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Title: Cardiopulmonary monitoring in Thai ICUs (ICU-RESOURCE I Study)
Authors: Kaweesak Chittawatanarat
Anan Wattanathum
Onuma Chaiwat
Chairat Permpikul
Suneerat Kongsayreepong
Puttipunnee Vorrakitpokatorn
Warakarn Wilaichone
Thananchai Bunburaphong
Wanwimol Saengchote
Sunthiti Morakul
Thammasak Thawitsri
Chanchai Sitthipan
Wanna Sombunvibul
Phornlert Chatrkaw
Sahadol Poonyathawon
Anan Watanathum
Pusit Fuengfoo
Dusit Sataworn
Adisorn Wongsa
Kunchit Piyavechviratana
Suthat Rungruanghiranya
Chaichan Pothirat
Attawut Deesomchok
Boonsong Patjanasoontorn
Rungsun Bhurayanontachai
Ratapum Champunut
Norawee Chuachamsai
Chaweewan Thongchai
Chiang Mai University
Phramongkutklao College of Medicine
Mahidol University
Faculty of Medicine, Siriraj Hospital, Mahidol University
Faculty of Medicine, Ramathibodi Hospital, Mahidol University
King Chulalongkorn Memorial Hospital, Faculty of Medicine Chulalongkorn University
MRH Maha Chakri Sirindhorn Medical Center
Maharaj Nakorn Chiang Mai Hospital
Srinagarind hospital
Prince of Songkha Hospital
Buddhachinaraj Phitsanulok Hospital
Prapokklao Hospital
Keywords: Medicine
Issue Date: 1-Jan-2014
Citation: Journal of the Medical Association of Thailand. Vol.97, No.1 SUPPL. 1 (2014)
Abstract: Objective: Cardiopulmonary monitoring (CPM) is rapidly progressing but data regarding CPM in Thai ICUs was unavailable. The objective of this study was to describe the situation, and gaps of CPM in Thai ICUs. Material and Method: Data were retrieved from the ICU-RESOURCE I study database survey. CPM was divided into two aspects of device and measurement methods. These were categorized by device availability grading (AG), device availability per bed (DPB) and numeric frequency grading scale (FGS). Device availability was compared between academic and nonacademic ICUs. Gap analysis of DPB and FGS was performed. Statistical significant difference was defined as p-value<0.05. Results: One hundred and fifty-five ICUs across Thailand participated in this study. Academic ICUs had significantly more devices available in new equipment with p<0.05 (Vigilio, PiCCO, NICOM, esophageal pressure monitoring, transcutaneous PO2, electrical impedance tomography of lung) as well as measurement methods (stroke volume variation [SVV], pulse pressure variation [PPC], central venous oxygen saturation [ScvO2], lung mechanics). Most of new and higher technological devices had low density and few were available in all of Thai ICUs. However, in gap analysis, although these new devices and measurement techniques were available in ICUs, they were not frequently utilized. Conclusion: New technology devices of CPM had more availability in ACAD than in non-ACAD ICUs. Formal continuous training in new measurement methods should be established for reducing the availability and utilization gap (Thai Clinical Trial Registry: TCTR-201200005).
ISSN: 01252208
Appears in Collections:Scopus 2011-2015

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