·       Intensive Care Unit (ICU))

·       High Dependency Unit (HDU)

The Intensive care unit of Green Life Hospital offers Unit-1, Non COVID ICU and HDU  unit and Unit-2, Covid ICU and HDU  unit situated in level -5 , which deals with seriously ill patients who are cared for by specially trained doctors, nurses, respiratory therapists and dietitians. The department is operational 24/7 with every facility to serve the Critically Ill patient with utmost care. The ICU is well equipped with latest equipment required for optimum care of critically ill patients.

We aspire to uphold the following morals

Compassion: We care about the people we look after, care about each other and the work

Accountability: We understand the responsibility of Dealing with sickest patient.

Respect: We are very much friendly and respectful to everyone at all times.

Excellence: We strive for excellence in every aspect of work.

Safety: We also ensure safety for staff and patients inside ICU

Criteria for ICU and HDU admission

ICU

1.    Patients requiring support for two or more organ systems (Acute flexible important of >= 2 organs)

2.    Patients requiring Endotrachel intubation and invasive mechanical ventilator support

3.    Patients with Chronic impairemnet of one or more organ system who require support for acute reversible failure of another organ

HDU

1.    Patients requiring detailed monitoring that cannot be provided in general ward :

a.    BP monitoring

b.    CVP monitoring

c.    Fluid balance

d.    Regular observation of GCS

e.    ETcO₂ in unconscious pt

2.    Patients requiring support for one organ system

3.    Non-invasive respiratory support

4.    Moderate inotrope or vasopressor support

5.    Renal replacement therapy in any stable patient requires monitoring

6.    Step down from ICU requiring additional monitoring or single organ support

The Intensive Care Unit should be reserved for patients with reversible medical conditions with a reasonable prospect of substantial recovery. Patients with the following conditions are candidates for admission to the Intensive Care Unit.

A.  Breathlessness due to

a.    Pneumonia (Moderate to severe)

b.    Acute severe of COPD

c.    Acute exacerbation of Bronchial Asthma

d.    Acute exacerbation of DPLD

e.    Pneumothorax

f.     Lung collapse

B.  Unconsciousness due to

a.    Hypoglycemia

b.    Electrolytes Imbalance

                                                  i.    Hyponatramia

                                                ii.    hypernatramia

c.    Uremic Encephalopathy

d.    Hepatic encephalopathy

e.    Type 2 Respiratory failure

C.  Polytrauma like

a.   Severe head injury

b.    chest injury

c.    Spinal injury

d.    Peripheral limb injury

D.  Poisoning

a.   Alcohol/Methanol

b.   Napa

c.   Sedative

d.   OPC etc.

E.  Respiratory

a.    Acute respiratory failure requiring (Severe Pneumonia) ventilatory support

b.    Acute pulmonary embolism with hemodynamic instability

c.    Massive hemoptysis

d.    Upper airway obstruction

F.   Cardiovascular

a.    Acute Myocardial infarction  with Complication

b.    Heart failure

c.    Shock states

d.    Life-Threatening dysrhythmias with other manifestation

e.    Dissecting aortic aneurysms

f.     Hypertensive emergencies

g.    Need for continuous invasive monitoring of cardiovascular system (arterial pressure, central venous pressure, cardiac output)

G.   Neurological

a.    Acute stroke/CVD

b.    Severe head Injury

c.    Status epilepticus

d.    Meningitis with altered mental status or respiratory complications

e.    Acutely altered sensorium with the potential for airway compromise

f.     Progressive neuromuscular dysfunction requiring respiratory support and/or cardiovascular monitoring (myasthenia gravis, Gullain- Barre syndrome)

g.    GBS

h.    Myasthenia Grins

i.      Hypertension crisis (Emergency/Urgency)

j.      Brain death or potentially brain dead patients who are being aggressively managed while determining organ donation status Program

H.   Renal

a.    AKI

b.    Requirement for acute renal replacement therapies in an unstable patient

c.    ESRD patient with Multiorgan disfunction

I.      Endocrine

a.    Diabetic ketoacidosis complicated by hemodynamic instability, altered mental status 

b.    Severe metabolic acidotic states

c.    Thyroid storm or myxedema coma with hemodynamic instability

d.    Hyperosmolar state with coma and/or hemodynamic instability

e.    Adrenal crises with hemodynamic instability

Other severe electrolyte abnormalities, such as:

f.     Hypo or hyperkalemia with dysrhythmias or muscular weakness

g.    Severe hypo or hypernatremia with seizures, altered mental status

h.    Severe hypercalcemia with altered mental status, requiring hemodynamic monitoring

J.    Gastrointestinal

a.    Life threatening gastrointestinal bleeding

b.    Acute hepatic failure leading to coma, hemodynamic instability

c.    Severe acute pancreatitis

d.    Intestinal obstruction with abdominal compartment syndrome

e.    Ac. Cholecystitis, Ac. Appendicitis, Ac. Peritonitis perforation of hollow viscus

K.   Hematology

a.    Severe coagulopathy and/or bleeding diathesis

b.    Severe anemia resulting in hemodynamic and/or respiratory compromise

c.    Severe complications of sickle cell crisis

d.    Hematological malignancies with multi-organ failure

e.    Neutopenic sepsis

f.     DIC

g.    Microangiopathic hemolytic anemia (MAHA)

L.    Obstetric

a.    Medical conditions complicating pregnancy

b.    Severe pregnancy induced hypertension/eclampsia

c.    Obstetric hemorrhage

d.    Amniotic fluid embolism

M.   Multi-system

a.    Severe sepsis or septic shock

b.    Multi-organ dysfunction syndrome

c.    Polytrauma

d.    Dengue hemorrhagic fever/dengue shock syndrome

e.    Drug overdose with potential acute decompensation of major organ systems

f.     Environmental injuries (lightning, near drowning,  hypo/hyperthermia

g.    Severe burns

N.   Surgical

a.    High risk patients in the peri-operative period

Post-operative patients requiring continuous hemodynamic monitoring/ ventilatory support, usually following:

b.    Vascular surgery

c.    thoracic surgery

d.    airway surgery

e.    craniofacial surgery

f.     major orthopedic and spine surgery

g.    general surgery with major blood loss / fluid shift

h.    neurosurgical procedures