
Contents
Cite
Extract
This is an exciting time in intensive care medicine. The specialty has grown and matured rapidly from its early roots in anaesthesia. In the UK the formation of the new Faculty of Intensive Care Medicine marks an unequivocal coming of age. And yet, almost unnoticed, on the margins of the main story, another immensely significant development has been gathering pace; the crystallisation of cardiothoracic intensive care as a clinical entity in its own right. Just as general intensive care grew from the emergence of effective technologies to support the failing lung, so cardiothoracic intensive care has been catalysed by new and effective techniques of circulatory support.
Cardiothoracic intensive care has seen recent major developments in mechanical cardiovascular support (intra arterial balloon pump, ventricular assist devices and extracorporeal membrane oxygenation) and drug therapies such as nitric oxide and new inotropic agents. Clinical management has seen a dramatic shift from pragmatic, experience-based algorithms to care based on early diagnosis, proactive intervention and pathophysiological understanding. A major factor in this shift has been the development of sophisticated bed-side echocardiography.
Sign in
Personal account
- Sign in with email/username & password
- Get email alerts
- Save searches
- Purchase content
- Activate your purchase/trial code
- Add your ORCID iD
Purchase
Our books are available by subscription or purchase to libraries and institutions.
Purchasing informationMonth: | Total Views: |
---|---|
November 2022 | 1 |
May 2023 | 1 |
June 2024 | 1 |
August 2024 | 1 |
January 2025 | 1 |
Get help with access
Institutional access
Access to content on Oxford Academic is often provided through institutional subscriptions and purchases. If you are a member of an institution with an active account, you may be able to access content in one of the following ways:
IP based access
Typically, access is provided across an institutional network to a range of IP addresses. This authentication occurs automatically, and it is not possible to sign out of an IP authenticated account.
Sign in through your institution
Choose this option to get remote access when outside your institution. Shibboleth/Open Athens technology is used to provide single sign-on between your institution’s website and Oxford Academic.
If your institution is not listed or you cannot sign in to your institution’s website, please contact your librarian or administrator.
Sign in with a library card
Enter your library card number to sign in. If you cannot sign in, please contact your librarian.
Society Members
Society member access to a journal is achieved in one of the following ways:
Sign in through society site
Many societies offer single sign-on between the society website and Oxford Academic. If you see ‘Sign in through society site’ in the sign in pane within a journal:
If you do not have a society account or have forgotten your username or password, please contact your society.
Sign in using a personal account
Some societies use Oxford Academic personal accounts to provide access to their members. See below.
Personal account
A personal account can be used to get email alerts, save searches, purchase content, and activate subscriptions.
Some societies use Oxford Academic personal accounts to provide access to their members.
Viewing your signed in accounts
Click the account icon in the top right to:
Signed in but can't access content
Oxford Academic is home to a wide variety of products. The institutional subscription may not cover the content that you are trying to access. If you believe you should have access to that content, please contact your librarian.
Institutional account management
For librarians and administrators, your personal account also provides access to institutional account management. Here you will find options to view and activate subscriptions, manage institutional settings and access options, access usage statistics, and more.