ICU EXPERIENCES FROM COVID 19: Edited by Luigi CamporotaSurging ICU during COVID-19 pandemic: an overviewArabi, Yaseen M.a; Myatra, Sheila Nainanb; Lobo, Suzana M.c Author Information aDepartment of Intensive Care, Ministry of National Guard Health Affairs, King Saud bin Abdulaziz University for Health Sciences, King Abdullah International Medical Research Center, Riyadh, Saudi Arabia bDepartment of Anaesthesiology, Critical Care and Pain, Tata Memorial Hospital, Homi Bhabha National Institute, Mumbai, India cIntensive Care Division – Hospital de Base, Faculdade de Medicina de São José do Rio Preto, FAMERP, São José do Rio Preto, SP, Brazil Correspondence to Yaseen M. Arabi, MD, FCCP, FCCM, ATSF, Intensive Care Department, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia; King Abdullah International Medical Research Center, Riyadh, Saudi Arabia, King Saud Bin Abdulaziz University for Health Sciences, ICU 1425, PO Box 22490, Riyadh 11426, Kingdom of Saudi Arabia. Tel: +966 11 801 8855; e-mail: [email protected] Current Opinion in Critical Care: December 2022 - Volume 28 - Issue 6 - p 638-644 doi: 10.1097/MCC.0000000000001001 Buy Metrics Abstract Purpose of review The coronavirus disease 2019 (COVID-19) pandemic has posed great challenges to intensive care units (ICUs) across the globe. The objective of this review is to provide an overview on how ICU surging was managed during COVID-19 pandemic, with a special focus on papers published in the last 18 months. Recent findings From the onset of the COVID-19 pandemic, it was apparent that the biggest challenge was the inequity of access to an adequately equipped and staffed ICU bed. The first wave was overwhelming; large surge of patients required critical care, resources were limited and non-COVID-19 care processes were severely compromised. Various approaches were used to address ICU staffing shortage and to expand the physical ICU space capacity. Because of restrictions to family visitations in most ICUs, the pandemic posed a threat to communication and family-centered ICU care. The pandemic, especially during the first wave, was accompanied by a high level of apprehension in the community, many uncertainties about clinical course and therapy and an influx of speculations and misinformation. Summary Although healthcare systems learned how to face some of the challenges with subsequent waves, the pandemic had persistent effects on healthcare systems. Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.