The Surgical Intensive Care Unit is a 16-bed unit with an average occupancy of 98%. This clearly reflects the challenge of providing excellent patient care in a system that is stretched to its limits. Patients’ profiles range from acute trauma-related injuries to surgical critical care patients. Both adults and pediatric patients are admitted into the unit. This is a closed unit with an intensivist.
The vision of the unit it to provide standards of excellence in critical care, to be recognized as local leaders in evidence-based care and to achieve international renown for research in the field of innovative and safe patient care, all within the next three to five years.
The mission of the Surgical Intensive Care Unit is to provide critically ill patients intensive care services at par with the highest international standards.
• Patient governance is facilitated by ensuring a round-the-clock presence of a doctor, nursing staff and respiratory therapist.
• The staff to patient ratio 1:1.
• All the nursing staff are ICU-trained.
• Each intensivist/nurse is up-to-date on core articles in intensive care medicine.
• All the intensivists have ICU experience and possess the relevant competencies.
The unit also has a group of staff that has undergone an in-house training program for pediatric and continuous renal replacement therapy.
• Provision of advanced cardiac life support measures
• Continuous non-invasive and invasive cardiovascular monitoring
• Cardiac output monitoring
• Temporary cardiac pacing monitoring and management
• Airway management including mechanical ventilation through an endotracheal tube or a tracheostomy tube
• Different modes of mechanical ventilation and non-invasive ventilation
• Weaning from mechanical ventilation
• Advanced neurological management and interventions
• Implementation of TBI (Traumatic Brain Injury) protocols
• Management of patients who have undergone all kinds of major surgical procedures
• Management of patients with renal failure, hepatic failure and shock states
• Management of patients with coagulopathy and thrombembolic disease
• Management of severe sepsis and septic shock
• Management of acute respiratory distress syndrome (ARDS)
• Nutritional support (enteral and parenteral)
- Routine and specialized ICU procedures:
• Invasive hemodynamic monitoring (insertion of Swan Ganz catheter and PiCCO catheter)
• Endotracheal intubation
• Therapeutic and diagnostic fibreoptic bronchoscopy
• Percutaneous tracheostomy
• Peripheral and central venous catheterization
• Arterial cannulation
• Transvenous pacing
• Defibrillation and electrical cardioversion
• Dialysis catheter insertion and continuous renal replacement therapy
• Urinary catheterization
• Lumbar puncture
• Pleurocentesis and intercostal drain insertion
• Nasogastric tube insertion
• Echocardiography (transthoracic and transesophageal)
• Ultrasound (chest, abdomen, pelvis and vascular)
• Obtained the best unit award 2007
• The only critical care unit in the hospital which can manage critical pediatric patients and burn cases
• Availability of a core group of nurses in the unit, on all shifts, who can manage patients on continuous renal replacement therapy (30 nurses) and pediatric patients (14 nurses)
• Ongoing quality improvement circles with best practice application in unit by implementing care bundles
• Electronic patient record system in use (CareVue system)
• 24-hour charge nurse and medical cover
• Closed unit which facilitates patient centered care
• Strong learning culture with evidence of staff growth
• Multinational staff
• Excellent teamwork on all occasions
• Continuous medical education, up-to-date learning program with most of the critical patients
• Strong feedback system regarding the ICU morbidity
• The SICU was evaluated using 16 aspects recommended by the Society of Critical Care Medicine and we achieved an overall score of 84% out of 100% gold standard, which enabled us to benchmark with other high performance intensive care units.
• We calculated 9 out of 10 recommended key performance indicators, all of them showing high performance.
- SICU 9 Key Performance Indicators:
1. Severity-adjusted mortality rate
2. Unscheduled readmissions within 24 hrs per 1,000 discharges
3. Ventilator-associated pneumonia per 100 ventilator days
4. Reintubation rate within 24 hrs
5. Central line-associated bacteremia per 1,000 central line days
6. Unplanned extubation per 100 mechanical ventilation days
7. Urinary Infection per 1,000 urinary catheter days
8. Stress Ulcer Disease (SUD) Prophylaxis per 100 ventilator days
9. Deep Vein Thrombosis Prophylaxis per 100 ventilator days
Acting Department Head: Dr. Zeyad Alrais
Tel: +9714 – 219-1271 / 1575
Nurse Manager: Ms. Jennifer Naidu
Tel: +9714 – 219-1262 / 1737
Medical Secretary: Ms. Rita Juliet
Tel: +9714 – 219-1213