Skip to main content Accessibility help
×
Hostname: page-component-76fb5796d-r6qrq Total loading time: 0 Render date: 2024-04-25T10:08:33.085Z Has data issue: false hasContentIssue false

Foreword

Published online by Cambridge University Press:  14 October 2009

Iain Mackenzie
Affiliation:
Addenbrooke's Hospital, Cambridge
Get access

Summary

Bjorn Ibsen, an anaesthetist and intensivist who practiced for most of his career in Copenhagen, Denmark, died on 7 August 2007. Ibsen is widely regarded as the father of Intensive Care Medicine, the nativity of which occurred in his home city in 1952 during a polio epidemic. Ibsen had trained in radiology, surgery, pathology and gynaecology before travelling to Massachusetts General Hospital in 1949 to gain specialist experience in anaesthesia. He returned to Copenhagen in 1950 and assumed a leading role in managing one of the world's worst polio epidemics that started only two years later. Some 2899 cases developed among the population of two million. Too weak to cough, many patients succumbed to secretion retention with associated carbon dioxide retention. Negative pressure ventilation was effectively the only form of support then available, but Ibsen found that tracheostomy, or endotracheal intubation combined with the careful application of intermittent positive pressure ventilation administered by relays of doctors, medical students and others, was an effective means of over-coming the devastating effects of the disease. In the end, over 1500 practitioners aspirated secretions and performed manual ventilation in shifts. Mortality fell markedly. As a result, the idea that critically ill patients should be supported in centralized facilities by individuals experienced in their care was adopted worldwide.

Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2008

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×