The Intensive Care Unit (ICU) which started as a four-bedded critical care unit in Pune’s Ruby Hall Clinic has marked a significant milestone by completing its 25 years. It has now grown into 162-bedded critical care multi-specialty unit equipped with state-of-art technology. While looking back on the journey, the ICU staff wondered how they performed the work two decades ago with meager technological assistant.
Dr Prachi Sathe, ICU Director, said, “Earlier ICU was related just with heart intensive care only. It took a long time to make it multi-disciplinary ICU care where patient with any severe illness could be treated. I was interested in developing this ICU as multi-specialty ICU. I got myself trained in UK in ICU and joined Ruby’s ICU unit in 1992. Now when I look back I wonder how we used to treat the patients when the technology was not very advanced.”
According to hospital administration, it was Ruby’s ICU unit which stared cardiac ambulance for the first time in the city. First cadaver donation and first kidney donation in the city in 1997 also happened at Ruby’s ICU unit. The ICU is also the first in the city to get accredited from National Accreditation Board for Hospitals and Healthcare Providers, to get first bedside dialysis, to have Continuous Renal Replacement Therapy (CRRT) and to get developed as first multi-disciplinary ICU in Pune.
While comparing about the past and present, Dr Sandhya Zambare, Senior Consultant ICU, Ruby Hall, said, “The old ventilators did not give us any scope when we had to adjust for the artificial breathing pattern for the patient. Now with advanced technology, we have advanced settings and we can manage the artificial breathing which goes close to natural one. Today, we also have advanced monitors to test cardiac output and heart pumping. Earlier, we used to do it with trial and error basis.”
Adding on the same line, Sathe, said, “Today, we have a special cardiac ambulance which is like a moving ICU. Bedside treatment was not available earlier and patient had to physically move to different departments for treatment even when he or she was in ICU. Today, we have one nurse per two patients and one doctor per eight patients. Earlier, we did not have this ratio when the staff was less.”
On the occasion of its completion of 25 years, the hospital has decided to start Tele Medicine facility for the ICU units in the rural hospitals. Apart from this the research centre, an Extracorporeal Membrane Oxygenation (ECMO) will also be started at the clinic. Sathe added, “Today, every hospital has ICU unit, but it is not very advanced, especially in rural areas. We want to help such ICUs in rural areas.”