Journal of Anaesthesia & Critical Care Case Reports

Vol 5 | Issue 1 | Jan-April 2019 | page: 6-8 | Sanu Anand1, Vimohan Kumar2, Dileep Raman1, Dhruv Joshi1, Dileep Unnikrishnan1

Authors: Sanu Anand [1], Vimohan Kumar [2], Dileep Raman [1], Dhruv Joshi [1], Dileep Unnikrishnan [1].

[1] Cloudphysician Healthcare, Bangalore, India
[2] Prashant Memorial Charitable Hospital, Muzaffarpur, India.

Address of Correspondence

Dr. Sanu Anand,
Cloudphysician Healthcare, Bangalore, India;
Prashant Memorial Charitable Hospital, Muzaffarpur, India
Email: dileep.unni@cloudphysician.net

Abstract

Intensive care has advanced over the past few decades to find its space as a separate specialty in medicine[1]. In addition to prompt diagnosis and timely intervention, measures such as unit staffing, observance of hand hygiene and adherence to standard protocols for common disorders result in improvements in outcome in Intensive Care Units (ICU)[2]. Presence of a specially trained intensivist in an ICU has been shown to improve mortality and length of stay in Western studies [3]. However, due to the shortage in supply of such specialists world over, their presence at smaller ICU in low and middle-income countries (LMIC) can be prohibitively expensive for the hospitals [4]. Tele-ICU based technologies that help increase the efficiency and reach of the specialists can be an effective way to bridge such supply-demand disparities [5]. Here we report a case where a fourteen-year-old boy admitted with Severe Acute Respiratory Distress Syndrome (ARDS) to an ICU in Bihar which was managed successfully, with lung protective and prone ventilation utilizing a tele-ICU service.
Keywords: Tele-ICU, Critical Care, ARDS, Prone Ventilation, Global Health

References

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