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Critical care--the worldwide perspective

M Fisher1

  • 1Department of Anaesthesia, University of Sydney, NSW, Australia.

Annals of the Academy of Medicine, Singapore
|October 20, 1998
PubMed
Summary
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Critical care medicine has advanced, with data supporting intensivist care for critically ill patients. Future challenges include ethical dilemmas, global access to care, and evidence-based practice in intensive therapy.

Area of Science:

  • Critical care medicine
  • Intensivist training and practice

Background:

  • The evolution of critical care as a medical specialty.
  • The growing body of evidence supporting specialized care for critically ill patients.

Purpose of the Study:

  • To outline the development of critical care and the intensivist role.
  • To review data favoring intensivist management of critically ill patients.
  • To identify future challenges in intensive and critical care.

Main Methods:

  • Literature review of critical care development.
  • Analysis of data supporting intensivist care.
  • Discussion of future challenges in the field.

Main Results:

  • The specialty of critical care and the intensivist have developed significantly.

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  • Data indicate improved outcomes for critically ill patients managed by intensivists.
  • Key future challenges include ethical considerations, global disparities in care, and evidence-based practice implementation.

    • Conclusions:

    • Intensivist care is favored for critically ill patients based on current data.
    • Addressing ethical dilemmas, ensuring equitable access to care, and applying evidence-based medicine are crucial for the future of intensive and critical care.