Patients for intensive care in surgery can be divided into 3 groups: 1. Patients in poor preoperative conditions which should be corrected before surgery is performed; 2. Patients with extensive operations and expected or unexpected postoperative complications; 3. Patients with extensive traumas. --In the postwar period medicine developed at a tremendous speed. Modern intensive treatment of those patients with managed by a new group of doctors who had based their primary training in Surgery and continued their professional career in Anaesthesiology. In the last two decades, however, pathophysiologic thinking found its way and a new type of surgeon emerged. Special fields such as cardiovascular-endocrinological-gastroenterological surgery etc, appeared. Nowadays preoperative as well as postoperative treatment is considered to be an important factor in surgery and applied by all specialists. --Anaesthiologists however still play a major role in intensive medicine for surgical patients. But due to the fact that surgical training only plays a little or no part in their professional training, their role is hardly more than that of an important and necessary consultant. A new type of a doctor for surgical intensive medicine may perhaps develop somewhere in the future, but at present successful intensive care in surgical patients can only be achieved by perfect cooperation.
外科重症监护患者可分为3组：1. 术前状况较差，手术前应予以纠正的患者；2. 接受大型手术且预计或意外出现术后并发症的患者；3. 受到严重创伤的患者。——战后医学发展迅猛。对这些患者的现代重症治疗由一批新医生负责，他们最初接受外科培训，之后在麻醉学领域继续职业生涯。然而，在过去二十年中，病理生理学思维得到应用，一种新型外科医生应运而生。心血管-内分泌-胃肠外科等特殊领域出现了。如今，术前和术后治疗被视为外科手术中的一个重要因素，所有专科医生都会采用。——然而，麻醉医生在外科患者的重症医学中仍发挥着主要作用。但由于外科培训在他们的专业培训中只占很少一部分或根本没有，他们的作用几乎仅相当于一名重要且必要的顾问。未来或许会在某个地方出现一种新型的外科重症医学医生，但目前，只有通过完美协作才能实现对外科患者的成功重症监护。
