Cardiopulmonary Monitoring in Thai ICUs (ICU-RESOURCE I Study)
Kaweesak Chittawatanarat MD, PhD*1, Anan Wattanathum MD*2, Onuma Chaiwat MD*3, Thai Society of Critical Care Medicine Study group*4
Affiliation : *1 Department of Surgery, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand *2 Department of Medicine, Phramongkutklao Hospital, Bangkok, Thailand *3 Department of Anesthesiology, Siriraj Hospital, Mahidol University, Bangkok, Thailand *4 The Thai Society of Critical Care Medicine, Royal Jubilee Building, Bangkok, Thailand
Objective : Cardiopulmonary monitoring (CPM) is rapidly progressing but data regarding CPM in Thai ICUs was unavail-
able. The objective of this study was to describe the situation, and gaps of CPM in Thai ICUs.
Material and Method: Data were retrieved from the ICU-RESOURCE I study database survey. CPM was divided into two
aspects of device and measurement methods. These were categorized by device availability grading (AG), device availability
per bed (DPB) and numeric frequency grading scale (FGS). Device availability was compared between academic and non-
academic ICUs. Gap analysis of DPB and FGS was performed. Statistical significant difference was defined as p-value<0.05.
Results : One hundred and fifty-five ICUs across Thailand participated in this study. Academic ICUs had significantly more
devices available in new equipment with p<0.05 (Vigilio, PiCCO, NICOM, esophageal pressure monitoring, transcutaneous
PO2, electrical impedance tomography of lung) as well as measurement methods (stroke volume variation [SVV], pulse
pressure variation [PPC], central venous oxygen saturation [ScvO2], lung mechanics). Most of new and higher technological
devices had low density and few were available in all of Thai ICUs. However, in gap analysis, although these new devices and
measurement techniques were available in ICUs, they were not frequently utilized.
Conclusion : New technology devices of CPM had more availability in ACAD than in non-ACAD ICUs. Formal continuous
training in new measurement methods should be established for reducing the availability and utilization gap (Thai Clinical
Trial Registry: TCTR-201200005).
Keywords : Cardio-pulmonary monitoring, Thai ICUs, Utilization gap, Frequency level, Device availability
