THE American Board of Anesthesiology first offered a certification of special competence in critical care in 1986. The role of anesthesiologists in critical care was reviewed in Anesthesiology by Hanson et al. in 2001, documenting the skills, tasks, and challenges at that time. The COVID-19 pandemic offers an opportunity to review the changes that have occurred at our institution, Massachusetts General Hospital (Boston, Massachusetts), as well as nationally and internationally, and how the successful use of extracorporeal membrane oxygenation has created a large demand for expertise in cardiothoracic critical care.

We will review the current roles of cardiothoracic anesthesiology intensivists in cardiogenic shock and extracorporeal membrane oxygenation at Massachusetts General Hospital to document an example of a successful multidisciplinary team that has been established in an institution with strong departmental interests. Then, a brief...

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