Building your future ICU in Asia Pacific: A structured regional priority-mapping summit report from the Asia Pacific
Ashwin Subramaniam1, Jolin Wong2, David Ku3
1Department of Intensive Care, Dandenong Hospital, Monash Health, Dandenong, Victoria, Australia; Australian and New Zealand Intensive Care Research Centre, Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, Australia; Peninsula Clinical School, Monash University, Frankston, Victoria, Australia; Department of Intensive Care Medicine, Epworth Healthcare, Richmond, Victoria, Australia.
Objective:
To summarise the proceedings of the third Asia Pacific Critical Care Societies Summit and identify regionally aligned priorities for the "Future of Your ICU" across diverse health systems.
Design:
Structured regional priority-mapping summit report and thematic synthesis of society presentations, informed by comparative evidence and contextual analysis.
Setting:
Satellite meeting of the Asia Pacific Intensive Care Symposium, convened in Singapore on 17 August 2025, 14 Asia Pacific Critical Care Societies participated in the summit report.
Main Outcome Measures:
Qualitative thematic analysis and prioritisation of strategic domains across staged time horizons.
Results:
Analysis of society presentations identified shared and divergent priorities, which were synthesized into a staged regional framework. Four overarching domains emerged: (1) Workforce, Education, and Wellbeing; (2) Infrastructure, Access, and Equity; (3) Technology, Innovation, and Data; and (4)) Population Health, Research, and Ethics. Short-term priorities (0-3 years) focused on addressing workforce shortages and infrastructure deficits. Medium-term priorities (3-6 years) emphasised digital integration, including tele-ICU and selective use of artificial intelligence and embedding ethical governance. Long-term goals (7-10 years) included advancing equity, and strengthening research capacity, particularly for digital health technologies. Notable heterogeneity was observed, with high-income countries prioritising digital maturity and precision care, while low- and middle-income countries focused on workforce expansion and ICU bed capacity.
Conclusions:
The "Future of Your ICU" in the Asia Pacific region requires a staged, context-sensitive approach. Aligning immediate investment in human and physical capacity with medium-term digital innovation and long-term research and ethical frameworks offers a pragmatic pathway toward sustainable, equitable, and human-centred critical care systems.
X/Twitter Message:
The #APICS2025 Summit set a roadmap for the Future of Your ICU: A vision for resilient, sustainable, human-centered critical care by 2035. #CriticalCare #APICS, #APCCS.
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