Publication: The story of critical care in Asia: a narrative review
2
Issued Date
2021-12-01
Resource Type
ISSN
20520492
Other identifier(s)
2-s2.0-85116798622
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Mahidol University
Rights Holder(s)
SCOPUS
Bibliographic Citation
Journal of Intensive Care. Vol.9, No.1 (2021)
Suggested Citation
Jason Phua, Chae Man Lim, Mohammad Omar Faruq, Khalid Mahmood Khan Nafees, Bin Du, Charles D. Gomersall, Lowell Ling, Jigeeshu Vasishtha Divatia, Seyed Mohammad Reza Hashemian, Moritoki Egi, Aidos Konkayev, Mohd Basri Mat-Nor, Gentle Sunder Shrestha, Madiha Hashmi, Jose Emmanuel M. Palo, Yaseen M. Arabi, Hon Liang Tan, Rohan Dissanayake, Ming Cheng Chan, Chairat Permpikul, Boonsong Patjanasoontorn, Do Ngoc Son, Masaji Nishimura, Younsuck Koh The story of critical care in Asia: a narrative review. Journal of Intensive Care. Vol.9, No.1 (2021). doi:10.1186/s40560-021-00574-4 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/77508
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Title
The story of critical care in Asia: a narrative review
Author(s)
Jason Phua
Chae Man Lim
Mohammad Omar Faruq
Khalid Mahmood Khan Nafees
Bin Du
Charles D. Gomersall
Lowell Ling
Jigeeshu Vasishtha Divatia
Seyed Mohammad Reza Hashemian
Moritoki Egi
Aidos Konkayev
Mohd Basri Mat-Nor
Gentle Sunder Shrestha
Madiha Hashmi
Jose Emmanuel M. Palo
Yaseen M. Arabi
Hon Liang Tan
Rohan Dissanayake
Ming Cheng Chan
Chairat Permpikul
Boonsong Patjanasoontorn
Do Ngoc Son
Masaji Nishimura
Younsuck Koh
Chae Man Lim
Mohammad Omar Faruq
Khalid Mahmood Khan Nafees
Bin Du
Charles D. Gomersall
Lowell Ling
Jigeeshu Vasishtha Divatia
Seyed Mohammad Reza Hashemian
Moritoki Egi
Aidos Konkayev
Mohd Basri Mat-Nor
Gentle Sunder Shrestha
Madiha Hashmi
Jose Emmanuel M. Palo
Yaseen M. Arabi
Hon Liang Tan
Rohan Dissanayake
Ming Cheng Chan
Chairat Permpikul
Boonsong Patjanasoontorn
Do Ngoc Son
Masaji Nishimura
Younsuck Koh
Other Contributor(s)
Siriraj Hospital
Astana Medical University
SBUMS Chronic Respiratory Disease Research Center
National University Health System
Ziauddin University
King Saud bin Abdulaziz University for Health Sciences
Raja Isteri Pengiran Anak Saleha Hospital
Tribhuvan University Teaching Hospital
Bach Mai Hospital
National University Hospital
Faculty of Medicine, Khon Kaen University
Prince of Wales Hospital Hong Kong
Tunghai University
Tata Memorial Hospital
Kobe University Hospital
International Islamic University Malaysia
Peking Union Medical College Hospital
University of Ulsan College of Medicine
Veterans General Hospital-Taichung Taiwan
Gosford Hospital
Research Institute of Traumatology and Orthopedics
The Medical City
United Hospital
Mount Elizabeth Novena Hospital
Aizenbashi Hospital
Astana Medical University
SBUMS Chronic Respiratory Disease Research Center
National University Health System
Ziauddin University
King Saud bin Abdulaziz University for Health Sciences
Raja Isteri Pengiran Anak Saleha Hospital
Tribhuvan University Teaching Hospital
Bach Mai Hospital
National University Hospital
Faculty of Medicine, Khon Kaen University
Prince of Wales Hospital Hong Kong
Tunghai University
Tata Memorial Hospital
Kobe University Hospital
International Islamic University Malaysia
Peking Union Medical College Hospital
University of Ulsan College of Medicine
Veterans General Hospital-Taichung Taiwan
Gosford Hospital
Research Institute of Traumatology and Orthopedics
The Medical City
United Hospital
Mount Elizabeth Novena Hospital
Aizenbashi Hospital
Abstract
Background: Asia has more critically ill people than any other part of our planet. The aim of this article is to review the development of critical care as a specialty, critical care societies and education and research, the epidemiology of critical illness as well as epidemics and pandemics, accessibility and cost and quality of critical care, culture and end-of-life care, and future directions for critical care in Asia. Main body: Although the first Asian intensive care units (ICUs) surfaced in the 1960s and the 1970s and specialisation started in the 1990s, multiple challenges still exist, including the lack of intensivists, critical care nurses, and respiratory therapists in many countries. This is aggravated by the brain drain of skilled ICU staff to high-income countries. Critical care societies have been integral to the development of the discipline and have increasingly contributed to critical care education, although critical care research is only just starting to take off through collaboration across groups. Sepsis, increasingly aggravated by multidrug resistance, contributes to a significant burden of critical illness, while epidemics and pandemics continue to haunt the continent intermittently. In particular, the coronavirus disease 2019 (COVID-19) has highlighted the central role of critical care in pandemic response. Accessibility to critical care is affected by lack of ICU beds and high costs, and quality of critical care is affected by limited capability for investigations and treatment in low- and middle-income countries. Meanwhile, there are clear cultural differences across countries, with considerable variations in end-of-life care. Demand for critical care will rise across the continent due to ageing populations and rising comorbidity burdens. Even as countries respond by increasing critical care capacity, the critical care community must continue to focus on training for ICU healthcare workers, processes anchored on evidence-based medicine, technology guided by feasibility and impact, research applicable to Asian and local settings, and rallying of governments for support for the specialty. Conclusions: Critical care in Asia has progressed through the years, but multiple challenges remain. These challenges should be addressed through a collaborative approach across disciplines, ICUs, hospitals, societies, governments, and countries.