?

Lakes > Public Hospital Services > Te Whatu Ora – Health New Zealand Lakes >

Intensive Care Unit & Coronary Care Unit | Lakes | Te Whatu Ora

Public Service, Intensive Care

Today

12:00 AM to 12:00 AM.

Description

Formerly Lakes DHB Intensive Care Unit & Coronary Care Unit

The Lakes DHB Intensive Care Unit (ICU) and Coronary Care Unit (CCU) are open 24 hours a day, 365 days a year and are staffed by a team of experienced nurses, medical staff and allied health professionals.

The ICU provides intensive and high dependency care to a variety of medical and surgical specialties including gastrointestinal, ENT, orthopaedic and vascular surgeries, trauma services, general and respiratory medicine, obstetrics and gynaecology, and paediatric services.

The Coronary Care Unit provides intensive and high dependency care to cardiac patients, working closely with the Lakes DHB Cardiology team.

The ICU/CCU actively participate in research and trials to provide an optimum level of care.

Where to find us: see the Rotorua Hospital map here.

 

What is Intensive Care?
Intensive care is the specialist care given to patients with acute (sudden), potentially reversible, life-threatening diseases. This may include patients who have life-threatening conditions such as a major accident, a severe infection or those recovering from a major operation.

Organ Donation
You may have been asked by staff in the ICU to consider donating the organs of your deceased family member. This can be a difficult decision to make at such a distressing time. Organ Donation NZ provides information about organ and tissue donation and helps support the decision-making process.

Referral Expectations

Patients presenting to hospital are usually admitted via the Emergency Department or other area where they are first stabilised. Patients whose condition gets worse on the ward, in the operating theatre or presenting from another hospital may be transferred to ICU/CCU.

Some day-patients may be admitted directly to CCU for procedures. See Lakes DHB Cardiology for more information.

Charges

New Zealand citizens or those who have obtained permanent residence are entitled to publicly funded health care.

Non-residents may be required to pay for their health care.

Click here to read more about eligibility for funded care at Lakes DHB.

Hours

12:00 AM to 12:00 AM.

Mon – Sun midnight – midnight

Procedures / Treatments

Blood Tests

In the ICU/CCU blood tests are usually done at least once a day. They measure such things as how the kidneys are working, cardiac markers (to make sure the heart is healthy) and levels of potassium (K+) and calcium (Ca++) as well as other elements. These are some of the indicators of how the body is working and can show the intensive care specialist how well a patient's body is coping with their illness. Intra-arterial and intravenous lines (tubes placed in arteries and veins) are often used to monitor the body and, once established, allow rapid, reliable and pain-free access for repeated blood tests. Some conditions will require multiple repeated blood testing every few hours.

In the ICU/CCU blood tests are usually done at least once a day. They measure such things as how the kidneys are working, cardiac markers (to make sure the heart is healthy) and levels of potassium (K+) and calcium (Ca++) as well as other elements. These are some of the indicators of how the body is working and can show the intensive care specialist how well a patient's body is coping with their illness. Intra-arterial and intravenous lines (tubes placed in arteries and veins) are often used to monitor the body and, once established, allow rapid, reliable and pain-free access for repeated blood tests. Some conditions will require multiple repeated blood testing every few hours.

Cardiovascular Problems

Patients with critical illness commonly develop problems with their hearts and circulation. Various factors are involved, some related to the primary disease while others are secondary effects. Problems include changes in: the distribution and volume of body fluid, the condition of the blood vessels and the ability of the heart to pump blood around the body. Treatment for cardiovascular problems may include fluids therapy and a wide range of medicines to control the heart rate, cardiac function and blood pressure.

Patients with critical illness commonly develop problems with their hearts and circulation. Various factors are involved, some related to the primary disease while others are secondary effects. Problems include changes in: the distribution and volume of body fluid, the condition of the blood vessels and the ability of the heart to pump blood around the body.

Treatment for cardiovascular problems may include fluids therapy and a wide range of medicines to control the heart rate, cardiac function and blood pressure.

Respiratory Problems

Respiratory failure occurs when the respiratory system is no longer able to provide enough oxygen requirements or remove enough carbon dioxide from the body. Hypoxia (not enough oxygen is reaching the tissues) may occur unless there are interventions. Large amounts of carbon dioxide may also build up in respiratory failure. Mechanical Ventilation This is the use of a ventilator (sometimes called a life support machine) to do the breathing for a patient experiencing respiratory failure. The ventilator fills the lungs with air, thereby providing oxygen to, and removing carbon dioxide from, the body via the lungs. Usually the ventilator delivers oxygen directly into the airway of the patient. This is done using an endotracheal tube which is a plastic tube that is passed through the mouth into the larynx (the top of the trachea or windpipe). Conscious patients are usually given a medication to make them sleepy or unconscious and a muscle relaxant to help them relax while the tube is inserted. Sometimes people may be ventilated for a short or a long time. Noninvasive Positive Pressure Ventilation Some patients may receive ventilation without needing intubation, with the breathing support being delivered via a sealed mask applied to the face. However noninvasive ventilation is useful only in some circumstances and in some patients.

Respiratory failure occurs when the respiratory system is no longer able to provide enough oxygen requirements or remove enough carbon dioxide from the body. Hypoxia (not enough oxygen is reaching the tissues) may occur unless there are interventions. Large amounts of carbon dioxide may also build up in respiratory failure.

Mechanical Ventilation
This is the use of a ventilator (sometimes called a life support machine) to do the breathing for a patient experiencing respiratory failure. The ventilator fills the lungs with air, thereby providing oxygen to, and removing carbon dioxide from, the body via the lungs.

Usually the ventilator delivers oxygen directly into the airway of the patient. This is done using an endotracheal tube which is a plastic tube that is passed through the mouth into the larynx (the top of the trachea or windpipe). Conscious patients are usually given a medication to make them sleepy or unconscious and a muscle relaxant to help them relax while the tube is inserted.

Sometimes people may be ventilated for a short or a long time.

Noninvasive Positive Pressure Ventilation
Some patients may receive ventilation without needing intubation, with the breathing support being delivered via a sealed mask applied to the face. However noninvasive ventilation is useful only in some circumstances and in some patients.

Nasogastric Tube

A nasogastric tube is often inserted at the same time as the endotracheal tube. The nasogastric tube is inserted into the stomach via the nose. This tube enables removal of gastric fluids and/or the delivery of nutrition.

A nasogastric tube is often inserted at the same time as the endotracheal tube. The nasogastric tube is inserted into the stomach via the nose. This tube enables removal of gastric fluids and/or the delivery of nutrition.

Kidney Problems

Kidney (or renal) failure is when a patient's kidneys are unable to remove wastes and excess fluid from the blood. The likelihood that the kidneys will get better depends on what caused the kidney failure. Kidney failure is divided into two general categories, acute and chronic. In acute (or sudden) kidney failure, when kidneys stop functioning due to a sudden stress, they might be able to start working again. However, when the damage to the kidneys has been continuous and has worsened over a number of years, as in chronic renal failure (CRF), then the kidneys often do not get better. This can be compounded if a patient has an acute illness. There are a number of causes of acute renal failure and in intensive care patients there is often more than one factor that contributes to its development. Some patients may require continuous renal replacement therapy (dialysis) for a period of time.

Kidney (or renal) failure is when a patient's kidneys are unable to remove wastes and excess fluid from the blood. The likelihood that the kidneys will get better depends on what caused the kidney failure. Kidney failure is divided into two general categories, acute and chronic.

In acute (or sudden) kidney failure, when kidneys stop functioning due to a sudden stress, they might be able to start working again. However, when the damage to the kidneys has been continuous and has worsened over a number of years, as in chronic renal failure (CRF), then the kidneys often do not get better. This can be compounded if a patient has an acute illness.

There are a number of causes of acute renal failure and in intensive care patients there is often more than one factor that contributes to its development. Some patients may require continuous renal replacement therapy (dialysis) for a period of time.

Visiting Hours

We welcome family/whānau at any time of the day or night. Other visitors welcome during the day.

Use the intercom outside the ICU/CCU doors to be let in. 

If you think you may be infectious, please do not visit the ICU/CCU, as there is a high risk of spreading viruses and bacteria.

Children may come and visit, but it is important to prepare them well and they are not to be left unattended.

Pharmacy

Click here to find your nearest community pharmacy.

Other

Click here for more information about your trip to Rotorua Hospital, including:

Contact Details

12:00 AM to 12:00 AM.

  • ICU Phone

    (07) 349 7955 ext 8034

  • CCU Phone

    (07) 349 7955 ext 7839

Corner Arawa Street and Pukeroa Road
Rotorua
New Zealand

Information about this location

View on Google Maps

Get directions

Street Address

Corner Arawa Street and Pukeroa Road
Rotorua
New Zealand

Postal Address

Rotorua Hospital
Private Bag 3023
Rotorua Mail Centre
Rotorua 3046

This page was last updated at 1:03PM on February 19, 2020. This information is reviewed and edited by Intensive Care Unit & Coronary Care Unit | Lakes | Te Whatu Ora.