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The Intensive Care Unit: The Unfolding and Ambiguities of Survival Therapy

Published online by Cambridge University Press:  14 October 2009

Stanley Joel Reiser
Affiliation:
University of Texas Health Science Center at Houston

Abstract

The intensive care unit (ICU), one of the great achievements of modern medicine, is both a set of technologies and a space with a special function. This essay traces the evolution of the ICU's crucial technologies, and how the space bearing this name was carved out in the hospital. Ethical, legal, and social developments, an important part of this story, are incorporated in it.

Type
Special Section: Intensive Care: Where Are We?
Copyright
Copyright © Cambridge University Press 1992

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References

REFERENCES

1.Beecher, H. K. Scarce resources and medical advancement. In Freund, P. A. (ed.), Experimentation with human subjects. New York: George Braziller, 1970, 105–15.Google Scholar
2.Drinker, P., & McKhann, C. F.The use of a new apparatus for the prolonged administration of artificial respiration. Journal of the American Medical Association, 1929, 92, 1658–60.CrossRefGoogle Scholar
3.Eliastam, M. Action with dispatch: Technology in the emergency department. In Reiser, S. J. & Anbar, M. (eds.), The machine at the bedside. New York: Cambridge University Press, 1984, 105–18.Google Scholar
4.Floyer, J.The physician's pulse-watch. London: Sam. Smith and Benj. Walford, 1707.Google Scholar
5.Grenvick, A., Eross, B., & Pouner, D.Historical survey of mechanical ventilation. International Anesthesiology Clinics, 1980, 18, 110.Google Scholar
6.Hilberman, M.The evolution of intensive care units. Critical Care Medicine, 1975, 3(4), 159–65.CrossRefGoogle ScholarPubMed
7.Hippocrates. Epidemics II. In Jones, W. H. S. (trans.), Hippocrates I. Cambridge, MA: Harvard University Press, 1923.Google Scholar
8.Hippocrates. The art. In Jones, W. H. S. (trans.), Hippocrates I. Cambridge, MA: Harvard University Press, 1923.Google Scholar
9.Holmes, O. W. Currents and counter currents in medical science. In Holmes, O. W., Medical essays. Boston, MA: Houghton, Mifflin and Company, 1833.Google Scholar
10.Jennett, B.High technology medicine. Oxford: Oxford University Press, 1986.Google Scholar
11.Koch, E. B., & Reiser, S. J. Critical care: Historical development and ethical consideration. In Fein, I. A. & Strosberg, M. A. (eds.), Managing the clinical care unit. Rockville, MD: Aspen Publishers, Inc., 1987, 320.Google Scholar
12.Kolff, W.First clinical experience with the artificial kidney. Annals of Internal Medicine, 1965, 62, 608–19.CrossRefGoogle ScholarPubMed
13.Lassen, H. C. A.Preliminary report on the 1952 epidemic of poliomyelitis in Copenhagen. Lancet, 1953, i, 37.CrossRefGoogle Scholar
14.Marey, E.-J.Researches sur le pouls au moyen d'un nouvel appareil enegistreur, le sphyg-mographe. Paris: E. Thunot et Cie, 1871.Google Scholar
15.Maxwell, J. H.The iron lung: Halfway technology or necessary step? The Milbank Quarterly, 1986, 64, 329.CrossRefGoogle ScholarPubMed
16.Newton, I.Opticks: A treatise of the reflections, refractions, inflections and colours of light, 4th ed.New York: Dover Press, 1952.Google Scholar
17.Nightingale, F.Notes on hospitals, 3rd ed.London: Longman, 1863.Google Scholar
18.Pope Pius, XII. The prolongation of life. The Pope Speaks, 1958, 4, 393–98.Google Scholar
19.Radcliffe, G.The necessity of physiological monitoring in the general hospital. Transactions of the New York Academy of Sciences, 19601961, 23, 52.CrossRefGoogle ScholarPubMed
20.Reiser, S. J.Medicine and the reign of technology. New York: Cambridge University Press, 1978.Google Scholar
21.Reiser, S. J. Malpractice, patient safety, and the ethical and scientific foundations of medicine. In Huber, P. W. & Litan, R. (eds.), The liability maze: The impact of liability on safety and innovation. Washington, DC: Brookings Institution, 1991, 227–50.Google Scholar
22.Sanders, D., & Dukeminier, J.Medical advance and legal lag: Hemodialysis and kidney transplantation. UCLA Law Review, 1968, 15, 366–68.Google Scholar
23.Vesalius, A.De humani corporis fabrica libre septem. Basel, 1543.CrossRefGoogle Scholar