VIEW SELECTED LIBRARY MEDIA
Name of Media:
Surviving the Night in the ICU: Who Needs Senior Intensivists?
E ́ lie Azoulay, M.D., Ph.D.; Jordi Mancebo, M.D., Ph.D.; and Laurent Brochard, M.D., Ph.D.
Publisher or Source:
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE
Type of Media:
Media Originally for:
Critical Care Physicians, General Medical Professionals, Nurses and/or Other Critical Care Medical Professionals
Country of Origin:
Primary Focus of Media:
Pre-Use of PICS Designation
Whether intensivists should be present in ICUs around the clock is currently a matter of considerable controversy. This controversy is intertwined with a debate about the comparative performance of open versus closed ICUs. A complicating factor is the existence of considerable differences in ICU organization across countries (1). In the open format, nonintensivists continue to care for the patients they admit to the ICU, with advice from consulting intensivists. This is the most common format in the United States (1). In the closed format, all care is given by intensivists, which occurs for up to 75% of ICU patients in Western Europe (2, 3). Patients managed in closed ICUs are the sickest ICU patients (1).
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