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The development of Pediatric Critical Care Medicine at The Children's Hospital of Philadelphia: an interview with Dr. John J. ‘Jack’ Downes
Author(s) -
Mai Christine L.,
Schreiner Mark S.,
Firth Paul G.,
Yaster Myron
Publication year - 2013
Publication title -
pediatric anesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.704
H-Index - 82
eISSN - 1460-9592
pISSN - 1155-5645
DOI - 10.1111/pan.12186
Subject(s) - medicine , pediatric intensive care unit , paediatric intensive care unit , intensive care unit , pediatrics , intensive care , respiratory care , family medicine , intensive care medicine
Summary Dr. John J. ‘Jack’ Downes (1930–), the anesthesiologist‐in‐chief at The Children's Hospital of Philadelphia (1972–1996), has made numerous contributions to pediatric anesthesia and critical care medicine through a broad spectrum of research on chronic respiratory failure, status asthmaticus, postoperative risks of apnea in premature infants, and home‐assisted mechanical ventilation. However, his defining moment was in January 1967, when The Children's Hospital of Philadelphia inaugurated its pediatric intensive care unit—the first of its kind in North America. During his tenure, he and his colleagues trained an entire generation of pediatric anesthesiologists and intensivists and set a standard of care and professionalism that continues to the present day. Based on an interview with Dr. Downes, this article reviews a career that advanced pediatric anesthesia and critical care medicine and describes the development of that first pediatric intensive care unit at The Children's Hospital of Philadelphia.