Editorial  |   November 2017
Critical Considerations of the Critical Care Anesthesiologist
Author Affiliations
  • N. Martin Giesecke, M.D.
Article Information
Critical Care / Editorial
Editorial   |   November 2017
Critical Considerations of the Critical Care Anesthesiologist
ASA Monitor 11 2017, Vol.81, 4-5.
ASA Monitor 11 2017, Vol.81, 4-5.
In one of my previous positions, a fair amount of on-call time was spent in the various ICUs at a busy, top-rated cardiovascular center. As mentioned in the article “Cardiothoracic Critical Care: A New Specialty,” by Drs. Andrews, Ivascu and Pearl, as a cardiac anesthesiologist, part of my responsibility was immediate post-cardiac surgery critical care. Essentially, for most patients, the cardiac anesthesiologists managed the care up through the time of extubation. Other specialists (pulmonologists, nephrologists and infectious disease physicians) were consulted in those patients who specifically needed another aspect of care. This was 25 to 30 years ago. Over the past 10 to 15 years, dual-trained (both critical care and cardiovascular anesthesiology) physician anesthesiologists have become more numerous. Hence, many post-cardiac surgery ICUs are now staffed and/or managed by physician anesthesiologists. These critical care anesthesiologists now provide all the care in the ICU, including advanced pulmonary, renal and infectious disease therapies. And they do make a positive impact on patient outcomes.
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