An intensive care unit (ICU) is a special part of hospital where expertise medical and nursing care has been provided along with monitoring and organ support. An analysis of 1255 patients was carried out to investigate retrospective review of data from ICU of combined military hospital (CMH) Dhaka. During this study period, the frequency of admission into ICU was more from medical discipline (59.92%) than other disciplines like surgical (37.52%), gynaecological, obstetric and other disciplines (2.55%). The incidence of survival was 53.86% from medical, 69% from surgical and 84.38% from gynaecological, obstetric and other disciplines and mortality was 46.14%, 31% and 15.62% respectively. Occurrence of total ventilatory support provided in all disciplines was 45.34%. In other studies it was found that the ICU mortality varies between 15% to 44% depending on various factors like age, severity of diseases, length of stay and organizational capability of the ICU. The most prevalence of diseases admitted into this ICU was cardiovascular diseases, which were 42.47% and second prevalent diseases were head injury (11.34%). The incidence of immediate mortality within 12 hours was 7.97%.DOI: http://dx.doi.org/10.3329/bccj.v1i1.14368 Bangladesh Crit Care J March 2013; 1: 40-44

Objective: To assess compliance of Intensive Care Units (ICUs) of Bangladesh to the components of resuscitation & management bundles of Surviving Sepsis Campaign (SSC). Secondary objective was to assess the impact of compliance on mortality and to determine how its compliance & mortality compared with other Asian and Western countries. Design: Prospective Cohort study. Setting: 14 ICUs of Bangladesh. Participants: 65 adult patients with severe sepsis admitted into these ICUs in July 2009. The organizational characteristics of the participating centers, the patients’ baseline characteristics, the achievement of target within the resuscitation & management bundle & outcome data were recorded. Outcome: Compliance with the Surviving Sepsis Campaign’s resuscitation (6 hrs) & management (24 hrs) bundles. Results: Hospital mortality in ICU patients of Bangladesh suffering from severe sepsis was 49·2%. It was significantly higher than countries reported. Compliance to entire components of both resuscitation & management bundles were reported to be zero in ICUs of Bangladesh. Compliance of individual components of the bundles did not predict improved survival. Conclusion: In ICUs of Bangladesh, high mortality of severe sepsis and failure of compliance of SSC bundle guidelines to have positive impact on survival were presumably attributed to delayed diagnosis, poor adherence to & delayed application of SSC guidelines on sepsis bundles. DOI: http://dx.doi.org/10.3329/bccj.v1i1.14359 Bangladesh Crit Care J March 2013; 1: 8-17