Processes for the conversion of a major ambulatory surgery unit into an intensive care unit due to the COVID-19...

COVID-19 pandemic produced a deficit situation of intensive care units (ICU) beds. To optimize resources, the post-anesthetic resuscitation units and operating rooms were initially used in order to care for these patients, due to their equipment and personnel. This meant a significant surgical suspension. To avoid this, during the second wave, our hospital transformed the major ambulatory surgery unit into a critical care unit. The main objective is to develop the processes carried out in our hospital for this adaptation.

Cross-sectional study developed according to STROBE that exposes the processes carried out for this transformation. We include logistical adaptations, number of patients attended/stays won and the staff with which the unit was equipped. The information was provided by management and the admission and clinical documentation service. Improvement surveys are included.

A total of 44 patients undergoing mechanical ventilation without cessation of surgical activity were achieved at the time of maximum occupancy. The total number of stays won from 01/03/2020 to 31/12/2020 was 755.

The transformation of the major ambulatory surgery unit into an ICU quickly increased the capacity of critical care beds without relenting surgical activity. This transformation process is completely reversible.