The Great ICU Debate: One Unit, Two Philosophies – to Open or Not to Open?

Joshi, Deepika

Publication:
The Great ICU Debate: One Unit, Two Philosophies – to Open or Not to Open?

creativeworkseries.issn	ISSN 3059-9156 (Print), ISSN 3059-9164 (Online)
dc.contributor.author	Joshi, Deepika
dc.date.accessioned	2025-12-25T11:54:29Z
dc.date.available	2025-12-25T11:54:29Z
dc.date.issued	2025
dc.description	Deepika Joshi Grande International Hospital, Dhapasi, Kathmandu, Nepal
dc.description.abstract	Abstract: The debate between open and closed Intensive Care Units (ICUs) remains unresolved, with each model offering distinct advantages and challenges. Open ICUs allow primary physicians to manage their patients, promoting continuity of care but risking fragmented decision-making. In contrast, closed ICUs ensure standardized, evidence-based management by intensivists, leading to improved efficiency and better patient outcomes. A hybrid ICU model offers a compromise, balancing flexibility with structured care. In Nepal, ICU structures vary based on resource availability, with tertiary centers favoring closed or hybrid models. Ultimately, the ideal ICU model depends on institutional policies, staffing, and patient needs, prioritizing optimal care delivery.
dc.identifier	https://doi.org/10.70027/jrahs48
dc.identifier.uri	https://hdl.handle.net/20.500.14572/3840
dc.language.iso	en_US
dc.publisher	Rapti Academy of Health Sciences (RAHS)
dc.subject	closed ICU
dc.subject	hybrid ICU
dc.subject	intensive care unit
dc.subject	open ICU
dc.title	The Great ICU Debate: One Unit, Two Philosophies – to Open or Not to Open?
dc.type	Article
dspace.entity.type	Publication
local.article.type	Letters to the Editor
oaire.citation.endPage	vii
oaire.citation.startPage	vi
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