• Surg. Clin. North Am. · Dec 2006

    Review

    The relationship between the surgeon and the intensivist in the surgical intensive care unit.

    • Patricia A Penkoske and Timothy G Buchman.
    • Department of Anesthesia, Washington University School of Medicine, 660 South Euclid Street, St. Louis, MO 63108, USA. pattypenkoske@yahoo.com
    • Surg. Clin. North Am. 2006 Dec 1; 86 (6): 1351-7.

    AbstractWhen a patient enters the intensive care unit, the admitting surgeon also enters a new environment. In some hospitals, the surgical intensive care unit (SICU) is "closed"--critical care providers manage care; in others the unit is "open," and the admitting surgeon is in charge. A third system is the "mixed" model of ICU administration; a collaborative approach. This article addresses concerns and conflicts that frequently arise between admitting surgeons and intensivists. It is written from the perspective of two surgeon-intensivists who have been in both roles. Recent behavioral and social research on ICU conflicts and their resolution is reviewed, and and new strategies for conflict resolution are also presented.

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