Global Critical Care: Moving Forward in Resource-Limited Settings

Caring for critically ill patients is challenging in resource-limited settings, where the burden of disease and mortality from potentially treatable illnesses is higher than in resource-rich areas. Barriers to delivering quality critical care in these settings include lack of epidemiologic data and...

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Autores principales:	Janet V. Diaz, Elisabeth D. Riviello, Alfred Papali, Neill K.J. Adhikari, Juliana C. Ferreira
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2019
Materias:	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/51941ca98b21409889e1d326258c5003
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spelling	oai:doaj.org-article:51941ca98b21409889e1d326258c50032021-12-02T07:16:02ZGlobal Critical Care: Moving Forward in Resource-Limited Settings2214-999610.5334/aogh.2413https://doaj.org/article/51941ca98b21409889e1d326258c50032019-01-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/2413https://doaj.org/toc/2214-9996Caring for critically ill patients is challenging in resource-limited settings, where the burden of disease and mortality from potentially treatable illnesses is higher than in resource-rich areas. Barriers to delivering quality critical care in these settings include lack of epidemiologic data and context-specific evidence for medical decision-making, deficiencies in health systems organization and resources, and institutional obstacles to implementation of life-saving interventions. Potential solutions include the development of common definitions for intensive care unit (ICU), intensivist, and intensive care to create a universal ICU organization framework; development of educational programs for capacity building of health care professionals working in resource-limited settings; global prioritization of epidemiologic and clinical research in resource-limited settings to conduct timely and ethical studies in response to emerging threats; adaptation of international guidelines to promote implementation of evidence-based care; and strengthening of health systems that integrates these interventions. This manuscript reviews the field of global critical care, barriers to safe high-quality care, and potential solutions to existing challenges. We also suggest a roadmap for improving the treatment of critically ill patients in resource-limited settings.Janet V. DiazElisabeth D. RivielloAlfred PapaliNeill K.J. AdhikariJuliana C. FerreiraUbiquity PressarticleInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 85, Iss 1 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Janet V. Diaz Elisabeth D. Riviello Alfred Papali Neill K.J. Adhikari Juliana C. Ferreira Global Critical Care: Moving Forward in Resource-Limited Settings
description	Caring for critically ill patients is challenging in resource-limited settings, where the burden of disease and mortality from potentially treatable illnesses is higher than in resource-rich areas. Barriers to delivering quality critical care in these settings include lack of epidemiologic data and context-specific evidence for medical decision-making, deficiencies in health systems organization and resources, and institutional obstacles to implementation of life-saving interventions. Potential solutions include the development of common definitions for intensive care unit (ICU), intensivist, and intensive care to create a universal ICU organization framework; development of educational programs for capacity building of health care professionals working in resource-limited settings; global prioritization of epidemiologic and clinical research in resource-limited settings to conduct timely and ethical studies in response to emerging threats; adaptation of international guidelines to promote implementation of evidence-based care; and strengthening of health systems that integrates these interventions. This manuscript reviews the field of global critical care, barriers to safe high-quality care, and potential solutions to existing challenges. We also suggest a roadmap for improving the treatment of critically ill patients in resource-limited settings.
format	article
author	Janet V. Diaz Elisabeth D. Riviello Alfred Papali Neill K.J. Adhikari Juliana C. Ferreira
author_facet	Janet V. Diaz Elisabeth D. Riviello Alfred Papali Neill K.J. Adhikari Juliana C. Ferreira
author_sort	Janet V. Diaz
title	Global Critical Care: Moving Forward in Resource-Limited Settings
title_short	Global Critical Care: Moving Forward in Resource-Limited Settings
title_full	Global Critical Care: Moving Forward in Resource-Limited Settings
title_fullStr	Global Critical Care: Moving Forward in Resource-Limited Settings
title_full_unstemmed	Global Critical Care: Moving Forward in Resource-Limited Settings
title_sort	global critical care: moving forward in resource-limited settings
publisher	Ubiquity Press
publishDate	2019
url	https://doaj.org/article/51941ca98b21409889e1d326258c5003
work_keys_str_mv	AT janetvdiaz globalcriticalcaremovingforwardinresourcelimitedsettings AT elisabethdriviello globalcriticalcaremovingforwardinresourcelimitedsettings AT alfredpapali globalcriticalcaremovingforwardinresourcelimitedsettings AT neillkjadhikari globalcriticalcaremovingforwardinresourcelimitedsettings AT julianacferreira globalcriticalcaremovingforwardinresourcelimitedsettings
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Global Critical Care: Moving Forward in Resource-Limited Settings

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