4 ms·
I spent about ten days in a UK ICU with Covid-19, so figured I'd share a few comments based on my experience. I was in a room for one person, so I've no idea wh
by stordoff 4y ago
I spent about ten days in a UK ICU with Covid-19, so figured I'd share a few comments based on my experience. I was in a room for one person, so I've no idea who else was in there. I didn't suffer any delusions/hallucinations, other than my memories of the first night being a little hazy (which can probably be put down to being moved at 3am unexpectedly and possible hypoxia). However, after I discharged, I felt like I could still hear the <90% SpO2 alarm going off in my head constantly for _weeks_ (I spent most of the ten days struggling to maintain 90% SpO2, so it was a noise I became very familiar with).
> There are many consults, but the ICU attending is king (or queen) / Sometimes nurses are the footsoldiers of the ICU regent, and sometimes they’re governors
It's hard to say specifically was making the calls, particularly as the PPE made it a little difficult to recognise people, but it definitely felt like there was continuity of care - treatment plans were discussed well in advance, and usually didn't change unexpectedly. The recommendations from the physiotherapist and nutritionist (my appetite was virtually non-existent), as well as my own requests, were followed by all of the staff involved as far as I could tell.
> Everyone agrees that sleep is important, but nobody has any idea beyond that
I couldn't sleep for the first two nights, but beyond that, I didn't find this to be an issue. I'd go to bed around 10:30, and wasn't disturbed until about 8 o'clock the next morning. As I understand it, HR/BP/O2 monitors could be checked from an adjacent room, and most of the non-critical alarms were muted (I believe they were still audible to staff outside of my room). There were a few times staff came in to check/adjust something, but never more than once a night (that I noticed at least).
> The ICU is a good place to not die, but a bad place to recover
I'm not sure I can agree with this. I was moved back to a ward for a few days before I was discharged, and felt that I would have recovered better had I stayed in the ICU (though I understand why that's not practical). The room of eight had two dementia patients who would yell out for most of the night. Obs were taken about every three hours, which woke me every time (BP was taken with a pressure cuff rather than the arterial line which was used in the ICU, and I wasn't routinely wearing a finger sensor). As a result, I got very little sleep until I was discharged. It was also much more difficult to get the attention of staff at times.