The time is now: addressing the need for training in maternal critical care medicine |
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| Affiliation: | 1. Department of Anesthesiology, Stanford University School of Medicine, Stanford, CA, USA;2. Department of Anesthesiology, Cedars-Sinai Medical Center, Los Angeles, CA, USA;3. General Intensive Care Unit of the Shaare Zedek Medical Center and Hebrew University Faculty of Medicine, Jerusalem, Israel;4. Division of Anesthesia, Critical Care and Pain, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel;5. Department of Anesthesiology, Columbia University Medical Center, New York, NY, USA;6. Department of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN, USA;1. Department of Anesthesiology, Rabin Medical Center, Beilinson Hospital, Petach Tikva, Israel affiliated with Sakler School of Medicine, Tel Aviv University, Tel Aviv, Israel;2. Sakler School of Medicine, Tel Aviv University, Tel Aviv, Israel;3. Division of Anesthesia, Operating Rooms, Pain, and Critical Care, Samson Assuta Ashdod University Hospital, Ben-Gurion University of the Negev, Ashdod, Israel;4. Department of Anesthesiology, Perioperative Medicine and Pain Treatment, Shaare Zedek Medical Center, affiliated with the Hebrew University Hadassah Medical School, Jerusalem, Israel;5. Department of Anesthesiology, Critical Care, and Pain Medicine, Hadassah Hebrew University Medical Center, Jerusalem affiliated with Hebrew University Medical School, Jerusalem, Israel;6. Shamir Medical Center, Zrifin, Israel affiliated with Sakler School of Medicine, Tel Aviv University, Tel Aviv, Israel;7. Division of Anesthesia, Critical Care and Pain, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel;8. Department of Anesthesiology, Soroka University Medical Center and the Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel affiliated with Faculty of Health Sciences Ben Gurion University, Israel |
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| Abstract: | Amongst many high-income countries, indirect medical conditions (e.g. cardiovascular disease, sepsis) now account for the majority of maternal deaths. In response to this concerning rise in indirect causes of maternal deaths, professional societies have developed guidelines that regionalize high-risk obstetric care and prioritize critical care expertise as a requirement for designated ‘top’ maternity hospitals. Critical care proficiency is mandated by the Accreditation Council for Graduate Medical Education for graduating obstetric anesthesiology fellows. Despite these requirements, no formal obstetric critical care educational curricula or fellowship pathways, combining critical care medicine and obstetric anesthesiology, currently exist. Dual subspecialty training in both obstetric anesthesiology and critical care medicine represents one strategy to improve the care of critically-ill obstetric patients and reduce maternal mortality and morbidity, which is one of the pressing healthcare issues of our time. |
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| Keywords: | Education Maternal critical care Maternal mortality Obstetric anesthesiology |
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