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Should General Surgeons Provide Critical Care?
Frederick A. Moore, MD
Department of Surgery
University of Texas-Houston
Medical School
Hermann Hospital
Houston, Tex
Arch Surg. 1999;134:125-129.
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A BASIC tenet of general surgery training is that the best perioperative care is provided by a well-trained general surgeon. Consequently, providing optimal care to patients in the intensive care unit (ICU) has been an integral component of surgical education and practice.1-5 Dedication to providing optimal ICU care has allowed general surgeons to contribute heavily to the evolving field of critical care medicine. Much of our current understanding of shock resuscitation, inflammatory response, wound healing, immunosuppression, nutritional support, treatment of infections, and many other topics were derived from research done by general surgeons. General surgeons rightfully deserve continued leadership in critical care and the professional recognition that they are more than operating room technicians. Unfortunately, many nonsurgeons view the aforementioned as unfounded surgical rhetoric. In fact, most practicing surgeons (with the exception of those involved in trauma and burn care) have abdicated their ICU responsibilities to . . . [Full Text of this Article]EDUCATION AND RESEARCH
GLOBAL SURGERY FEES
MULTIPLE CONSULTANT SYNDROME
ICUs ARE EXPENSIVE COST CENTERS
BOARD-CERTIFIED INTENSIVISTS
CONCLUSIONS
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
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Surgical Critical Care: Still at Risk?
Berne
Arch Surg 2000;135:509-514.
FULL TEXT
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