Management of Intensive Care

Guidelines for Better Use of Resources

  • D. Reis Miranda
  • A. Williams
  • Ph. Loirat

Part of the Developments in Critical Care Medicine and Anesthesiology book series (DCCA, volume 16)

Table of contents

  1. Front Matter
    Pages I-XXIII
  2. Peter F. Hulstaert, Wolfgang Kox
    Pages 1-10
  3. Jean-Roger Le Gall, Philippe Loirat, Daniel Mathieu, Alan Williams
    Pages 11-53
  4. Ricardo Abizanda
    Pages 55-81
  5. Dinis Reis Miranda, Dieter Langrehr
    Pages 83-102
  6. John F. A. Spangenberg, Jan H. R. van der Poel, Gaetano Iapichino
    Pages 103-123
  7. H. Burchardi, B. L. Atkinson
    Pages 125-164
  8. Philippe Loirat, John Spangenberg, Lis Dragsted
    Pages 165-197
  9. Gertjan Nooij
    Pages 199-207
  10. Back Matter
    Pages 209-246

About this book


Intensive Care Medicine has been continuously growing and expanding, culturally, technically and geographically. Monitoring and instrumentation are continuously improving and more and more hospitals are getting Intensive Care facilities. The costs have proportionally increased over the years, so that ICUs represent today a major cost for health structures. Since the available resources are limited, a real need is emerging to set the limits and indications of Intensive Care. It is understood that the problem not only involves medical considerations, but also ethical and economical aspects of the utmost importance. For the first time in Europe, this book edited by Reis Miranda and his colleagues tackles systematically the many structural aspects of the European Intensive Care. The organisation and financing of health care in the Old Continent is deeply different from the American one, and the results and consequent proposals obtained in the USA cannot simply be transferred to this side of the Atlantic Ocean. Weare extremely pleased to welcome this first European attempt to discuss the Intensive Care problem. It lays no claims to giving definite replies in a continuously developing field, but it will surely become the basis for future discussions and proposals. I am particularly happy that this work has mainly developed within the European Society of Intensive Care, whose final target is to ensure a common standard of therapy in our old Europe, beyond national differences. We warmly congratulate the authors, and I am sure that their work will find wide diffusion and consent.


care intensive care intensive care medicine planning

Editors and affiliations

  • D. Reis Miranda
    • 1
  • A. Williams
    • 2
  • Ph. Loirat
    • 3
  1. 1.Division of Intensive Care, Department of SurgeryUniversity Hospital of GroningenGroningenThe Netherlands
  2. 2.Institute for Research in the Social SciencesUniversity of YorkHeslington, YorkUK
  3. 3.Réanimation PolyvalenteCentre Médico-Chirurgical FochSuresnesFrance

Bibliographic information

  • DOI
  • Copyright Information Springer Science+Business Media B.V. 1990
  • Publisher Name Springer, Dordrecht
  • eBook Packages Springer Book Archive
  • Print ISBN 978-94-010-7417-9
  • Online ISBN 978-94-009-2043-9
  • Series Print ISSN 0924-5294
  • Buy this book on publisher's site