"One of my main interests is to participate in appropriate training of anesthesiologist-intensivists to help ensure that Critical Care remains a viable part of the practice of Anesthesiology. Although there is tremendous lip service paid to this approach, in reality, there is evidence that it is not really embraced or practiced. If we choose to turn away from our rather tenuous commitment to Critical Care, we will lose a feature that differentiates us as physicians from others.
"To help support and review the state of the State of the Art in Anesthesiology-Critical Care worldwide, the American Society of Critical Care Anesthesiologists is presenting a meeting on Critical Care Anesthesiology in Montreal on Saturday June 3, 2000. It will be held just prior to the Canadian Society's World Congress of Anaesthesiologists with co-sponsorship of other leading ICU societies. You are invited and encouraged to attend this interactive meeting. It features 20 of the leading international anesthesiology critical care physicians as they focus on 1. Maintaining quality care in the 21st century; 2. Training intensivists in the new millennium; 3. Global ethical issues in critical care medicine and 4. Where will the advances in critical care occur?
"Although I also strongly support the concept of the Anesthesiologist as a Perioperative Physician, implementation of this concept requires far more than the present approach from our leadership, training program directors, and accreditation organizations. We need to revisit, re-embrace, and re-apply the American Board of Anesthesiology's definitions of Anesthesiology and Perioperative Management. Whether we choose to stay the course in the Operating Rooms as Dr. Longnecker remarked in his 1996 Rovenstine lecture, or head out into the choppier, but wider seas of the ICU, hospitalist practice, and out-patient clinics remains to be seen. However, it is my bias that the future of our specialty will be determined by the tack we take.
"As such, many of my commentaries will focus on areas of mutual interest to those who perform preoperative assessment, intraoperative management and perioperative critical care. My thoughts and viewpoints are intended to be stimulating and not aggravating."
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E-MAIL
dcoursin@anesthesiaweb.com
ACADEMIC AFFILIATION
University of Wisconsin School of Medicine
Madison, WI
POSITION
Professor of Anesthesiology and Internal Medicine
Associate Director of the Trauma and Life Support Center
B6/319 UW CSC
Madison, WI 53792-3272
CURRENT ACADEMIC APPOINTMENTS
Professor of Anesthesiology and Internal Medicine
AREAS OF SPECIALTY / RESEARCH
Critical Care Medicine
General Anesthesiology
Internal Medicine
Pulmonary oxygen toxicity
Transfusion medicine
New drug development in the ICU
DATE OF BIRTH
November 11, 1950
EDUCATION
Albany Medical College,
Albany, NY (MD)
LATEST PUBLICATIONS
The Anesthesiologist as Perioperative Physician: Three Views
Pro Prob in Anesth 1999 (in press)
(Coursin DB, Maccioli G, Murray MJ)
Complications of femoral venous catheters
Crit Care Med 1999 (in press)
(Wood KE, Reedy J, Coursin DB)
Perioperative multiple organ dysfunction syndrome
Sem Anesth 1999; 18:27-43
(Wood KE, Connery L, Coursin DB)
Critical care outcomes in the U.K.: Sobering wake up call or stability of the lamppost?
Chest 1999; 115:614-6
(Wood KE, Grounds MR, Coursin DB)
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