Critical Care in Low-Resource Settings

  • Srinivas MurthyEmail author
  • Sadath A. Sayeed
  • Neill K. J. Adhikari
Part of the Respiratory Medicine book series (RM, volume 18)


The care of critically ill patients is a global enterprise, regardless of the capacity of the specific healthcare system. In this chapter, we discuss the delivery of critical care in resource-limited settings with respect to the burden of critical illness, supply and costs of critical care resources, and ethical issues. We argue that the burden of critical illness in low-resource settings is substantial, increasing, and not met by current healthcare resources. Assuming an ethical framework of health as a human right, scale-up of critical care services must be considered along with more traditional public health interventions. Successful and cost-effective implementation of critical care in resource-limited settings will likely require local training of healthcare personnel and novel and domestically produced adaptation of existing technology, but the optimal approaches to organization of health services, knowledge translation, educational program design, and technology adaptation are largely unknown and will require additional research.


Global health Critical care Sepsis Developing countries 


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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Srinivas Murthy
    • 1
    Email author
  • Sadath A. Sayeed
    • 2
  • Neill K. J. Adhikari
    • 3
  1. 1.Department of PediatricsUniversity of British ColumbiaVancouverCanada
  2. 2.Department of Global Health and Social MedicineBoston Children’s HospitalBostonUSA
  3. 3.Department of Critical Care MedicineSunnybrook Health Sciences Center and University of TorontoTorontoCanada

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