Challenges of Critical Care Cardiology Addressed
The challenges of training, staffing and research in critical care cardiology are addressed in an article published in the Journal of the American College of Cardiology by Jason Katz, MD, MHS, medical director of the University of North Carolina Chapel Hill's cardiac intensive care unit, and colleagues.
In the article Katz and colleagues outline how the discipline of critical care cardiology has grown and matured, and what the continued challenges and uncertainties are. The article builds on Katz’s scientific statement produced for the American Heart Association and the American College of Cardiology that outlined the evolution of care required to treat critically ill cardiovascular patients, and how those evolving requirements should shape training, staffing, and research.
On training Katz notes that there are few dedicated fellowships for most critical care cardiology in medical schools. Katz said in a media release:
"We're trying to create a critical care programme at UNC that's not specifically catered to the cardiovascular specialists, but that would lend itself to critical care training for our medicine subspecialist, in general, and then could be tailored to the specific interests and goals of the trainee," Katz said. "For instance, someone can finish cardiology subspecialty training and then come to do our fellowship and be trained in critical care medicine with a focus on cardiovascular critical care."
See Also: Study: Heart Patients Fare Worse in ICUs
On staffing, Katz recommends a closed intensive care unit model. At UNC the cardiac ICU was changed from an open to a closed unit, so care is under the critical care team only. Katz said that this enabled improved care efficiency and outcomes in several areas and led to improved nurse-physician relations and better educational experience for trainees.
Katz expressed his hope that as more intensivists embrace the cardiac aspect of critical care in their training and staffing, patients will be the ultimate beneficiaries. He said: “One must now not only understand a patient's cardiovascular illness, but also must understand how multi-system organ injuries and critical illnesses play a role in their hospital course."
Image credit: Photo by Max Englund, UNC Health Care / UNC School of Medicine.
Published on : Fri, 26 Aug 2016
Extracorporeal organ support for enhanced patient well-being Dedicated technology combines both heart and lung support in one single platform – a platform that is universally usable, individual, safe, and compatible with applications of our parent...
Intended to establish emergency airway access when endotracheal intubation cannot be performed. Features and benefits The universal set provides all the components you need in one package to perform a cricothyrotomy with either the...
User experience enhanced by leading technologies With state-of-the-art screen technology, BeneVision N-Series patient monitors deliver clear, multi-color, wide-format displays for users to capture and review information at a glance. With...
Portable Enteral Feeding pump with PDMS Connectivity PDMS Connectivity Compat Ella connects to specific PDMS. PDMS connectivity facilitates nutrition monitoring in ICU patients. Reliability and Safety State-of-the-art feeding accuracy...
Features The launch of BeneFusion pump series represents a milestone for Mindray as it moves into the high-end infusion pump market. BeneFusion pumps deliver the answer to user requirements in terms of safety, accuracy and intuitive use. The sophisticated...