Article
The history of neurosurgical intensive care
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Authors
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Stephan Jaster
- Mediclin KH Plau am See, Abt.f. Neurochirurgie und Frührehabilitation, Plau am See, Deutschland
| Published: | June 9, 2017 |
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Outline
Text
Objective: The development of Neurosurgical intensive care units from the beginning until the 9th decade of 20th century will be presented under the topic “Fortschritte in der Neurochirurgie der letzten 80 Jahre” in a free speech.
Methods: The historical aspect of neurosurgical intensive care unit based on secondary literature even as the history of neurosurgery and the history of particular neurosurgical departments. In the neurosurgical archive at Würzburg there are only a few sources, so the data have to be collected.
Results: The brain death concept extended the specialty, the knowledge and skills of others subspecialties of medicine were needed to treat patients in the neurosurgical ICU. The reforms of the health system based on business administration lead to interdisciplinary intensive care units, even a few mostly at university hospitals remain in neurosurgical departments. The pros and cons will be discussed under the focus of making life worth living.
Conclusion: Which kind of ethical standards in the past and in the future give distinction to the neurosurgeon at the intensive care unit? The ethical standards will be discussed related to the new economic health system.
