Critical care medicine has always been an integral part of the clinical practice of anaesthesiology. Anaesthesiologists have been intimately involved, indeed instrumental, in the development of critical care medicine as a specialty. Many consider the practice of operating room anaesthesiology the practice of critical care medicine limited to the operative period. Nonetheless, the anaesthesiologist is daily involved with rapid alterations in physiologic status that require prompt recognition and early interventionthe hallmark of critical care medicine.By virtue of training experience, competence and interest, the anaesthesiologists skills and knowledge uniquely qua* him to care for critically ill patients. This expertise has been legally rec-us to take a proactive role in ensuring comprehensive quality management. We should take the necessary steps to market our expertise effectively.