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Critical Care
Reviewed by Medicinsk Expert•Last updated: 2026-10-22•Surgery Rehabilitation

Critical Care

Critical care provides specialized, 24-hour medical support and monitoring for individuals facing life-threatening injuries or illnesses.

What is critical care?

Critical care is medical care for people who have life-threatening injuries and illnesses. It usually takes place in an intensive care unit (ICU). A team of specially-trained health care providers gives you 24-hour care. This includes using machines to constantly monitor your vital signs. It also usually involves giving you specialized treatments.

Who needs critical care?

You need critical care if you have a life-threatening illness or injury, such as:

  • Severe burns
  • COVID-19
  • Heart attack
  • Heart failure
  • Kidney failure
  • People recovering from certain major surgeries
  • Respiratory failure
  • Sepsis
  • Severe bleeding
  • Serious infections
  • Serious injuries, such as from car crashes, falls, and shootings
  • Shock
  • Stroke

What happens in a critical care unit?

In a critical care unit, health care providers use lots of different equipment, including:

  • Catheters, flexible tubes used to get fluids into the body or to drain fluids from the body
  • Dialysis machines ("artificial kidneys") for people with kidney failure
  • Feeding tubes, which give you nutritional support
  • Intravenous (IV) tubes to give you fluids and medicines
  • Machines which check your vital signs and display them on monitors
  • Oxygen therapy to give you extra oxygen to breathe in
  • Tracheostomy tubes, which are breathing tubes. The tube is placed in a surgically made hole that goes through the front of the neck and into the windpipe.
  • Ventilators (breathing machines), which move air in and out of your lungs. This is for people who have respiratory failure.

These machines can help keep you alive, but many of them can also raise your risk of infection.

Sometimes people in a critical care unit are not able to communicate. It's important that you have an advance directive in place. This can help your health care providers and family members make important decisions, including end-of-life decisions, if you are not able to make them.

Frequently Asked Questions

Signs that a patient may need ICU care include unstable vital signs (e.g., persistent low blood pressure, rapid heart rate), difficulty breathing or need for high‑flow oxygen, altered mental status, severe pain that cannot be controlled with standard meds, organ failure such as kidney or liver dysfunction, and the need for continuous monitoring or life‑support equipment. If any of these appear, ask the primary team about ICU evaluation.
The biggest risks are ventilator‑associated pneumonia, lung injury from high pressures (barotrauma), and blood clots from immobility. Prevention includes strict hand hygiene, elevating the head of the bed to 30‑45°, using the lowest effective ventilator pressures, regular oral care, daily sedation breaks to assess readiness for breathing on own, and early mobilization when possible.
Family members can help by maintaining a regular schedule of visits, speaking calmly, bringing familiar objects (photos, music), ensuring the patient’s glasses or hearing aids are available, and encouraging daylight exposure. Keeping the environment quiet at night, re‑orienting the patient to time and place, and participating in simple physical therapy (e.g., passive range‑of‑motion) when allowed can also lower the risk of ICU delirium.
There is no fixed limit; decisions are individualized. Generally, clinicians assess daily for weaning readiness—stable blood gases, adequate mental status, and sufficient strength. If a patient cannot be weaned after 7‑10 days, a multidisciplinary team may explore tracheostomy, prolonged ventilation programs, or extracorporeal support. For dialysis, if kidney function does not improve after 2‑3 weeks, a nephrologist may discuss long‑term dialysis or transplant evaluation.
Source: MedlinePlus, National Library of Medicine

MedlinePlus brings together authoritative health information from the National Library of Medicine (NLM), the National Institutes of Health (NIH), and other government agencies and health-related organizations.

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