Any ICU in the country, in everyone's mind there is a **** the same impression: spend huge and mysterious. Because ordinary people almost can not see what the CU is like, unless there are friends and relatives Si seriously ill, visiting hours when you can go in to see, so we only know that the ICU is a place for the treatment of seriously ill patients.
What is the ICU like? Is it reasonable to charge an average of 8,000 dollars a day? Today and I come to understand why the ICU is so expensive and what "life-saving" artifacts it.
Why is ICU so expensive?
1, the hardware is expensive
ICU each bedside often use ventilators, cardiac monitoring, oxygen systems, infusion pumps, etc., and a set of central monitoring equipment to control the overall situation, as well as a variety of bedside inspection equipment. In addition, there is also a need for asepsis, air and temperature regulation, easy transfer, oxygen supply and many other considerations. Smaller hospitals can't afford to keep all this equipment if they don't achieve a certain flow rate.
2, check more
Because of the rapid changes in the condition, in addition to real-time monitoring, doctors need to keep abreast of the patient's current physical condition, so the ICU patients face frequent checks, a variety of blood, biochemical indicators are often repeated within a day to check.
3, treatment is expensive
Respiratory therapy itself is a kind of expensive treatment, to the ICU infected patients need to use high-grade antibiotics to fight infection, in addition to a variety of symptomatic treatment of drugs, drugs, drugs will be very high, and some patients need to use blood products, the cost is also very expensive.
Two, ICU what "life-saving" magic, the most expensive what?
1, syringe pump, hourly fee of 1 yuan
Syringe pump can be accurately pumped by the minute into the drug equipment, ICU is essential to one of the "magic weapon".
To ICU patients are very heavy, many drugs into the body too fast or too slow, may aggravate the condition. For example, pressure-raising drugs, antihypertensive drugs, sedative drugs ......
Some patients often need to use a lot of these intravenous pumps, the treatment to achieve precision refinement, which is the ICU and the ward medication is very obvious difference.
2, infusion pumps, hourly fee of 1 yuan
Infusion pumps, can accurately control the patient's liquid infusion rate and input volume, is the ICU each patient must have a "magic weapon".
ICU patients with serious conditions, the amount of liquid infusion rate requirements for precision, sometimes very slow, dozens of milliliters an hour, or even a dozen milliliters, such as heart failure patients. These are relying on counting fluid drops can not do.
3, blood gas analyzer, each test costs about 100 yuan
For critically ill patients without monitoring, there is no proper assessment and treatment, and this monitoring is every patient must be on the basis of the project, often overlooked, but significant.
4, cardiopulmonary resuscitation machine, about 150 yuan / times
This "magic weapon" called cardiopulmonary resuscitation machine, is the rescue of cardiac compression indispensable equipment.
Previously, without it, it is manual compression, due to the high requirements of compression (about 100 times per minute, compression depth of 5cm), it is often difficult to meet the standards of a person compression more than 3 minutes.
This charge is not a charge for a single press, the charge is from the beginning of the resuscitation, until the heart returns to beat on its own is counted once.
5, blood purification technology, the most expensive treatment in the ICU
The machine can also do plasma replacement, is often referred to as "artificial liver", mostly used in patients with liver failure, but also used for such as myasthenia gravis, autoimmune diseases. It is a life-saving device for patients with acute renal failure in the ICU, and besides being too expensive (about 8,000 yuan per day), it is really an invaluable piece of equipment.
He can artificially control the amount of liquid out of the patient, how much is how much, can be very precise control. So when the patient's body fluid overload, such as heart failure and low blood pressure is also an indication.
And when patients with severe ionic disorders, it can quickly and stably regulate the patient's internal environment, such as hyperkalemia, is likely to let the heart stop at any time, this is when it is used, will soon be the blood potassium down to normal.