Critical Care
Critical care medicine deals with potentially life-threatening
illnesses. Anesthesiologists played a major role in developing this
multidisciplinary sub-specialty. Relative to most other physicians,
anesthesi-ologists have greater expertise in airway management, mechanical
ventilation, drug and fluid resuscitation, and advanced monitoring techniques
that are cen-tral to effective care in critical illness. Moreover, the emphasis
in anesthesia on physiology, pathophysiol-ogy, and pharmacology, as well as on
rapid diagnosis and treatment of acute physiological derangements, provides an
excellent foundation for a career in evalu-ating and treating patients with critical
illness. The critical care physician (or “intensivist”) also requires broad
knowledge that crosses internal medicine, surgery, pediatrics, neurology,
emergency medicine, and palliative care. Unlike most subspecialty educa-tion,
which tends to emphasize a single organ system, intensive care fellowships
provide experience in treat-ing patients with systemic inflammatory response
syndrome (SIRS) and the related multiple organ dys-function syndrome (MODS).
The American Boards of Anesthesiology, Internal Medicine, Pediatrics, and
Surgery, recognizing these requirements, sponsor specialized training for
certification in critical care medicine. Clinicians who have such certification
are increasingly recognized by multinational corpora-tions and organizations as
making important contri-butions to the outcomes of hospitalized patients.
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