Table 2.
Critical care interventions and services provided
| Category | n (%) |
|---|---|
|
Respiratory interventions
|
1240 (20.0) |
| Mechanical ventilation, invasive |
439 (7.0) |
| Support of respiratory insufficiency/failure |
351 (5.6) |
| Mechanical ventilation, non-invasive |
133 (2.1) |
| Advanced invasive airway management, non-surgical |
99 (1.6) |
| Oxygen delivery, simple (face mask, nasal prongs) |
86 (1.4) |
| Non-invasive airway management |
67 (1.1) |
| Advanced surgical airway management |
53(0.8) |
| Oxygen delivery, high flow |
12 (0.2) |
|
Diagnostic modalities
|
927 (15.0) |
| Laboratory and other rapid results reporting, including point-of-care diagnostics |
309 (4.9) |
| Microbiology and other infectious rapid results reporting |
207 (3.3) |
| Utilisation of targeted diagnostic strategy to establish timely etiology in critical illness |
152 (2.5) |
| Basic radiography |
107 (1.7) |
| Critical care ultrasound |
74 (1.2) |
| Computed tomography |
64 (1.0) |
| Magnetic resonance imaging |
14 (0.2) |
|
Interventions for haemodynamic instability/organ dysfunction
|
919 (15.0) |
| Support of haemodynamic instability and management of acute life-threatening organ dysfunction |
267 (4.3) |
| Administration of vasopressors and inotropes |
165 (2.6) |
| Intravenous fluid resuscitation |
150 (2.4) |
| Blood product transfusion |
117 (1.9) |
| Cardiopulmonary resuscitation, basic |
59 (0.9) |
| Advanced cardiac life support resuscitation |
46 (0.7) |
| Massive haemorrhage control |
26 (0.4) |
| Advanced trauma resuscitation/ trauma care checklist |
24 (0.4) |
| Advanced blood replacement therapies (e.g. plasmapheresis, plasma exchange, exchange transfusion) |
22 (0.4) |
| Anti-arrhythmic medication administration |
18 (0.3) |
| Targeted temperature management and hyperthermia/hypothermia management |
16 (0.3) |
| Spinal immobilisation |
7 (0.1) |
| Extracorporeal membrane oxygenation |
2 (0.03) |
|
Nursing and close monitoring
|
787 (13.0) |
| Frequent monitoring, surveillance and recording of clinical parameters |
358 (5.7) |
| Acuity-based triage/performance of focused assessment for critical illness state |
263 (4.2) |
| Critical care nursing services |
130 (2.1) |
| Titration of advanced parenteral therapeutics |
22 (0.4) |
| Foetal monitoring |
14 (0.2) |
|
Additional targeted therapies
|
747 (11.9) |
| Antibiotic administration in critical illness |
244 (3.9) |
| Monitoring and treatment of critical electrolyte/metabolic/acid-base derangements |
133 (2.1) |
| Renal replacement therapy |
107 (1.7) |
| Treatment of severe infections other than intravenous fluids and antibiotics |
65 (1.0) |
| Emergent poisoning detoxification/antidote |
60 (1.0) |
| Nutrition management in critically ill/injured patients |
50 (0.8) |
| Provision of prophylaxis associated with critical illness |
29 (0.5) |
| Acute reperfusion therapy, cardiac |
28 (0.5) |
| Advanced burn care |
27 (0.4) |
| Acute reperfusion therapy, Venous thromboembolism |
4 (0.1) |
|
Multi-system processes
|
661 (11.0) |
| Critical care triage/care pathways systems, clinical illness severity and/or risk stratification |
403 (6.4) |
| Coordination of specialist services for multi-system illness |
105 (1.7) |
| Prognosis-based advanced care planning |
83 (1.3) |
| Health information systems |
49 (7.8) |
| Critical care level crisis management |
21 (0.3) |
|
Neurological interventions
|
233 (3.7) |
| Acute medical stabilisation of critical neurologic illness |
114 (1.8) |
| Analgesia and sedation |
66 (1.1) |
| Acute surgical stabilisation of critical neurologic illness |
37 (0.6) |
| Acute management of agitation/delirium |
11 (0.2) |
| Acute reperfusion therapy, neurologic |
5 (0.08) |
|
Obstetrical care
|
141 (2.2) |
| Obstetric critical care |
141 (2.2) |
|
Other invasive procedures
|
133 (2.1) |
| Advanced vascular access (central venous catheters, arterial lines, pulmonary artery catheters) |
81 (1.3) |
| Peripheral venous cannulation |
34 (0.5) |
| Thoracic invasive procedures (thoracostomy, pleural drain placement, thoracentesis, pericardiocentesis, thoracotomy) |
17 (0.3) |
| Intra-osseous access |
1 (0.02) |
|
Other
|
359 (5.7) |
| Critical care education and capacity building |
318 (5.1) |
| Critical care pharmacy services |
41 (0.7) |
| Other critical care intervention/service delivery | 119 (1.9) |
*Overlapping categories permitted.