TY - JOUR AU - Strang, Aart AB - Intensive Care Med https://doi.org/10.1007/s00134-023-07212-7 LE T TER Fresh air for intensive care patients in the Netherlands: an example to be followed? Michael J. Blans and Aart Strang © 2023 Springer-Verlag GmbH Germany, part of Springer Nature Dear Editor, privileged circumstances permit this outside facility, in Until the early 1900s, the brick used to build hospitals addition to our enclosed high-end intensive care depart- was framed by lush gardens. One example is Barcelona’s ment. Our design for the separate outside facility pre- well-known original Hospital Sant Pau. Over the follow- sented herein is adapted to colder environments, whereas ing decades, external spaces were no longer considered hospitals situated closer to the equator may allow more hospital architecture [1]. The effects of outside open air on patient outcomes are not understood currently beyond reports of positive effects on mental health [2] and few reports on patients with somatic conditions [3]. Nevertheless, the Dutch government and other non-gov- ernmental organizations support open outside air expo- sure, stressing its positive effects on mental and physical well-being [4]. Also the lack of sunlight is associated with negative biological effects on various organ systems which cannot solely be explained by diminished vita- min D levels but by other TI - Fresh air for intensive care patients in the Netherlands: an example to be followed? JF - Intensive Care Medicine DO - 10.1007/s00134-023-07212-7 DA - 2023-11-01 UR - https://www.deepdyve.com/lp/springer-journals/fresh-air-for-intensive-care-patients-in-the-netherlands-an-example-to-hX6vqllZCr SP - 1411 EP - 1412 VL - 49 IS - 11 DP - DeepDyve ER -