An ICU is a geographically distinct area of a hospital where critically ill and injured patients undergo continuous monitoring and support of failing organ systems. Although a number of ICU organizational models exist, the optimal model requires the frequent presence of intensivists at the patient’s bedside supported by a multidisciplinary team of health care professionals. This article explores the history of critical care medicine and the evolution of different staffing models.
De LangeSVanAHBurchardiH. European Society of Intensive Care Medicine statement: intensive care medicine in Europe—structure, organisation and training guidelines of the Multidisciplinary Joint Committee of Intensive Care Medicine (MJCICM) of the European Union of Medical Specialists (UEMS). Intensive Care Med. 2002;28:1505-1511.
2.
GarrrisonGF. History of Medicine. Philadelphia: W. B. Saunders; 1913.
3.
TrubuhovichRV. 19th century pioneers of intensive therapy in North America: Part 1. George Edward Fell. Crit Care Resus. 2007;9:377-393.
4.
FellGE. Forced respiration in opium poisoning: its possibilities, and the apparatus best adapted to produce it. Bufffalo Med Surg J. 1887;28:145-157.
5.
GrenvikAErossBPownerD. Historical survey of mechanical ventilation. Int Anesthesiol Clin. 1980;18:1-10.
6.
WeilMHShoemakerWC. Pioneering contributions of Peter Safar to intensive care and the founding of the Society of Critical Care Medicine. Crit Care Med. 2004;32:S8-S10.
7.
BerthelsenPGCronqvistM. The first intensive care unit in the world: Copenhagen 1953. Acta Anaesthesiol Scand. 2003;47:1190-1195.
8.
LongDM. A century of change in neurosurgery at Johns Hopkins: 1889-1989. J Neurosurg. 1989;71:635-638.
9.
SafarPDekornfeldTJPearsonJW. The intensive care unit: a three year experience at Baltimore city hospitals. Anaesthesia. 1961;16:275-284.
10.
SafarP. The anethesiologist as “intensivist.” In: EckenhoffJE, ed. Science and Practice in Anesthesia. Philadelphia: Lippincott; 1965:130-140.
11.
WeilMH. The Society of Critical Care Medicine, its history and its destiny. Crit Care Med. 1973;1:1-4.
12.
SchmitzRLantinMWhiteA. Future Workforce Needs in Pulmonary and Critical Care Medicine. Cambridge, MA: Abt Associates; 1999.
13.
SeveringhausJWBradleyAF. Electrodes for blood PO2 and PCO2 determination. J Appl Physiol. 1958;13:515-520.
14.
ClarkLC. Monitor and control of blood and tissue O2 tensions. Trans Am Soc Artif Intern Organs. 1956;2:41-48.
15.
StowRWBaerRFRandallB. Rapid measurement of the tension of carbon dioxide in the blood. Arch Phys Med Rehabil. 1957;38:646-650.
16.
GanzWDonoscoRMarcusHS. A new technique for measurement of cardiac output by thermodilution in man. Am J Cardiol. 1971;27:392-396.
17.
SwanHJGanzWForresterJ. Catheterization of the heart in man with use of a flow-directed balloon-tipped catheter. N Engl J Med. 1970;283:447-451.
18.
ConnorsAFSperoffTDawsonNV. The effectiveness of right heart catheterization in the initial care of critically ill patients. JAMA. 1996;276:889-897.
19.
MarikPEBaramMVahidB. Does the central venous pressure predict fluid responsiveness? A systematic review of the literature and the tale of seven mares. Chest. 2008;134:172-178.
20.
HarveySHarrisonDASingerM. Assessment of the clinical effectiveness of pulmonary artery catheters in management of patients in intensive care (PAC-Man): a randomised controlled trial. Lancet. 2005;366:472-477.
21.
SandhamJDHullRDBrantRF. A randomized, controlled trial of the use of pulmonary-artery catheters in high-risk surgical patients. N Engl J Med. 2003;348:5-14.
22.
BeaulieuYMarikPE. Bedside ultrasonography in the ICU, part 1. Chest. 2005;128:881-895.
23.
MollerJTJohannessenNWEspersenK. Randomized evaluation of pulse oximetry in 20,802 patients: II. Perioperative events and postoperative complications. Anesthesiology. 1993;78:445-453.
24.
NeffTA. Routine oximetry: a fifth vital sign?Chest. 1988;94:227.
25.
MarikPECavallazziRVasuT. Dynamic changes in arterial waveform derived variables and fluid responsiveness in mechanically ventilated patients: a systematic review of the literature. Crit Care Med. 2009;37:2642-2647.
TalmorDSargeTMalhotraA. Mechanical ventilation guided by esophageal pressure in acute lung injury. N Engl J Med. 2008;359:2095-2104.
28.
PittmanJBar-YosefSSumPingJ. Continuous cardiac output monitoring with pulse contour analysis: a comparison with lithium indicator dilution cardiac output measurement. Crit Care Med. 2005;33:2015-2021.
29.
MorrisAH. Developing and implementing computerized protocols for standardization of clinical decisions. Ann Intern Med. 2000;132:373-383.
30.
KuehnBM. IT vulnerabilities highlighted by errors, malfunctions at veterans’ medical centers. JAMA. 2009;301:919-920.
31.
KoppelRMetlayJPCohenA. Role of computerized physician order entry systems in facilitating medication errors. JAMA. 2005;293:1197-1203.
32.
VaronJMarikPE. Clinical information systems and the electronic medical record in the intensive care unit. Curr Opin Crit Care. 2002;8:616-624.
33.
ClemmerTPGardnerRM. Data gathering, analysis, and display in critical care medicine. Respir Care. 1985;30:586-601.
34.
McDonaldCJ. The barriers to electronic medical record systems and how to overcome them. J Am Med Inform Assoc. 1997;4:213-221.
35.
Guidelines for organization of critical care units. JAMA. 1972;222:1532-1535.
36.
DurbinCGJr. Team model: advocating for the optimal method of care delivery in the intensive care unit. Crit Care Med. 2006;34:S12-S17.
37.
BrilliRJSpevetzABransonRD. Critical care delivery in the intensive care unit: defining clinical roles and the best practice model. Crit Care Med. 2001;29:2007-2019.
38.
Task Force on Guidelines; Society of Critical Care Medicine. Guidelines for categorization of services for the critically ill patient. Crit Care Med. 1991;19:279-285.
39.
PronovostPJAngusDCDormanT. Physician staffing patterns and clinical outcomes in critically ill patients: a systematic review. JAMA. 2002;288:2151-2162.
40.
OffenstadtGMorenoRPalomarM. Intensive care medicine in Europe. Crit Care Clin. 2006;22:425-432.
41.
JudsonJAFisherMM. Intensive care in Australia and New Zealand. Crit Care Clin. 2006;22:407-423.
42.
MarikPEKrausPLipmanJ. Intensive care utilisation: the Baragwanath experience. Anaesth Intensive Care. 1993;21:396-399.
43.
AngusDCShorrAFWhiteA. Critical care delivery in the United States: distribution of services and compliance with Leapfrog recommendations. Crit Care Med. 2006;34:1016-1024.
44.
KelleyMAAngusDChalfinDB. The critical care crisis in the United States: a report from the profession. Chest. 2004;125:1514-1517.
45.
TreggiariMMMartinDPYanezND. Effect of intensive care unit organizational model and structure on outcomes in patients with acute lung injury. Am J Respir Crit Care Med. 2007;176:685-690.
46.
HawariFIAl NajjarTIZarruL. The effect of implementing high-intensity intensive care unit staffing model on outcome of critically ill oncology patients. Crit Care Med. 2009;37:1967-1971.
47.
LevyMMRapoportJLemeshowS. Association between critical care physician management and patient mortality in the intensive care unit. Ann Intern Med. 2008;148:801-809.
48.
MarikPEMyburghJAnnaneD. Association between critical care physician management and patient mortality. Ann Intern Med. 2009;149:770-771.
49.
The Leapfrog Group. The Leapfrog Group for Patient Safety: Rewarding Higher Standards. ICU Physician Staffing. http://www.leapfroggroup.org. Accessed May 28, 2009.
50.
PronovostPJThompsonDAHolzmuellerCG. The organization of intensive care unit physician services. Crit Care Med. 2007;35:2256-2261.
51.
LuytCECombesAAegerterP. Mortality among patients admitted to intensive care units during weekday day shifts compared with “off” hours. Crit Care Med. 2007;35:3-11.
52.
GajicOAfessaBHansonAC. Effect of 24-hour mandatory versus on-demand critical care specialist presence on quality of care and family and provider satisfaction in the intensive care unit of a teaching hospital. Crit Care Med. 2008;36:36-44.
53.
ZawadaETJrKapaskaDHerrP. Prognostic outcomes after the initiation of an electronic telemedicine intensive care unit (eICU) in a rural health system. South Dakota Med. 2006;59:391-393.
54.
DaraSIAfessaB. Intensivist-to-bed ratio: association with outcomes in the medical ICU. Chest. 2005;128:567-572.
55.
AfessaBGajicOKeeganMT. Impact of introducing multiple evidence-based clinical practice protocols in a medical intensive care unit: a retrospective cohort study. BMC Emerg Med. 2007;7:10.
56.
EmbriacoNPapazianLKentish-BarnesN. Burnout syndrome among critical care healthcare workers. Curr Opin Crit Care. 2007;13:482-488.
57.
EmbriacoNAzoulayEBarrauK. High level of burnout in intensivists: prevalence and associated factors. Am J Respir Crit Care Med. 2007;175:686-692.
58.
BollschweilerEKringsAFuchsKH. Alternative shift models and the quality of patient care: an empirical study in surgical intensive care units. Langenbecks Arch Surg. 2001;386:104-109.