Intensive Care Medicine in 10 Years

by Fink, Mitchell P., M.D.; Suter, P. M.; Sibbald, William J.

• ISBN13: 9783540260929
• ISBN10: 3540260927
• Format: Hardcover
• Copyright: 2005-11-15
• Publisher: Springer Verlag

Summary

Although its roots date back to the early decades of the 20th century, critical care medicine did not emerge as a specialty in medicine until the 1970's. Over the last 30 years or so, the field of critical care medicine has grown tremendously and there is now a solid body of scientific information that forms the foundation for the practice of critical care medicine. But, now as physicians and hospitals around the world focus to an ever greater extend on providing high quality care, the practice of critical care medicine will continue to grow in visibility and importance among clinicians and the general public as well. This book seeks to identify the trends in critical care medicine that will form the basis for practice over the next ten years. Predicting the future is always risky. Nevertheless, the ideas articulated in this book are likely to serve as a road map for intensivists, hospital administrators and governmental leaders interested in healthcare, as they seek to improve the quality and efficiency of hospital-based services.

Table of Contents

Setting the scene	p. 3
Managing and leading in critical care	p. 23
Critical care from 50,000 feet	p. 41
Expectations around intensive care - 10 years on	p. 55
The safety and quality agenda in critical care medicine	p. 61
The challenge of emerging infections and progressive antibiotic resistance	p. 69
Technology assessment	p. 87
Trends in pediatric and neonatal critical care in the next 10 years	p. 99
The patient process as the basis for the design of an ICU	p. 115
Information technology	p. 133
Diagnostic technologies to assess tissue perfusion and cardiorespiratory performance	p. 153
Microcirculatory distress in critically ill patients : meaning and future	p. 165
Managing infection : from agar plate to genome scan	p. 177
Immunological monitoring, functional genomics and proteomics	p. 189
Improving organ function	p. 201
The profile and management of acute respiratory distress syndrome	p. 213
The ventilator of tomorrow	p. 227
My NueroICU 10 years from now	p. 239
Disaster medicine	p. 257
Hospital and medical school organization of critical care services	p. 273
Physician staffing in the ICU 10 years from now	p. 279
ICU research - one decade from now	p. 291
Organizing clinical critical care research and implementing the results	p. 311
Funding and accounting systems	p. 325
Measuring performance	p. 335
Ethics and end-of-life care	p. 345
Rationing in the ICU : fear, fiction and fact	p. 363
Training pathways - physician and non-physician	p. 377
Simulation training in critical care medicine	p. 389
The agenda for the intensivist	p. 401
Transforming adult critical care service delivery in Ontario	p. 413
Table of Contents provided by Blackwell. All Rights Reserved.