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A history of pediatric critical care medicine
David Epstein1, Judith E Brill
1Department of Pediatrics, Division of Critical Care Medicine, Mattel Children's Hospital at UCLA Medical Center, David Geffen School of Medicine, Los Angeles, California 90095-1752, USA. davidepstein@mednet.ucla.edu
Insights
Pediatric critical care medicine evolved from various specialties to address critically ill children. Advances in technology and understanding have established it as a distinct medical discipline.
Area of Science:
- Pediatric critical care medicine
- Evolution of medical subspecialties
Background:
- Critical care medicine originated from subspecialties needing to manage critically ill patients.
- Technological advancements and improved understanding of critical illness pathophysiology are key drivers.
- The multidisciplinary team approach is fundamental to modern critical care.
Observation:
- Pediatric critical care medicine emerged in the 1960s.
- The field has experienced significant expansion and development since its inception.
Findings:
- Major advancements have been made in treating pediatric lung injury, sepsis, traumatic brain injury, and postoperative complications.
- Pediatric critical care has evolved from roots in general pediatrics, cardiac surgery, neonatology, and pediatric anesthesiology.
Implications:
- Recognizes pediatric critical care as a unique and established medical discipline.
- Highlights the interdisciplinary nature and continuous progress within the field.
Abstract:
Critical care medicine developed out of other subspecialties' need to provide care for their most critically ill patients. Advanced technologies, the understanding of the pathophysiology of critical illness, and the development of the multidisciplinary team have made this care possible. Pediatric critical care medicine emerged in the 1960s and has expanded dramatically since then. The field has made major advances in the areas of lung injury, sepsis, traumatic brain injury, and postoperative care. We review here the evolution of modern pediatric critical care medicine from its roots in general pediatric and cardiac surgery, adult respiratory care medicine, neonatology, and pediatric anesthesiology to its current state as a unique discipline.
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