TY - JOUR
T1 - From mechanical ventilation to intensive care medicine
T2 - A challenge for Bosnia and Herzegovina
AU - Thiéry, Guillaume
AU - Kovačević, Pedja
AU - Štraus, Slavenka
AU - Vidović, Jadranka
AU - Iglica, Amer
AU - Festić, Emir
AU - Gajić, Ognjen
PY - 2009
Y1 - 2009
N2 - Intensive care medicine is a relatively new specialty, which was created in the 1950's, after invent of mechanical ventilation, which allowed caring for critically ill patients who otherwise would have died. First created for treating mechanically ventilated patients, ICUs extended their scope and care to all patients with life threatening conditions. Over the years, intensive care medicine developed further and became a truly multidisciplinary speciality, encompassing patients from various fi elds of medicine and involving specialists from a range of base specialties, with additional (subspecialty) training in intensive care medicine. In Bosnia and Herzegovina, the founding of the society of intensive care medicine in 2006, the introduction of non invasive ventilation in 2007, and opening of a multidisciplinary ICUs in Banja Luka and Sarajevo heralded a new age of intensive care medicine. Th e number of admissions, high severity scores and needs for mechanical ventilation during the fi rst several months in the medical ICU in Banja Luka confi rmed the need of these kinds of units in the country. In spite of still suboptimal personnel training, creation of ICUs in Bosnia and Herzegovina may serve as example for other developing countries in the region. However, in order to achieve modern ICU standards and follow European trends toward harmonisation of medicine, Bosnia and Herzegovina needs to take up this challenge by recognizing intensive care medicine as a distinctive specialty, by implementing a specifi c training program and by setting up multidisciplinary ICUs in acute care hospitals.
AB - Intensive care medicine is a relatively new specialty, which was created in the 1950's, after invent of mechanical ventilation, which allowed caring for critically ill patients who otherwise would have died. First created for treating mechanically ventilated patients, ICUs extended their scope and care to all patients with life threatening conditions. Over the years, intensive care medicine developed further and became a truly multidisciplinary speciality, encompassing patients from various fi elds of medicine and involving specialists from a range of base specialties, with additional (subspecialty) training in intensive care medicine. In Bosnia and Herzegovina, the founding of the society of intensive care medicine in 2006, the introduction of non invasive ventilation in 2007, and opening of a multidisciplinary ICUs in Banja Luka and Sarajevo heralded a new age of intensive care medicine. Th e number of admissions, high severity scores and needs for mechanical ventilation during the fi rst several months in the medical ICU in Banja Luka confi rmed the need of these kinds of units in the country. In spite of still suboptimal personnel training, creation of ICUs in Bosnia and Herzegovina may serve as example for other developing countries in the region. However, in order to achieve modern ICU standards and follow European trends toward harmonisation of medicine, Bosnia and Herzegovina needs to take up this challenge by recognizing intensive care medicine as a distinctive specialty, by implementing a specifi c training program and by setting up multidisciplinary ICUs in acute care hospitals.
KW - Critical care
KW - Developing countries
KW - Intensive care
KW - Mechanical ventilation
KW - Non invasive ventilation
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U2 - 10.17305/bjbms.2009.2766
DO - 10.17305/bjbms.2009.2766
M3 - Article
C2 - 19912121
AN - SCOPUS:73949084889
SN - 1512-8601
VL - 9
SP - S69-S76
JO - Bosnian journal of basic medical sciences
JF - Bosnian journal of basic medical sciences
IS - SUPPL.
ER -