Table 1.

Problems and suggested recommendations for intensive care unit setup amid COVID-19 pandemic in low resource setting

	Problems	Recommendations
Space	Designated space Airborne transmission of COVID-19 Nonavailability of negative pressure room	Separate hospital building for COVID-19 patients isolated from the main hospital Modification of HVAC system  Maximize forward flow  Block return ducts  Open hospital windows to outside air and installation of extra exhaust fans
Resources	Insufficient ventilators, ICU beds, monitors, PPEs, drugs, etc.	Mathematical model to predict the expected number of patients, required resources, and alternative options
HCW	Untrained staff Long duty hours and excess workload Psychological stress	Simulation-based training by experts Curtailed duty hours (6-h duty shift) Motivation and psychological support through counseling and yoga sessions

HCW=Health-care worker, HVAC=Heat ventilation air conditioning system, ICU=Intensive care unit, PPE=Personal protection equipment