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dc.contributor.authorDiaz, J.V.
dc.contributor.authorRiviello, E.D.
dc.contributor.authorPapali, A.
dc.date.accessioned2019-03-29T14:42:01Z
dc.date.available2019-03-29T14:42:01Z
dc.date.issued2019
dc.identifier.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85061275431&doi=10.5334%2faogh.2413&partnerID=40&md5=94ed25bef8eb863898d2b1d917312280
dc.identifier.urihttp://hdl.handle.net/10713/8582
dc.description.abstractCaring for critically ill patients is challenging in resource-limited settings, where the burden of disease and mortality from potentially treatable illnesses is higher than in resource-rich areas. Barriers to delivering quality critical care in these settings include lack of epidemiologic data and context-specific evidence for medical decision-making, deficiencies in health systems organization and resources, and institutional obstacles to implementation of life-saving interventions. Potential solutions include the development of common definitions for intensive care unit (ICU), intensivist, and intensive care to create a universal ICU organization framework; development of educational programs for capacity building of health care professionals working in resource-limited settings; global prioritization of epidemiologic and clinical research in resource-limited settings to conduct timely and ethical studies in response to emerging threats; adaptation of international guidelines to promote implementation of evidence-based care; and strengthening of health systems that integrates these interventions. This manuscript reviews the field of global critical care, barriers to safe high-quality care, and potential solutions to existing challenges. We also suggest a roadmap for improving the treatment of critically ill patients in resource-limited settings. © 2019 The Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See http://creativecommons.org/licenses/by/4.0/.en_US
dc.description.urihttps://dx.doi.org/10.5334/aogh.2413en_US
dc.language.isoen_USen_US
dc.publisherUbiquity Pressen_US
dc.relation.ispartofAnnals of global health
dc.subjectglobal critical careen_US
dc.subject.meshCritical Care--standardsen_US
dc.subject.meshDeveloping Countriesen_US
dc.subject.meshGlobal Healthen_US
dc.titleGlobal Critical Care: Moving Forward in Resource-Limited Settingsen_US
dc.typeReviewen_US
dc.identifier.doi10.5334/aogh.2413
dc.identifier.pmid30741504


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