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Critical Care Medicine: Caveat Emptor

Critical Care Medicine: Caveat Emptor Abstract The unbelievably rapid advances in the clinical sciences, especially in life-sustaining care, have impacted on medical practices to the point at which as much as one third of the hospital resources are devoted to the care of the critically ill and injured patient. Even the smallest of full-service hospitals is likely to have specialized facilities for critically ill or injured patients and for coronary care.1,2 Critical care medicine has emerged as a multidisciplinary service specialty, tightly allied with conventional disciplines, which include internal medicine,l surgery, anesthesiology, and pediatrics, as well as their subspecialties. The American Board of Medical Specialties has recently recognized that critical care medicine is a subspecialty of internal medicine, general surgery, pediatrics, and anesthesiology and has created mechanisms for subspecialty certification for critical care specialists.3 Critical care nursing has already evolved a prestigious certification process. See also p 1400. It is, therefore, appropriate that the References 1. Weil MH, Shubin H: The new practice of critical care medicine, editorial. Chest 1971;59:473-474.Crossref 2. Weil MH: The Society of Critical Care Medicine: Its history and its destiny, presidential address. Crit Care Med 1973;1:1-4.Crossref 3. Grenvik A, Leonard JJ, Arens JF, et al: Critical care medicine: Certification as a multidisciplinary subspecialty. Crit Care Med 1981;9: 117-125.Crossref 4. Teberg AJ, Wu PYK, Hodgman JE, et al: Infants with birth weight under 1,500 g: Physical, neurological, and developmental outcome. Crit Care Med 1982;10:10-14.Crossref 5. Thibault GE, Mulley AG, Barnett GO, et al: Medical intensive care: Indications, interventions, and outcomes. N Engl J Med 1980;302:938-942.Crossref 6. Gribbins RE, Marshall RE: Stress and coping in the NICU staff nurse: Practical implications for change. Crit Care Med 1982;10:865-867.Crossref 7. Simon NM: The Psychological Aspects of Intensive Care Nursing . Bowie, Md, Robert J Brady Co, 1980. 8. Wilson LM: Intensive care delerium: The effect of outside deprivation in a windowless unit. Arch Intern Med 1972;130:225-226.Crossref 9. Weil MH, Michaels S, Puri VK, et al: The Stat laboratory: Facilitating blood gas and biochemical measurements for the critically ill and injured. Am J Clin Pathol 1981;76:34-42. 10. Weiner F, Weil MH, Carlson RW: Computer systems for facilitating management of the critically ill. Comput Biol Med 1982;12:1-15.Crossref 11. Besso J, Makabali C, Weil MH, et al: Does critical care improve survival?, abstracted. Crit Care Med 1981;9:276.Crossref 12. Barach AL, Segal MS: The indiscriminate use of IPPB. JAMA 1975;231:1141-1142.Crossref 13. Bernard RW, Stahl WM: Subclavian vein catheterizations: I. Noninfectious complications. Ann Surg 1971;173:184-190.Crossref 14. Goldfarb G, Lebrec D: Percutaneous cannulation of the internal jugular vein in patients with coagulopathies: An experience based on 1,000 attempts. Anesthesiology 1982;56:321-322.Crossref 15. Archer G, Cobb LA: Long-term pulmonary artery pressure monitoring in the management of the critically ill. Ann Surg 1974;180:747-752.Crossref 16. Katz JD, Cronau LH, Barash PG, et al: Pulmonary artery flow-guided catheters in the perioperative period. JAMA 1977;237:2832-2834.Crossref 17. Sise MJ, Hollingsworth P, Brimm JE, et al: Complications of the flow-directed pulmonary-artery catheter: A prospective analysis in 219 patients. Crit Care Med 1981;9:315-318.Crossref 18. Foote GA, Schabel SI, Hodges M: Pulmonary complications on the flow-directed balloon-tipped catheter. N Engl J Med 1974;290:927-931.Crossref 19. Puri VK, Carlson RW, Bandler JJ, et al: Complications of vascular catheterization in the critically ill: A prospective study. Crit Care Med 1980;8:495-499.Crossref 20. Gardner RM, Schwartz R, Wong HC, et al: Percutaneous indwelling radial-artery catheters for monitoring cardiovascular function: Prospective study of the risk of thrombosis and infection. N Engl J Med 1974;290:1227-1231.Crossref 21. Bedford RF, Wollman H: Complications of percutaneous radial-artery cannulation. Anesthesiology 1973;28:228-236.Crossref 22. Band JD, Maki DG: Infections caused by arterial catheters used for hemodynamic monitoring. Am J Med 1979;67:735-741.Crossref 23. Meade JW: Tracheotomy—its complications and their management: A study of 212 cases. N Engl J Med 1961;265:519-523.Crossref 24. Lefemine AA, Kosowsky B, Madoff I, et al: Results and complications of intraaortic balloon pumping in surgical and medical patients. Am J Cardiol 1977;40:416-420.Crossref 25. Robinson D, Abramson NS, Grenvik A, et al: Medicolegal standards for critical care medicine. Crit Care Med 1980;8:524-527.Crossref 26. Ben-Bassat M, Carlson RW, Puri VK, et al: Pattern-based interactive diagnosis of multiple disorders: The MEDAS system. IEEE Trans Patt Anal Mach Intell PAMI 1980;2:148-160.Crossref 27. Weiner F, Weil MH: Computer-based monitoring and data management in critical care. Methods Inf Med 1978;17:252-260. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

Critical Care Medicine: Caveat Emptor

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Publisher
American Medical Association
Copyright
Copyright © 1983 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1983.00350070111018
Publisher site
See Article on Publisher Site

Abstract

Abstract The unbelievably rapid advances in the clinical sciences, especially in life-sustaining care, have impacted on medical practices to the point at which as much as one third of the hospital resources are devoted to the care of the critically ill and injured patient. Even the smallest of full-service hospitals is likely to have specialized facilities for critically ill or injured patients and for coronary care.1,2 Critical care medicine has emerged as a multidisciplinary service specialty, tightly allied with conventional disciplines, which include internal medicine,l surgery, anesthesiology, and pediatrics, as well as their subspecialties. The American Board of Medical Specialties has recently recognized that critical care medicine is a subspecialty of internal medicine, general surgery, pediatrics, and anesthesiology and has created mechanisms for subspecialty certification for critical care specialists.3 Critical care nursing has already evolved a prestigious certification process. See also p 1400. It is, therefore, appropriate that the References 1. Weil MH, Shubin H: The new practice of critical care medicine, editorial. Chest 1971;59:473-474.Crossref 2. Weil MH: The Society of Critical Care Medicine: Its history and its destiny, presidential address. Crit Care Med 1973;1:1-4.Crossref 3. Grenvik A, Leonard JJ, Arens JF, et al: Critical care medicine: Certification as a multidisciplinary subspecialty. Crit Care Med 1981;9: 117-125.Crossref 4. Teberg AJ, Wu PYK, Hodgman JE, et al: Infants with birth weight under 1,500 g: Physical, neurological, and developmental outcome. Crit Care Med 1982;10:10-14.Crossref 5. Thibault GE, Mulley AG, Barnett GO, et al: Medical intensive care: Indications, interventions, and outcomes. N Engl J Med 1980;302:938-942.Crossref 6. Gribbins RE, Marshall RE: Stress and coping in the NICU staff nurse: Practical implications for change. Crit Care Med 1982;10:865-867.Crossref 7. Simon NM: The Psychological Aspects of Intensive Care Nursing . Bowie, Md, Robert J Brady Co, 1980. 8. Wilson LM: Intensive care delerium: The effect of outside deprivation in a windowless unit. Arch Intern Med 1972;130:225-226.Crossref 9. Weil MH, Michaels S, Puri VK, et al: The Stat laboratory: Facilitating blood gas and biochemical measurements for the critically ill and injured. Am J Clin Pathol 1981;76:34-42. 10. Weiner F, Weil MH, Carlson RW: Computer systems for facilitating management of the critically ill. Comput Biol Med 1982;12:1-15.Crossref 11. Besso J, Makabali C, Weil MH, et al: Does critical care improve survival?, abstracted. Crit Care Med 1981;9:276.Crossref 12. Barach AL, Segal MS: The indiscriminate use of IPPB. JAMA 1975;231:1141-1142.Crossref 13. Bernard RW, Stahl WM: Subclavian vein catheterizations: I. Noninfectious complications. Ann Surg 1971;173:184-190.Crossref 14. Goldfarb G, Lebrec D: Percutaneous cannulation of the internal jugular vein in patients with coagulopathies: An experience based on 1,000 attempts. Anesthesiology 1982;56:321-322.Crossref 15. Archer G, Cobb LA: Long-term pulmonary artery pressure monitoring in the management of the critically ill. Ann Surg 1974;180:747-752.Crossref 16. Katz JD, Cronau LH, Barash PG, et al: Pulmonary artery flow-guided catheters in the perioperative period. JAMA 1977;237:2832-2834.Crossref 17. Sise MJ, Hollingsworth P, Brimm JE, et al: Complications of the flow-directed pulmonary-artery catheter: A prospective analysis in 219 patients. Crit Care Med 1981;9:315-318.Crossref 18. Foote GA, Schabel SI, Hodges M: Pulmonary complications on the flow-directed balloon-tipped catheter. N Engl J Med 1974;290:927-931.Crossref 19. Puri VK, Carlson RW, Bandler JJ, et al: Complications of vascular catheterization in the critically ill: A prospective study. Crit Care Med 1980;8:495-499.Crossref 20. Gardner RM, Schwartz R, Wong HC, et al: Percutaneous indwelling radial-artery catheters for monitoring cardiovascular function: Prospective study of the risk of thrombosis and infection. N Engl J Med 1974;290:1227-1231.Crossref 21. Bedford RF, Wollman H: Complications of percutaneous radial-artery cannulation. Anesthesiology 1973;28:228-236.Crossref 22. Band JD, Maki DG: Infections caused by arterial catheters used for hemodynamic monitoring. Am J Med 1979;67:735-741.Crossref 23. Meade JW: Tracheotomy—its complications and their management: A study of 212 cases. N Engl J Med 1961;265:519-523.Crossref 24. Lefemine AA, Kosowsky B, Madoff I, et al: Results and complications of intraaortic balloon pumping in surgical and medical patients. Am J Cardiol 1977;40:416-420.Crossref 25. Robinson D, Abramson NS, Grenvik A, et al: Medicolegal standards for critical care medicine. Crit Care Med 1980;8:524-527.Crossref 26. Ben-Bassat M, Carlson RW, Puri VK, et al: Pattern-based interactive diagnosis of multiple disorders: The MEDAS system. IEEE Trans Patt Anal Mach Intell PAMI 1980;2:148-160.Crossref 27. Weiner F, Weil MH: Computer-based monitoring and data management in critical care. Methods Inf Med 1978;17:252-260.

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Jul 1, 1983

References