Ten Practice Changes in COVID-19 Intensive Care Unit of a Tertiary Care Teaching Hospital in India during the Peak of Pandemic: Adapt and Improve

Lipika Soni; Neha Pangasa; Rajeshwari Subramaniam

doi:10.5005/jp-journals-10071-24227

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Ten Practice Changes in COVID-19 Intensive Care Unit of a Tertiary Care Teaching Hospital in India during the Peak of Pandemic: Adapt and Improve

Lipika Soni, Neha Pangasa, Rajeshwari Subramaniam

Keywords : COVID-19, COVID-19 pandemic, Intensive care unit

Citation Information : Soni L, Pangasa N, Subramaniam R. Ten Practice Changes in COVID-19 Intensive Care Unit of a Tertiary Care Teaching Hospital in India during the Peak of Pandemic: Adapt and Improve. Indian J Crit Care Med 2022; 26 (6):710-711.

DOI: 10.5005/jp-journals-10071-24227

License: CC BY-NC 4.0

Published Online: 20-06-2022

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Abstract

During the peak of the coronavirus disease-2019 (COVID-19) pandemic, 10 practice-changing decisions were adopted which led to an improved standard of clinical care in the face of overwhelming burden to the healthcare setup. Formation of a control unit with the piggyback team, briefing before donning, replacement of personal protective equipment (PPE) with impermeable surgical gowns, a dedicated prone team and the prone bundle of care, weaning-extubation and tracheostomy protocol, online audiovisual family-patient meet, daily rounds by hospital infection control committee member, each one clean one policy, focused onsite training of healthcare support staff and discharge policy with post-discharge follow-up were the 10 important changes adopted.

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