Our CCU Services

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Critical Care unit

Labaid Hospital has the largest critical care unit in Bangladesh and is the "first choice" for admitting critically ill patient.It's Critical Care team is concerned with providing (the life) Support of organ Supportsystems in the shortset possible time to the patients who are critically ill and who usually require intensive monitoring.

Patients requiring intensive care usually require support for hemodynamic instability(hypertension/hypotension), airway or respiratory compromise (such as ventilator support),acute renal failure, potentially lethal cardiac dysrhythmias, and frequently the cumulative effects of multiple organ system failure.This hospital offers you a full range on intensive care units to manage all kinds of critically ill patients. Fourteen beds have been dedicated for this purpose and all are equipped with the state-of-the-art instruments and gadgets for cardiorespiratory monitoring and resuscitation. In addition to all beds being equipped with its own bedside monitor attached to the central monitor, each bed has its dedicated ventilator so that no patient is deprived of any life-saving
measure at the hour of need.

CRITERIA FOR ADMISSON

The Intensive Care Unit is an expensive resource area and should be reserved for patients with reversible medical conditions with a reasonable prospect of substantial recovery.Patients with the following conditions are candidates for admission to the General Intensive Care Unit.

A. Respiratory

1. Acute respiratory failure requiring ventilatory support
2. Acute pulmonary embolism with hemodynamic instability
3. Massive hemoptysis
4. Upper airway obstruction

B. Cardiovascular

1. Shock states
2. Life-Threatening dysrhythmias
3. Dissecting aortic aneurysms
4. Hypertensive emergencies
5. Need for continuous invasive monitoring of cardiovascular system
6. (arterial pressure, central venous pressure, cardiac output)

C. Neurological

1. Severe head trauma
2. Status epilepticus
3. Meningitis with altered mental status or respiratory compromise
4. Acutely altered sensorium with the potential for airway compromise
5. Progressive neuromuscular dysfunction requiring respiratory supportand / or cardiovascular monitoring (myasthenia gravis, Gullain- Barre syndrome).
6. Brain dead or potentially brain dead patients who are being aggressively managed while determining organ donation status Program.

D. Renal

1. Requirement for acute renal replacement therapies in an unstable patient
2. Acute rhabdomyolysis with renal insufficiency

E. Endocrine

1.  Diabetic ketoacidosis complicated by hemodynamic instability, altered mental status
2. Severe metabolic acidotic states
3. Thyroid storm or myxedema coma with hemodynamic instability
4. Hyperosmolar state with coma and/or hemodynamic instability
5. Adrenal crises with hemodynamic instability
6.  Other severe electrolyte abnormalities, such as:

- Hypo or hyperkalemia with dysrhythmias or muscular weakness
- Severe hypo or hypernatremia with seizures, altered mental status
- Severe hypercalcemia with altered mental status, requiring hemodynamic monitoring

F. Gastrointestinal

1.  Life threatening gastrointestinal bleeding
2. Acute hepatic failure leading to coma, hemodynamic instability 3. Severe acute pancreatitis

G. Hematology

1.  Severe coagulopathy and/or bleeding diathesis.
2.  Severe anemia resulting in hemodynamic and/or respiratory compromise.
3.  Severe complications of sickle cell crisis.
4.  Hematological malignancies with multi-organ failure.

H. Obstetric

1.  Medical conditions complicating pregnancy
2.  Severe pregnancy induced hype rtension/eclampsia
3.  Obstetric hemorrhage
4.  Amniotic fluid embolism

I. Multi-system

1.  Severe sepsis or septic shock
2.  Multi-organ dysfunction syndrome
3.  Polytrauma
4.  Dengue hemorrhagic fever/dengue shock syndrome
5.  Drug overdose with potential acute decompensation of major organ systems
6.  Environmental injuries (lightning, near drowning,  hypo/hyperthermia
7.  Severe burns

J. Surgical

1. High risk patients in the peri-operative period
2. Post-operative patients requiring continuous hemodynamicmonitoring/ ventilatory support,

usually following:

        - Vascular surgery

        - thoracic surgery

        - airway surgery

        - craniofacial surgery

        - major orthopedic and spine surgery

        - general surgery with major blood loss / fluid shift

        - neurosurgical procedures