Intermediate Respiratory Care Units
Unlike the situation in North America, respiratory physicians in most European countries have not been involved in critical care medicine until recently , since both specialties have developed separately over time. This separate development has been particularly clear in Spain, due to the following circumstances : 1) When intensive care medicine began in Spain, Spanish pulmonary physicians did not have a strategic vision of the future, unlike cardiologists, who demanded and assumed responsibility for the coronary units; 2) historically, pulmonary physicians have shown little interest in the care of critically ill respiratory patients; and 3) specialists in intensive care medicine have defended their specialty and have avoided others entering it.
KeywordsChronic Obstructive Pulmonary Disease Continuous Positive Airway Pressure Intensive Care Medicine Invasive Mechanical Ventilation Noninvasive Ventilation
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