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Foreword

Published online by Cambridge University Press:  14 October 2009

Iain Mackenzie
Affiliation:
Addenbrooke's Hospital, Cambridge
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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.

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Publisher: Cambridge University Press
Print publication year: 2008

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