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Chapter 5. Essential equipment, pharmaceuticals and supplies. Recommendations and standard operating procedures for intensive care unit and hospital preparations for an influenza epidemic or mass disaster.
Intensive Care Med. 2010 Apr; 36 Suppl 1:S38-44.IC

Abstract

PURPOSE

To provide recommendations and standard operating procedures for intensive care unit and hospital preparations for an influenza pandemic or mass disaster with a specific focus on essential equipment, pharmaceuticals and supplies.

METHODS

Based on a literature review and expert opinion, a Delphi process was used to define the essential topics including essential equipment, pharmaceuticals and supplies.

RESULTS

Key recommendations include: (1) ensure that adequate essential medical equipment, pharmaceuticals and important supplies are available during a disaster; (2) develop a communication and coordination system between health care facilities and local/regional/state/country governmental authorities for the provision of additional support; (3) determine the required resources, order and stockpile adequate resources, and judiciously distribute them; (4) acquire additional mechanical ventilators that are portable, provide adequate gas exchange for a range of clinical conditions, function with low-flow oxygen and without high pressure, and are safe for patients and staff; (5) provide advanced ventilatory support and rescue therapies including high levels of inspired oxygen and positive end-expiratory pressure, volume and pressure control ventilation, inhaled nitric oxide, high-frequency ventilation, prone positioning ventilation and extracorporeal membrane oxygenation; (6) triage scarce resources including equipment, pharmaceuticals and supplies based on those who are likely to benefit most or on a 'first come, first served' basis.

CONCLUSIONS

Judicious planning and adoption of protocols for providing adequate equipment, pharmaceuticals and supplies are necessary to optimize outcomes during a pandemic.

Authors+Show Affiliations

Department of Anesthesiology and Critical Care Medicine, Hadassah Hebrew University Medical Center, Jerusalem, Israel. charles.sprung@ekmd.huji.ac.ilNo affiliation info availableNo affiliation info available

Pub Type(s)

Guideline
Journal Article

Language

eng

PubMed ID

20213420

Citation

Sprung, Charles L., et al. "Chapter 5. Essential Equipment, Pharmaceuticals and Supplies. Recommendations and Standard Operating Procedures for Intensive Care Unit and Hospital Preparations for an Influenza Epidemic or Mass Disaster." Intensive Care Medicine, vol. 36 Suppl 1, 2010, pp. S38-44.
Sprung CL, Kesecioglu J, European Society of Intensive Care Medicine's Task Force for intensive care unit triage during an influenza epidemic or mass disaster. Chapter 5. Essential equipment, pharmaceuticals and supplies. Recommendations and standard operating procedures for intensive care unit and hospital preparations for an influenza epidemic or mass disaster. Intensive Care Med. 2010;36 Suppl 1:S38-44.
Sprung, C. L., & Kesecioglu, J. (2010). Chapter 5. Essential equipment, pharmaceuticals and supplies. Recommendations and standard operating procedures for intensive care unit and hospital preparations for an influenza epidemic or mass disaster. Intensive Care Medicine, 36 Suppl 1, S38-44. https://doi.org/10.1007/s00134-010-1763-2
Sprung CL, Kesecioglu J, European Society of Intensive Care Medicine's Task Force for intensive care unit triage during an influenza epidemic or mass disaster. Chapter 5. Essential Equipment, Pharmaceuticals and Supplies. Recommendations and Standard Operating Procedures for Intensive Care Unit and Hospital Preparations for an Influenza Epidemic or Mass Disaster. Intensive Care Med. 2010;36 Suppl 1:S38-44. PubMed PMID: 20213420.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Chapter 5. Essential equipment, pharmaceuticals and supplies. Recommendations and standard operating procedures for intensive care unit and hospital preparations for an influenza epidemic or mass disaster. AU - Sprung,Charles L, AU - Kesecioglu,Jozef, AU - ,, PY - 2010/3/10/entrez PY - 2010/3/23/pubmed PY - 2010/6/24/medline SP - S38 EP - 44 JF - Intensive care medicine JO - Intensive Care Med VL - 36 Suppl 1 N2 - PURPOSE: To provide recommendations and standard operating procedures for intensive care unit and hospital preparations for an influenza pandemic or mass disaster with a specific focus on essential equipment, pharmaceuticals and supplies. METHODS: Based on a literature review and expert opinion, a Delphi process was used to define the essential topics including essential equipment, pharmaceuticals and supplies. RESULTS: Key recommendations include: (1) ensure that adequate essential medical equipment, pharmaceuticals and important supplies are available during a disaster; (2) develop a communication and coordination system between health care facilities and local/regional/state/country governmental authorities for the provision of additional support; (3) determine the required resources, order and stockpile adequate resources, and judiciously distribute them; (4) acquire additional mechanical ventilators that are portable, provide adequate gas exchange for a range of clinical conditions, function with low-flow oxygen and without high pressure, and are safe for patients and staff; (5) provide advanced ventilatory support and rescue therapies including high levels of inspired oxygen and positive end-expiratory pressure, volume and pressure control ventilation, inhaled nitric oxide, high-frequency ventilation, prone positioning ventilation and extracorporeal membrane oxygenation; (6) triage scarce resources including equipment, pharmaceuticals and supplies based on those who are likely to benefit most or on a 'first come, first served' basis. CONCLUSIONS: Judicious planning and adoption of protocols for providing adequate equipment, pharmaceuticals and supplies are necessary to optimize outcomes during a pandemic. SN - 1432-1238 UR - https://www.unboundmedicine.com/medline/citation/20213420/Chapter_5__Essential_equipment_pharmaceuticals_and_supplies__Recommendations_and_standard_operating_procedures_for_intensive_care_unit_and_hospital_preparations_for_an_influenza_epidemic_or_mass_disaster_ L2 - https://dx.doi.org/10.1007/s00134-010-1763-2 DB - PRIME DP - Unbound Medicine ER -