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. 2009 May 6;2:77. doi: 10.1186/1756-0500-2-77

Table 1.

Summary of definitions of levels of organ support in the critical care minimum data set [5].

Organ system Definition of level of support
Basic respiratory • > 50% oxygen delivered by face mask
• Close observation due to the potential for acute deterioration
• Physiotherapy or suction to clear secretions at least two hourly
• Patients recently extubated after a prolonged period of intubation and mechanical ventilation
• Mask CPAP or non-invasive ventilation.
• Patients who are intubated to protect the airway but needing no ventilatory support and who are otherwise stable

Advanced respiratory • Invasive mechanical ventilatory support
• Extracorporeal respiratory support

Basic cardiovascular • Treatment of circulatory instability due to hypovolaemia
• Use of a CVP line for basic monitoring or central access
• Use of an arterial line for basic monitoring or sampling
• Single intravenous vasoactive
• Intravenous drugs to control cardiac arrhythmias
• Non-invasive measurement of cardiac

Advanced cardiovascular • Multiple intravenous vasoactive and/or rhythm controlling drugs
• Patients resuscitated after cardiac arrest where intensive therapy is considered clinically appropriate.
• Observation of cardiac output and derived
• Intra aortic balloon pumping.
• Temporary cardiac
• Placement of a gastrointestinal tonometer

Renal • Acute renal replacement therapy

Neurological • Central nervous system depression sufficient to prejudice the airway and protective reflexes
• Invasive neurological monitoring
• Severely agitated or epileptic patients requiring constant nursing attention and/or heavy sedation

Gastrointestinal • Feeding with parenteral or enteral nutrition

Dermatological • Patients with major skin rashes, exfoliation or burns
• Use of multiple, large trauma dressings
• Use of complex dressings

Liver • Extracorporeal liver replacement device