• A B Yatawatte, C R Wanniarachchi, and C D A Goonasekera.
• Department of Anaesthesiology, Faculty of Medicine, University of Peradeniya, Sri Lanka.
• Ceylon Med J. 2004 Jun 1; 49 (2): 51-4.

ObjectiveTo survey the facilities, functioning characteristics, bed strength, manpower, operational practices and the distribution of the Intensive Care Units (ICU) of Government Hospitals in Sri Lanka.DesignA cross-sectional observational study.MethodInterview of the sister or the nurse in charge of each unit by telephone using a structured questionnaire.SettingDepartment of Anaesthesiology, Faculty of Medicine, University of Peradeniya.Study PopulationAll intensive care units of the government hospitals in Sri Lanka.MeasurementsBed strength, facilities, functioning characteristics, manpower and equipment.ResultsFifty two intensive care units were identified in the island. Two units could not be contacted over the telephone and one refused to participate. Of the 49 ICUs studied 28 (57.1%) were located in teaching hospitals, six (12.2%) in provincial hospitals, 13 (26.5%) in base hospitals and two (4.1%) in special hospitals. Twenty five (51%) of the 49 ICUs were multidisciplinary, three (6.1%) general medical, four (8.2%) general surgical and the remainder were of medical, surgical and paediatric subspecialities. The minimum acceptable standard of a ventilator: bed ratio of 1:1 was seen in 28 (57%) and a nurse : bed ratio of 1:1 was seen in 37 (75.5%) ICUs. A 24-hour resident medical officer was available in 46 (93.9%) of the 49 ICUs. ICUs are mostly located in larger cities. The lowest ICU coverage (one ICU for about 1.2 million people) was seen in the Uva Province.ConclusionsICUs in Sri Lanka are mainly located in teaching hospitals. The standards and management strategies vary widely.

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