British Journal of Anaesthesia, 2002, Vol. 88, No. 4 473-474
© 2002 The Board of Management and Trustees of the British Journal of Anaesthesia
Editorial |
Editorial III
Ventilating in recoverythe way forward: intensive therapy or postoperative critical care?
1Department of Anaesthesia and Intensive Care Medicine, The Royal Liverpool University Hospitals, Prescot Street, Liverpool L7 8XP, UK.
All anaesthetists in the UK are familiar with the concept of ventilating a patient in recovery. In effect, this is the provision of critical care in the recovery ward, usually because of insufficient critical care resources. It is a largely unsatisfactory situation, but there is a paucity of data on the extent of the practice and the consequences for patients, and for their medical and nursing carers. In this issue, Ziser and co-authors quantify the problem in their hospital in Haifa, Israel, and review some of its challenges.1 Their solution is to bring the data to the hospital management with a request for more ITU beds. This is a counsel of perfection, which will find more or less sympathy from the management of different UK trusts. Is it possible to make a virtue of necessity, and provide postoperative critical care in a satisfactory operating theatre environment?
The Israeli experience
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