Smart ICU
Aug 2023
[Link]
Dr. Sandesh Kumar
Head of Smart-ICU and Consultant Intensivist
MD, FNB, EDIC
ANESTHESIOLOGY, CRITICAL CARE
Cloudphysician Healthcare
Royal Liverpool and Broadgreen University
Hospitals, UK
PGIMER, Chandigarh
Source- Passengers (Netflix)
Definition
"Smart ICU" refers to the integration of advanced technology and data analytics to improve the
management and outcomes of critically ill patients
Future of critical care Smart-ICUs
● ICUs are a focal point for secondary and tertiary
care hospitals - this is going to continue to increase
● Technology and data usage is becoming more
incorporated into healthcare delivery
● Demand for standardized, protocolized care
● Continuous knowledge generation and upskilling
● Healthcare beyond the confines of Hospital
● Quality is becoming a priority for patients and
providers
● Awareness and transparency of care is increasing
Challenges in the ICU Smart-ICU
Solution
Specialized ICU care 24/7
Multidisciplinary team led ICU with remote super-specialists
equipped to support the bedside team 24/7
Paper documents / records are inadequate Digitized paperless ICU for protocolized care
Suboptimal response time
Proactive and realtime support
Lack of night time vigilance 24/7 team overseeing care of patients
Common platform ensuring ease of communication &
Inadequate coordination of different team members
collaboration
Lack of skilled clinical team Continuous training and support for clinical staff
Access to dashboard and reports that show performance of
Shortage of data for analysis
the ICU
Components of SMART ICU
Advanced Monitoring Systems: High-tech monitoring devices and sensors.
Integrated Electronic Health Records (EHRs): Facilitating data management and analysis.
Decision Support Systems: AI-driven systems assisting clinicians in making informed
decisions.
Communication and Connectivity: Seamless communication within and beyond the ICU.
Advanced Monitoring systems
Non-invasive Monitoring
Wearable devices
Biosensors and implants
Intelligent alarms
Wang etal. Bioadhesive ultrasound for long-term continuous imaging of diverse organs. Science. 2022 Jul 29;377(6605):517-523
Electronic Medical Records
Artificial intelligence and machine learning
Clinical decision support system
Predictive Analytics
Image Analysis
Generative AI and Natural language processing
Virtual reality
Clinical decision support system
Integrates patient-specific information with knowledge databases and clinical guidelines to deliver
real-time decision support.
Provide alerts for medication interactions or allergies, suggest appropriate treatment protocols
based on patient data
Offer reminders for preventive measures or best practices.
CDSS helps reduce errors, improve adherence to guidelines, and enhance patient safety.
Remote care
Telemedicine and Tele-ICU capabilities have also revolutionized critical care.
● Enables remote monitoring and consultation, connecting critical care specialists to multiple
ICUs.
● Collaborative approach ensures expert guidance and support for bedside clinicians,
regardless of geographical barriers.
Benefits of SMART-ICU
Early Warning Systems
Enhanced Alarm Management
Medication Safety
Efficient Bed Management
Workflow Optimization
Staff Allocation
Challenges to implementing a smart ICU
Data security and privacy concerns
Training and adoption of new technologies by healthcare professionals
Interoperability- Integrate these solutions with existing systems and infrastructure
Resistance to Change
Conclusion
Smart ICU can revolutionize the way we deliver care in the intensive care setting.
● By leveraging advanced technologies, we can enhance patient safety, optimize workflows,
and improve clinical decision-making
● Let's continue to embrace innovation and excellence in critical care!
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