Intensive care in rehabilitation and rehabilitation in intensive care
Dr Michel ENJALBERTa, Dr Florence THEVENOTa, Dr Gilles MOTTEa, Dr Jean-Marc THÉRYa, Mrs Brigitte PRÉVOTEAUa
a Centre Hospitalier de Perpignan
The history of rehabilitation post-intensive care can be illustrated by the links between PRM and aneasthesia/intensive care in the centre of Cerbere, as soon as it was created, in 1976, at the instigation of Dr Bouffard-Vercelli and Pr. Louis Serre, in charge of the emergency department in Montpellier. Their progress is an excellent example of a care process' building.
Methods : It's through this history about 40 years that we go to bring out the main strong points.
Results : One of the first important progress is the creation, in 1982, of the "rehabilitation in intensive care" department (20 beds), in charge of Dr Layre, that will become later the "rehabilitation in intensive care " department (RICD) Louis Serre. When Dr Bouffard-Vercelli is died, in 1995, we have taken over the management of the centre that from now on bears his name and strengthened the RICD (30 beds). In 2005, with the departure of Dr Layre, a new stage has been covered with the Perpignan Hospital, that is an agreement of two anaesthethetists provisioning. At last, the development, in 2010, of the territorial coordination for post acute care conduced us to take over the management of the PRM department in the Perpignan Hospital, that provides the rehabilitation in all the hospital departments, one of which is the intesnive care department, finishing the circle. The re-location plan of the Bouffard-Vercelli Centre, expected in 2018, will permit to structure all this process (that includes moreover an unit dedicated to chronic vegetative and pauci-relationship states) on a single site, permiting to provide the rehabilitation from the emergency department to the return in active life (or institutuinalization in medicosocial facilities created at this opportuniy).
Discussion : This exemplary experience, resulting from will of two men, will conduce us, in a immediate future, to structure a coordinated care process for nervous system, locomotive, cardiovascular ones, and old people.