High-dependency units play a key role in the treatment of a Chinese military patient who developed liver failure while abroad

Chen Li; Hai-Bin Su; Xiao-Yan Liu; Li-Na Zhang; Jin-Hua Hu

doi:10.1186/s40779-019-0220-y

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High-dependency units play a key role in the treatment of a Chinese military patient who developed liver failure while abroad

LETTER TO THE EDITOR | Updated：2023-06-05

- High-dependency units play a key role in the treatment of a Chinese military patient who developed liver failure while abroad
- High-dependency units play a key role in the treatment of a Chinese military patient who developed liver failure while abroad
- MMR 2020年7卷第2期页码：242-244
- Affiliations：
  
  Liver Failure Treatment and Research Center, The Fifth Medical Center of Chinese PLA General Hospital, Beijing 100039, China
- Author bio：
  
  * m13910020608@163.com
- Funds：
- DOI：10.1186/s40779-019-0220-y
  中图分类号：
- 纸质出版：2020-06
- Accepted：
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High-dependency units play a key role in the treatment of a Chinese military patient who developed liver failure while abroad[J]. MMR, 2020,7(2):242-244.

Cite this article as: Li et al.: High-dependency units play a key role in the treatment of a Chinese military patient who developed liver failure while abroad. Mil Med Res, 2019, 6: 26
High-dependency units play a key role in the treatment of a Chinese military patient who developed liver failure while abroad[J]. MMR, 2020,7(2):242-244. DOI： 10.1186/s40779-019-0220-y.

Cite this article as: Li et al.: High-dependency units play a key role in the treatment of a Chinese military patient who developed liver failure while abroad. Mil Med Res, 2019, 6: 26 DOI： 10.1186/s40779-019-0220-y.

摘要

Abstract

High-dependency units (HDUs) provide high-level care to patients who suffer from single organ failure

with the exception of respiratory failure requiring mechanical ventilation; HDUs serve as an intermediary between general wards and Intensive Care Units. Due to military and civilian needs

our hospital has established a unique HDU for patients with liver disease in China. A Chinese military officer in the United Nations Peacekeeping Forces in South Sudan was transferred to our HDU for liver failure treatment in 2018. The patient’s disease status

nutrition

sleep habits

and psychological behaviour were monitored on different scales. The patient was provided with vascular monitoring

telemetry

pulse oximetry

drug treatment

nutritional support

sleep intervention

psychological intervention

and humanistic care by a multidisciplinary treatment team. After treatment

the patient recovered and avoided liver transplantation. Based on the experience with this HDU

this new model may create an efficient treatment process for military and civilian patients with severe liver disease at home or abroad.

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references

De Silva RJ , Anderson A , Tempest H , Ridley S . Sequential organ scoring as a measure of effectiveness of care in the high-dependency unit . Anaesthesia. 2001 ; 56 ( 9 ): 850 – 4 .

Plate JDJ , Hietbrink F , Leenen LPH , Peelen LM . Predicting early deterioration of admitted patients at the intermediate care unit . J Crit Care. 2018 ; 48 : 97 – 103 .

Prin M , Wunsch H . The role of stepdown beds in hospital care . Am J Respir Crit Care Med. 2014 ; 190 ( 11 ): 1210 – 6 .

Simpson CE , Sahetya SK , Bradsher RW 3rd , Scholten EL , Bain W , Siddique SM , et al . Outcomes of emergency medical patients admitted to an intermediate care unit with detailed admission guidelines . Am J Crit Care. 2017 ; 26 ( 1 ): e1 – 10 .

Hukins C , Wong M , Murphy M , Upham J . Management of hypoxaemic respiratory failure in a respiratory high-dependency unit . Intern Med J. 2017 ; 47 ( 7 ): 784 – 92 .

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