Pediatric Critical Care book is best one for your pediatric intensive care
Wandering through the exhibit hall of the Toronto Convention Center and the 8th World Congress of Pediatric Critical and Intensive Care Medicine, I am beginning to compose the text of these forward comments in my head. Although pediatric critical care medicine has embraced a global perspective from the beginning, the international flavor of this meeting is particularly striking. Perhaps this reflects the fact that the pediatric critical care medicine fellowship training program at the Hospital for Sick Children has always been a melting pot for trainees around the world. Poster presentations and associated rich discussions here suggest that all pediatric critical care practitioners face similar challenges. Without a doubt the fifth edition embodies the spirit of pediatric critical care medicine as I am experiencing it in person here in Toronto.
At the Elsevier booth I spot a mock-up of the fifth edition of Pediatric Critical Care. Even though I know that one should not judge a book by its cover, I must say, the cover looks pretty good, and moreover, I know the contents of the book are outstanding. Once again, all of the effort involved in this revision appears worthwhile. This notion is affirmed by colleagues from all over the world who take time from their busy schedules to make a point of telling me that they are anxious to receive their copy of the latest edition later this year. Meanwhile, I am aware that authors and section editors continue to review final proofs of their chapters, and Monica Relvas continues to encourage contributors to provide board review questions in the correct format. Subsequently I travel back to Chicago where Brad Fuhrman and I first met to design the first edition of Pediatric Critical Care in 1990. At that time, just 3 years after the first board certification exam, our field was considerably less mature than what I witness daily in the Seattle Children’s Hospital intensive care units and at national and international meetings.
From the beginning, pediatric critical care medicine has embraced the concept of multidisciplinary care including engagement of the family in the care plan, but brief review of the contents of Section I of the fifth edition documents how far we have come. The vision espoused by the Institute for Patient and Family Centered Care – engagement of patients and families in the critical care plan—took shape around the same time as the first edition of this textbook. Neonatal and pediatric intensive care units were understandably early adaptors of this philosophy. Now, multiinstitutional quality improvement initiatives like ICU Liberation and the Patient-Centered Outcomes Research-Intensive Care Unit Collaborative endeavor to enhance family engagement, not because of some ethical imperative but because this
practice improves clinically meaningful, long-term outcomes. In order to maximize the benefits of family engagement, the patient must be awake enough to participate. Accordingly, the evolved approach to analgesia and anxiolysis now focuses on comfort and pain control while minimizing sedation.