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Science and Practice of Pediatric Critical Care Medicine (Paperback, 2009 ed.)
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Science and Practice of Pediatric Critical Care Medicine (Paperback, 2009 ed.)
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The ? eld of critical care medicine is in the midst of a dramatic
change. Technological and s- enti? c advances during the last
decade have resulted in a fundamental change in the way we view
disease processes, such as sepsis, shock, acute lung injury, and
traumatic brain injury. Pediatric intensivists have been both
witness to and active participants in bringing about these changes.
As the understanding of the pathogenesis of these diseases reaches
the cellular and molecular levels, the gap between critical care
medicine and molecular biology will disappear. It is imperative
that all physicians caring for critically ill children in this new
era have a th- ough understanding of the applicability of molecular
biology to the care of these patients at the bedside in order to
keep up with the rapidly evolving ? eld of critical care medicine.
To the same extent, the practice of critical care medicine is in
the midst of fundamental change. In keeping with the Institute of
Medicine's report "Crossing the Quality Chasm," the care of
critically ill and injured children needs to be safe,
evidence-based, equitable, ef? cient, timely, and fami- centered
[1,2]. In the following pages, these changes in our specialty are
discussed in greater scope and detail, offering the reader fresh
insight into not only where we came from, but also where we are
going as a specialty.
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