{"id":100,"date":"2017-04-22T05:55:13","date_gmt":"2017-04-22T09:55:13","guid":{"rendered":"https:\/\/digital.hbs.edu\/platform-mhcdsolutions\/submission\/icu-resources-for-cardiac-surgery-patients\/"},"modified":"2017-04-22T06:39:40","modified_gmt":"2017-04-22T10:39:40","slug":"icu-resources-for-cardiac-surgery-patients","status":"publish","type":"hck-submission","link":"https:\/\/d3.harvard.edu\/platform-mhcdsolutions\/submission\/icu-resources-for-cardiac-surgery-patients\/","title":{"rendered":"ICU resources for Cardiac Surgery Patients"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-101\" src=\"https:\/\/d3.harvard.edu\/platform-mhcdsolutions\/wp-content\/uploads\/sites\/14\/2017\/04\/HUS_UNI_450-300x200.jpg\" alt=\"\" width=\"300\" height=\"200\" srcset=\"https:\/\/d3.harvard.edu\/platform-mhcdsolutions\/wp-content\/uploads\/sites\/14\/2017\/04\/HUS_UNI_450-300x200.jpg 300w, https:\/\/d3.harvard.edu\/platform-mhcdsolutions\/wp-content\/uploads\/sites\/14\/2017\/04\/HUS_UNI_450.jpg 582w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/>We have \u00a0clinical Expertise centers at our University Hospital. Our own unit is Heart and Lung center (others like e .g. Abdominal, Psychiatric, Cancer, Anesthesiology, intensive care and pain, Emergency, Children and Adolescents etc.). We have our own separate cardiac surgery ICU with eleven beds and we are performing annually 1200-1300 open heart cases; 1250 last year, this year at least 1350 cases. Problem is our cardiac surgery ICU capacity. I think that normal capacity resource should be at least 1-bed\/ 100 cardiac surgery patients worldwide. Our national responsibility includes TX, VAD, PEA, and ACH surgery, there is no other hospital in our country performing these resources demanding surgery (TX, VAD, PEA, ACH, ECMO), but there are 4 other centers performing \u201dgeneral\u201d heart surgery. Our hospital has general ICU, which could take some of our easiest cases for postoperative treatment. But there are big differences in culture how to treat these patients. E.g. if 75-year-old patient has been operated for normal AVR, this patient would be extubated at our unit early after operation. In general ICU this patient is still on ventilator next day after operation. This causes increase in costs and also complications and morbidity. Also in hospital mortality is much higher in general ICU than cardiac surgery ICU for\u00a0\u00a0same kind of patients. I think that the process or patient care for cardiac surgery should be in same organization under our management. We should have more space for our cardiac surgery ICU patients. What are your recommendations? -should we hire more space from general ICU under our management policy? So that we would be in charge, when we are treating these patients. -or should we just buy these ICU nights from general ICU under their management? -Or should we build total new ICU? Hospitals 1-4 are other University Hospitals in our country. CSICU = cardiac surgery icu.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>There have been a lot of discussions should all the ICU treatments be under same management control, or should we have highly spesified units (e.g. cardiac surgery icu)<\/p>\n","protected":false},"author":9197,"featured_media":0,"comment_status":"open","ping_status":"closed","template":"","categories":[],"class_list":["post-100","hck-submission","type-hck-submission","status-publish","hentry"],"connected_submission_link":"https:\/\/d3.harvard.edu\/platform-mhcdsolutions\/conversation\/mhcd-solutions-ii\/","yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICU resources for Cardiac Surgery Patients - Managing Health Care Delivery<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/d3.harvard.edu\/platform-mhcdsolutions\/submission\/icu-resources-for-cardiac-surgery-patients\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"ICU resources for Cardiac Surgery Patients - 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