Razvoj moderne intenzivne medicine u Republici Srpskoj (region Banja Luke)

  • Peđa Kovačević Univerzitetski klinički centar Republike Srpske Banja Luka, Banja Luka, Republika Srpska, Bosan i Hercegovina
DOI: https://doi.org/10.5937/scriptamed54-43703
Ključne reči: Intenzivna medicina, Zemlje sa niskim ili srednjim prihodima, Razvoj

Sažetak


Critical care medicine as relatively young discipline, started developing in mid-1950s in response to epidemy of poliomyelitis. This branch of medicine evolved much faster in high-income countries (HIC) than in low resource settings (LRS) where the Republic of Srpska (Western Balkan) belongs. The experience of setting up a modern critical care program under the LRS constraints as a promising way forward to meet the increased demand for critical care worldwide is described. Main tool was systematic analysis of written documents related to the establishment of the first multidisciplinary MICU and its development to the present day. Successful development is contingent on formal education and continued mentorship from HIC, establishment of a multidisciplinary team, the support from local health care authorities, development of a formal subspecialty training, academic faculty development and research. Critical care medicine is a critical public health need in HIC and LRS alike.

Reference

1.      Lassen HCA. A preliminary report on the 1952 epidemic of poliomyelitis in Copenhagen with special reference to the treatment of acute respiratory insufficiency. Lancet 1953;1:37–41.

2.      Reisner-Sénélar L. The birth of intensive care medicine: Bjorn Ibsen’s records. Intensive Care Med 2011;37:1084–6.

3.      Tang W, Sun S. Max Harry (Hal) Weil – a leader, mentor, friend, and wonderful colleague. Resuscitation 2011;82:1481–2.

4.      Vukoja M, Riviello ED, Schultz MJ. Critical care outcomes in resource-limited settings. Curr Opin Crit Care 2018;24(5):421–7.

5.      Kovacevic P, Meyer FJ, Gajic O. Successful implementation of modern critical care in the low-resources country Bosnia and Herzegovina: Single-center experience. Med Klin Intensivmed Notfmed 2022;117:269-75.

6.      GDP per capita (current US$) [Internet]. World Bank national accounts data, and OECD National Accounts data files. [Cited: 1-Apr-2023] Available at: https://data.worldbank.org/indicator/NY.GDP.PCAP.CD?locations=BA.

7.      Losonczy LI, Papali A, Kivlehan S, Calvello Hynes EJ, Calderon G, et al. White paper on early critical care services in low resource settings. Ann Glob Health 2021 Nov 3;87:105. doi: 10.5334/aogh.3377.

8.      Thiery G, Kovacević P, Straus S, Vidovic J, Iglica A, Festic E, et al. From mechanical ventilation to intensive care medicine: a challenge for Bosnia and Herzegovina. Bosn J Basic Med Sci 2009;9(Suppl 1):69–76.

9.      Rosenthal VD, Yin R, Lu Y, Rodrigues C, Myatra SN, Kharbanda M, et al. The impact of healthcare-associated infections on mortality in ICU: A prospective study in Asia, Africa, Eastern Europe, Latin America, and the Middle East. Am J Infect Control 2022 Sep 6:S0196-6553(22)00658-7. doi: 10.1016/j.ajic.2022.08.024.

10.   Tokalić R, Viđak M, Kaknjo MM, Marušić A. Antifragility of healthcare systems in Croatia and Bosnia and Herzegovina: Learning from man-made and natural crises. Lancet Reg Health Eur 2021;7;9:100216. doi: 10.1016/j.lanepe.2021.100216.

11.   Kovacevic P, Djajic V, Momcicevic D, Zlojutro B, Jandric M, Kovacevic T, et al. Boosting ICU capacity during the COVID-19 pandemic in the western Balkan region, the Republic of Srpska experience. J Public Health Res 2023;25;12: 22799036231151762. doi: 10.1177/22799036231151762.

12.   Kovacevic P, Dragic S, Kovacevic T, Momcicevic D, Festic E, Kashyap R, et al. Impact of weekly case-based tele-education on quality of care in a limited resource medical intensive care unit. Crit Care. 2019 Jun 14;23(1):220. doi: 10.1186/s13054-019-2494-6.

Objavljeno
2023/06/24
Broj časopisa
Vol. 54 Br. 2 (2023): Q2/June 2023
Rubrika
Aktuelna tema
Authors who publish with this journal agree to the following terms:

  1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.

  2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.

  3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).