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VOLUME 26 , ISSUE 6 ( June, 2022 ) > List of Articles

BRIEF RESEARCH COMMUNICATION

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, Dalim K Baidya, Rajeshwari Subramaniam

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

Citation Information : Soni L, Pangasa N, Baidya DK, 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

Copyright Statement:  Copyright © 2022; The Author(s).


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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  1. World Health Organization. Available from: https://www.who.int/countries/ind/ [Accessed on January 19, 2022].
  2. Anand RK, Baidya DK, Maitra S, Ray BR. A proposal for dedicated “prone team” and “prone bundle of care” in COVID-19 ICU. Indian J Crit Care Med 2021;25(3):349–350. DOI: 10.5005/jp-journals-10071-23754.
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  5. Baidya DK, Maitra S. Improving quality and satisfaction in care of Covid-19: a patient-centric approach. Natl Med J India 2021;34(1): 59–60. DOI: 10.4103/0970-258X.323454.
  6. Hirolli D, Panda R, Baidya DK. Air at rest, oxygen at movement! J Anaesthesiol Clin Pharmacol 2022. DOI: 10.4103/joacp.joacp_321_21.
  7. Revised discharge policy for COVID-19. Ministry of Health and Family Welfare, Government of India. Available from: https://www.mohfw.gov.in/pdf/ReviseddischargePolicyforCOVID19.pdf.
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