Integrating Subspecialty Expertise in the Intensive Care Unit

  • Nicole Tran
  • Jason N. KatzEmail author
Part of the Respiratory Medicine book series (RM, volume 18)


The integration of subspecialty expertise in the management of critically ill patients has become an area of both great interest and controversy. The past several decades have seen the emergence and rapid implementation of such subspecialty intensive care settings as the cardiac intensive care unit (ICU) and the neuroscience ICU. By pooling individuals with similar disease processes, and capitalizing on the expertise of specially trained nurses and physicians, many believe these units can provide more efficient and effective critical care delivery. Despite limited evidence to either support or refute their significance, these ICUs have become more commonplace, and their proliferation has brought to light important questions regarding optimal structure, staffing, and training. At the same time, the role of subspecialty consultants for an increasingly complex critical care population remains an important and evolving process.


Intensive care unit Subspecialty Staffing Training Consultation Intensivist Critical Care Cardiac ICU Neuroscience ICU 


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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.Division of Cardiology, Department of MedicineUniversity of North CarolinaChapel HillUSA
  2. 2.Divisions of Cardiology and Pulmonary and Critical Care Medicine, Department of MedicineUniversity of North CarolinaChapel HillUSA
  3. 3.UNC Center for Heart and Vascular CareChapel HillUSA

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