From the Department of Pediatrics, Massachusetts General Hospital, Boston, Massachusetts.
Department of Anaesthesia and Critical Care Medicine, Brigham and Women's Hospital, Boston, Massachusetts.
Anesth Analg. 2019 Feb;128(2):328-334. doi: 10.1213/ANE.0000000000003708.
Despite the aligned histories, development, and contemporary practices, today, pediatric anesthesiologists are largely absent from pediatric intensive care units. Contributing to this divide are deficits in exposure to pediatric intensive care at all levels of training in anesthesia and significant credentialing barriers. These observations have led us to consider, does the current structure of training lead to the ability to optimally innovate and collaborate in the delivery of pediatric critical care? We consider how redesigning the pediatric critical care training pathway available for pediatric anesthesiologists may improve care of children both in and out of the operating room by facilitating further sharing of skills, research, and clinical experience. To do so, we review the nuances of both training tracts and the potential benefits and challenges of facilitating greater integration of these aligned fields.
尽管儿科麻醉医生和儿科重症监护医生在历史、发展和当代实践方面具有一致性，但目前儿科麻醉医生在儿科重症监护病房中却大量缺席。造成这种分化的原因包括麻醉培训各级别中对儿科重症监护的接触不足，以及重大的认证障碍。这些观察结果使我们不禁思考，目前的培训结构是否能够使儿科麻醉医生在提供儿科重症护理方面进行最佳创新和协作？我们考虑如何重新设计儿科麻醉医生可用的儿科重症监护培训途径，通过促进进一步分享技能、研究和临床经验，从而改善手术室内外儿童的护理。为此，我们回顾了这两个培训轨道的细微差别，以及促进这些相关领域更紧密整合的潜在益处和挑战。
