-services.php Geriatric intensive-care unit (GICU) at Kumar Hospital, Jabalpur
  20. https://web.archive.org/web/20151208081023/http://www.newindianexpress.com/cities/chennai/Geriatrics-research-wing-at-MMC/2013/10/03/article1815369.ece?service=print The New Indian Express
  21. http://www.ccmjournal.com/pt/re/ccm/toc.00003246-199306000-00000.htm;jsessionid=JSJd1K7Mtp612pkGQwk5Qp6cPg6JrZ8Wc2RF6GQwFj2txgv71gWV!-1274139162!181195628!8091!-1 Geriatric intensive care (1993) article
  22. http://bvs.sld.cu/revistas/san/vol5_4_01/san06401.pdf The Geriatric Patient in The Intensive Care Unit, Cuba
  23. http://geriatri.dergisi.org/pdf/pdf_TJG_72.pdf RELATION BETWEEN ELDERLY AND INTENSIVE CARE UNIT, Turkey
  24. Web site: geriatric medical intensive care nurse photo . 2008-11-06 . https://web.archive.org/web/20080905171254/http://www.humanistic-photography.com/efiles/metaA.htm . 2008-09-05 . dead .
  25. https://www.washingtonpost.com/wp-dyn/content/discussion/2006/09/06/DI2006090601240.html geriatric intensive-care school
  26. Web site: Training courses in pediatric and geriatric intensive care, India . 2008-11-06 . https://web.archive.org/web/20070823035717/http://www.expresshealthcaremgmt.com/20040131/conversation03.shtml . 2007-08-23 . dead .

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