Review

Year in review 2007: Critical Care – intensive care unit management

Clayton Barbieri¹, Shannon S Carson² and André Carlos Amaral¹

¹Critical Care Department, Hospital Brasília (ESHO), SHIS QI 15 Cj G, Brasília, DF, 71635-200, Brazil

²Division of Pulmonary and Critical Care Medicine, Department of Medicine, University of North Carolina, 4134 Bioinformatics Building, CB# 7020, Chapel Hill, NC 27599-7020, USA

author email corresponding author email

Critical Care 2008, 12:229doi:10.1186/cc6951

Published:	14 October 2008

Abstract

With the development of new technologies and drugs, health care is becoming increasisngly complex and expensive. Governments and health care providers around the world devote a large proportion of their budgets to maintaining quality of care. During 2007, Critical Care published several papers that highlight important aspects of critical care management, which can be subdivided into structure, processes and outcomes, including costs. Great emphasis was given to quality of life after intensive care unit stay, especially the impact of post-traumatic stress disorder. Significant attention was also given to staffing level, optimization of intensive care unit capacity, and drug cost-effectiveness, particularly that of recombinant human activated protein C. Managing costs and providing high-quality care simultaneously are emerging challenges that we must understand and meet.