Differences in ICU philosophy

[augmel]

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So there have been a few threads discussing who is "better" at critical care, but I haven't seen any examples of how different specialties approach the work. I'm a medicine guy, maybe an anesthesia guy next, so I only have experience with pulm/cc. Can anyone give some actual examples of how an anesthesiologist would treat a patient differently than a med/cc doc would? Different vent settings? Combinations of pressors? What? I'm especially hoping for some thoughts from MilMD, maybe even AJM, but please, all are welcome.

 

[ThinkFast007]

So there have been a few threads discussing who is "better" at critical care, but I haven't seen any examples of how different specialties approach the work. I'm a medicine guy, maybe an anesthesia guy next, so I only have experience with pulm/cc. Can anyone give some actual examples of how an anesthesiologist would treat a patient differently than a med/cc doc would? Different vent settings? Combinations of pressors? What? I'm especially hoping for some thoughts from MilMD, maybe even AJM, but please, all are welcome.

interesting topic..i would love to hear some info about this too

 

[militarymd]

Well trained intensivists operate essentialy the same way. Early on in training...meaning right after residency and before fellowship....There tends to be differences in what each of the specialties focus on while in the ICU....however, overtime, good intensivists tend start doing the same things the same way...


At least that's been my experience.

 

[nitecap]

this was a decent on too

 

[bigdan]

nice post.

dc