Building your future ICU in Asia Pacific: A structured regional priority-mapping summit report from the Asia Pacific Critical Care Societies Summit 2025.

Abstract

Objective To summarise the proceedings of the third Asia Pacific Critical Care Societies Summit and identify regionally aligned priorities for the "Future of Your ICU" across diverse health systems. Design Structured regional priority-mapping summit report and thematic synthesis of society presentations, informed by comparative evidence and contextual analysis. Setting Satellite meeting of the Asia Pacific Intensive Care Symposium, convened in Singapore on 17 August 2025, 14 Asia Pacific Critical Care Societies participated in the summit report. Main outcome measures Qualitative thematic analysis and prioritisation of strategic domains across staged time horizons. Results Analysis of society presentations identified shared and divergent priorities, which were synthesized into a staged regional framework. Four overarching domains emerged: (1) Workforce, Education, and Wellbeing; (2) Infrastructure, Access, and Equity; (3) Technology, Innovation, and Data; and (4)) Population Health, Research, and Ethics. Short-term priorities (0-3 years) focused on addressing workforce shortages and infrastructure deficits. Medium-term priorities (3-6 years) emphasised digital integration, including tele-ICU and selective use of artificial intelligence and embedding ethical governance. Long-term goals (7-10 years) included advancing equity, and strengthening research capacity, particularly for digital health technologies. Notable heterogeneity was observed, with high-income countries prioritising digital maturity and precision care, while low- and middle-income countries focused on workforce expansion and ICU bed capacity. Conclusions The "Future of Your ICU" in the Asia Pacific region requires a staged, context-sensitive approach. Aligning immediate investment in human and physical capacity with medium-term digital innovation and long-term research and ethical frameworks offers a pragmatic pathway toward sustainable, equitable, and human-centred critical care systems. X/Twitter message The #APICS2025 Summit set a roadmap for the Future of Your ICU : * 0-3 yrs.: Stabilize workforce & ICU beds * 3-6 yrs.: Embrace AI & tele-ICU * 7-10 yrs.: Equity, ethics & personalized care A vision for resilient, sustainable, human-centered critical care by 2035. #CriticalCare #APICS, #APCCS.Copyright © 2024. Published by Elsevier Inc.