The Principles of Critical Care Medicine
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Introduction The practice of anesthesiology has become increasingly complex. Not only are the clinical sites of care expanding, but the challenges of the clinical management have also increased. Advances in anesthetic management as well as improved understanding of perioperative needs of patients undergoing anesthesia and surgery have altered the environment in which the anesthesiologist practices. As a result of these changes, every anesthesiologist is expected to have the basic skills to manage the majority of medical emergencies occurring in the operating room, as well as provide cardio-respiratory resuscitation and emergency airway management in other settings. Most importantly, as a result of clinical demands on other specialists, the increasing surgical volume and an emphasis on patient safety, anesthesiologists are now expected to provide an increasing proportion of preoperative care and to serve as perioperative physicians in a number of settings. The skills, knowledge and expertise of anesthesiologists have historically made them the ideal intensivists, and they once again create opportunities for the anesthesiologist to serve as the critical care physician and, in some cases the “surgical hospitalist.”
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تاریخ انتشار 2013