Management of Intensive Care

Guidelines for Better Use of Resources

AvD. Reis Miranda,A. Williams

Inbunden, Engelska, 1990

Del i serien Developments in Critical Care Medicine and Anaesthesiology

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Beskrivning

Intensive Care Medicine has been continuously growing and expanding, culturally, technically and geographically. I am particularly happy that this work has mainly developed within the European Society of Intensive Care, whose final target is to ensure a common standard of therapy in our old Europe, beyond national differences.

Produktinformation

Utgivningsdatum:1990-05-31
Mått:156 x 234 x 23 mm
Vikt:572 g
Format:Inbunden
Språk:Engelska
Serie:Developments in Critical Care Medicine and Anaesthesiology
Antal sidor:246
Upplaga:1990
Förlag:Kluwer Academic Publishers
ISBN:9780792307549

Utforska kategorier

Olycksfalls- och akutmedicin inom Medicin

Innehållsförteckning

I: Introduction.- 1. Intensive Care Medicine.- 2. Guidelines for Intensive Care Medicine.- II: The Patients.- 1. Introduction.- 2. Measuring the type of patients.- 3. Measuring the previous health status and the severity of illness.- 4. Measuring the workload.- 5. Measuring the evolution of severity of illness.- 6. Stratification of patient related data.- References.- Tables.- III: The Facilities.- 1. Introduction.- 2. ICUs in Europe: The great diversity.- 3. The type and size of Intensive Care facilities.- 4. General standard for ICUs.- 5. Staffing.- 6. Comparing facilities.- Addendum I.- Addendum II.- Addendum III.- Addendum IV.- References.- IV: National and Regional Organisation.- 1. Introduction.- 2. Estimating the total number of ICU beds required.- 3. Factors influencing regional planning.- 4. Levels of care.- 5. Calculating manpower needs.- 6. Conclusions.- References.- V: Management Control in the ICU.- 1. Planning and control.- 2. The ICU: Expense or responsibility centre?.- 3. Performance criteria.- 4. Incentives and constraints of ICU performance.- 5. Conclusions.- References.- VI: Education and Training.- 1. Introduction.- 2. The actual education and training of Intensive Care Medicine.- 3. General recommendations.- 4. Conclusions.- Addendum I. Present situation in European countries.- Addendum II. Basic education.- Addendum III. Special education.- Addendum IV. Catalogue of skills for special Intensive Care Medicine training.- Addendum V. General Intensive Care nursing for registered general nurses.- Addendum VI. Special Intensive Care training for nurses in West-Germany.- VII: Evaluation in Intensive Care.- 1. What should or could be evaluated.- 2. Who should evaluate?.- 3 Intensivists should try to adopt common definitions and classifications.- 4. Evaluation studies must have a proper scientific design.- 5. The proper judgement criteria must be employed.- 6. Long term evaluation of Intensive Care: Health status and quality of life.- 7. Economic evaluation of intensive care utilisation.- References.- Table 1. Data for Evaluation of ICM.- Table 2. Components of the Activity of Daily Living.- Table 3. Elements of the Sickness Impact Profile.- Table 4. Components of the Quality of Well Being.- Table 5. Components of the Perceived Quality of Life Index.- Table 6. Costs and Benefits of Intensive Care.- Table 7. Cost Accounting in the ICU.- VIII: Epilogue.- 1. Introduction.- 2. Quantification.- 3. Regionalisation.- 4. Professionalisation.- 5. Levels of responsibility.- 6. Intensive Care Medicine societies.- 7. Concluding comments.- Directory of Intensive Care Organisations.- Subject Index and Abbreviations.- Nigel Turner.