• Eur J Anaesthesiol · Oct 2022

    Intensive care medicine in Europe: perspectives from the European Society of Anaesthesiology and Intensive Care.

    • Kai Zacharowski, Daniela Filipescu, Paolo Pelosi, Jonas Åkeson, Serban Bubenek, Cesare Gregoretti, Michael Sander, and Edoardo de Robertis.
    • From the Department of Anaesthesiology, Intensive Care Medicine & Pain Therapy; University Hospital Frankfurt, Goethe University, Frankfurt am Main, Germany (KZ), University of Medicine and Pharmacy Carol Davila Bucharest & Department of Cardiac Anaesthesia and Intensive Care II, Emergency Institute for Cardiovascular Disease 'Prof. Dr CC Iliescu', Bukarest, Romania (DF), Department of Surgical Sciences and Integrated Diagnostics - University of Genoa, & Anaesthesiology and Critical Care - San Martino Policlinico Hospital - IRCCS for Oncology and Neurosciences, Genoa, Italy (PP), Department of Clinical Sciences, Anaesthesiology and Intensive Care Medicine, Lund University and Skåne University Hospital, Malmö, Sweden (JÅ), Emergency Institute for Cardiovascular Disease 'Prof. Dr CC Iliescu', Bukarest, Romania (SB), 'G. Giglio Foundation, Cefalù' & Department of Surgical, Oncological and Oral Science (Di.Chir.On.S.). University of Palermo, Italy (CG), Department of Anaesthesiology, Operative Intensive Care Medicine & Pain Therapy; University Hospital Gießen, UKGM GmbH, Germany (MS), Division of Anaesthesia, Analgesia, and Intensive Care - Department of Medicine and Surgery - University of Perugia, Italy (EdR).
    • Eur J Anaesthesiol. 2022 Oct 1; 39 (10): 795800795-800.

    BackgroundAnaesthesiology represents a rapidly evolving medical specialty in global healthcare, currently covering advanced peri-operative, pre-hospital and in-hospital critical emergency management (CREM), intensive care medicine (ICM) and pain management. The aim of the European Society of Anaesthesiology and Intensive Care (ESAIC) is to develop and promote a coordinated interdisciplinary and multidisciplinary European network of Anaesthesiology and Intensive Care Medicine (AICM) societies for improvement of patient safety and outcome, and to enhance political and public awareness of the role of anaesthesiologists all over Europe. The ESAIC promotes coordinated interdisciplinary and multidisciplinary care for severely compromised patients, based on the European training requirements (ETR) within the European Union of Medical Specialists (UEMS).MethodsTo define the current situation of AICM in Europe, a survey was sent in April 2019 to the ESAIC Council and the ESAIC National Anaesthesiologists Societies Committee (NASC) members. The survey posed questions regarding the year of foundation, the inclusion of ICM in the society name, and if, and to what extent, various kinds (postoperative, general, specific, mixed) of national ICUs are being run by differing medical specialties. The study data were compiled and analysed by the ESAIC Board, Council and NASC in December 2019.Results And ConclusionAmongst the 42 European national societies surveyed (41 members of ESAIC-NASC plus Luxembourg), nineteen (45%) also include terms related to critical care medicine or ICM in their names, seven (17%) include terms related to reanimation and three (7%) to resuscitation. In recent years, several national societies revised their names to better reflect their gradual embrace of peri-operative medicine, ICM, CREM and pain management. Approximately 70% of ICU beds in Europe, and 100% in Scandinavia, are being run by anaesthesiologists, the remaining 30% being managed by physicians from other surgical or medical specialties. To emphasise future needs and resources of European AICM, the ESAIC drafted an ICM roadmap in terms of clinical practice, organisation of healthcare, interprofessional and interdisciplinary collaboration, patient safety, outcome and empowerment, professional working conditions, and changes in research, teaching and training required to meet future challenges and expectations.Copyright © 2022 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the European Society of Anaesthesiology.

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