Critical Care in Czech Republic Vladimir Cerny, MD, PhD, FCCM Associate Professor in Anesthesiology and Intensive Care Dept. of Anesthesiology and Intensive.

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Presentation transcript:

Critical Care in Czech Republic Vladimir Cerny, MD, PhD, FCCM Associate Professor in Anesthesiology and Intensive Care Dept. of Anesthesiology and Intensive Care Charles University Faculty of Medicine University Hospital Hradec Kralove Czech Republic

Critical Care in Czech Republic Development of critical care Intensive care units Medical staffing and training Future aims

1952 Anesthesiology has been established as a independent medical specialty 1969 Czech Society of Anesthesiology 1971 Czech Society of Anesthesiology and Resuscitation 1994 Czech Society of Anesthesiology, Resuscitation and Intensive Care Medicine 1997 Section of Intensive Care Medicine Development of critical care in Czech Republic

… the majority of ICU beds in Czech Republic are located at departments of anesthesiology and intensive care (highest level of care) … there are also many ICU beds at various departments (usually provide intensive care at lower level - intermediate care, HDU ) dept. of surgery dept. of internal medicine dept. of cardiosurgery dept. of neurosurgery Intensive care units in Czech Republic

all major ICUs are also equipped (or is available) with: CRRT ICP monitoring bronchoscopes ultrasounds IABP machines 2 ECMO centers and 8 NO centers in Czech republic Medical equipment and devices

Depts. of anesthesiology and intensive care Number of beds 674

Depts. of anesthesiology and intensive care Unit size

Depts. of anesthesiology and intensive care Amount of admitted patients 23483

4 99% of units have a committed 24-hours physician 4 The majority of ICU physicians has anesthesiology as their specialty 4 99% of units have an ICU director = the decison maker Medical staffing and training

Section of Intensive Care Medicine 803

Specialty of the members Section of Intensive Care Medicine

Medical students The 5 th year: „basics of intensive care medicine“ (15 hrs) Residents (surgery, internal medicine) 3 months on ICU Residents (anesthesiology and intensive care) 12 months on ICU A new subspecialty „Intensive care medicine“ has been prepared and waiting for approval by government Education in critical care

What to improve ? Research Academic activities Guidelines Quality control Education Research

Thanks for your attention