Honoré Patrick M, Jacobs Rita, Joannes-Boyau Olivier, De Waele Elisabeth, De Regt Jouke, Van Gorp Viola, Spapen Herbert D
ICU Department, Universitair Ziekenhuis Brussel, Vrije Universiteit Brussel, Brussels, Belgium.
ICU Department, Haut Leveque University Hospital of Bordeaux, University of Bordeaux 2, Pessac, France.
Int J Nephrol Renovasc Dis. 2014 Nov 25;7:437-40. doi: 10.2147/IJNRD.S67109. eCollection 2014.
Emergency and critical care medicine have grown into robust self-supporting disciplines with an increasing demand for dedicated highly-skilled physicians. In the past, "core" specialists were asked to offer bedside advice in acute care wards. In the same regard, critical care medicine and nephrology have been fighting but finally emerged altogether with the concept of critical care nephrology almost 20 years ago. Indeed, polyvalence is no longer a valid option in modern critical care. Uniting forces between disciplines represents the only way to cope with the increasing complexity and cumulating knowledge in the critical care setting. For this reason, the wide array of upcoming acute care sub-specialities must be committed to unrestricted growth and development. This will require competent manpower, a well-designed technical framework, and sufficient financial support. The worldwide success of critical care nephrology proves the feasibility for this concept.
急诊与重症医学已发展成为强大的、能够自我维持的学科，对专业的高技能医生的需求日益增加。过去，“核心”专科医生被要求在急性病护理病房提供床边建议。同样，重症医学和肾脏病学一直在相互斗争，但最终在近20年前随着重症监护肾脏病学的概念一起出现。事实上，在现代重症监护中，多学科能力已不再是一个可行的选择。学科之间联合力量是应对重症监护环境中日益增加的复杂性和不断积累的知识的唯一途径。因此，即将出现的众多急性病护理亚专业必须致力于不受限制的发展。这将需要有能力的人力、精心设计的技术框架和充足的资金支持。重症监护肾脏病学在全球范围内的成功证明了这一概念的可行性。
