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. 2014 Aug;14(4):376-9.
doi: 10.7861/clinmedicine.14-4-376.

Intensive care medicine is 60 years old: the history and future of the intensive care unit

Fiona E Kelly  1 , Kevin Fong  2 , Nicholas Hirsch  3 , Jerry P Nolan  4
Affiliations

Intensive care medicine is 60 years old: the history and future of the intensive care unit

Fiona E Kelly et al. Clin Med (Lond). 2014 Aug.

Abstract

Intensive care is celebrating its 60th anniversary this year. The concept arose from the devastating Copenhagen polio epidemic of 1952, which resulted in hundreds of victims experiencing respiratory and bulbar failure. Over 300 patients required artificial ventilation for several weeks. This was provided by 1,000 medical and dental students who were employed to hand ventilate the lungs of these patients via tracheostomies. By 1953, Bjorn Ibsen, the anaesthetist who had suggested that positive pressure ventilation should be the treatment of choice during the epidemic, had set up the first intensive care unit (ICU) in Europe, gathering together physicians and physiologists to manage sick patients - many would consider him to be the 'father' of intensive care. Here, we discuss the events surrounding the 1952 polio epidemic, the subsequent development of ICUs throughout the UK, the changes that have occurred in intensive care over the past 10 years and what the future holds for the specialty.

Keywords: Intensive care; polio; tracheostomy; ventilation.

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Figures

Fig 1.
Fig 1.
Coventry alligator iron lung.
Fig 2.
Fig 2.
Cuirass shell ventilator.
Fig 3.
Fig 3.
An 8-year-old girl being hand ventilated via a tracheostomy.
See this image and copyright information in PMC

Comment in

References

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