Intensive Care Unit Physician Discretion in Pediatric Critical Care Polarized, Evaluated, and Reframed

摘要

Critical care physicians lead intensive care unit (ICU) care. Experience and previous literature suggest a dose-response effect of ICU physician involvement on patient-relevant outcomes. Greater doses of this highly trained, but finite, healthcare resource can improve outcomes. This observation underpins recommendations of "high-intensity" ICU physician staffing, has been challenged in previous large adult studies, and has led to concerns about the ICU physician workforce, reduced trainee autonomy, and compromised training.