Intensive Care Medicine

, Volume 36, Supplement 1, pp 38–44

Chapter 5. Essential equipment, pharmaceuticals and supplies

Article

DOI: 10.1007/s00134-010-1763-2

Cite this article as:
Sprung, C.L. & Kesecioglu, J. Intensive Care Med (2010) 36: 38. doi:10.1007/s00134-010-1763-2
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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.

Keywords

EquipmentPharmaceuticalsDrugsSuppliesRecommendationsStandard operating proceduresIntensive care unitHospitalH1N1Influenza epidemicPandemicDisaster

Copyright information

© Copyright jointly hold by Springer and ESICM 2010

Authors and Affiliations

  1. 1.Department of Anesthesiology and Critical Care MedicineHadassah Hebrew University Medical CenterJerusalemIsrael
  2. 2.Department of Intensive Care MedicineUniversity Medical Center UtrechtUtrechtThe Netherlands