Critical Care

University Pediatricians | Michigan

About the Division of Pediatric Critical Care

The Children’s Hospital of Michigan is southeast Michigan’s major referral center for children who need the most sophisticated medical and surgical care. Many of these patients spend time in the Intensive Care Unit (ICU), which also receives referrals from northern Lower Michigan and the Upper Peninsula. State-of-the-art support and monitoring of critically ill children is available at the bedside.

The intensive care unit is currently a 32-bed unit with 4 additional extension beds available for additional critically-ill or chronically-ventilated patients. There are more than 2000 admissions per year. Admissions to the ICU include but are not limited to acute respiratory failure; fulminant infectious disease and sepsis; traumatic head injury; status epilepticus; oncologic complications including care of children following bone marrow or stem cell transplant; inborn errors of metabolism; and poisonings. The ICU also provides post-operative care following high-risk surgical procedures including neurosurgery, orthopedic spinal surgery, airway reconstruction, surgery for complex congenital heart disease.

Patient Care

The care of the patients is divided between two teams: (1) post-operative cardiovascular surgical and (2) medical and non-cardiac surgical patients. Each team consists of one ICU attending, one or more ICU fellows, and several rotating general pediatric and emergency medicine residents. The post-operative cardiovascular surgical ICU team performs rounds each day with the cardiac surgeons and their staff, providing multi-disciplinary input for these complicated patients. In addition, a pharmacology Ph.D. also attends rounds with each team each day to ensure optimal and safe pharmacologic management.

The Division of Critical Care Medicine provides sedation for a significant number of procedures including but not limited to transesophageal echocardiography, cardioversion, hematologic-oncologic procedures and for critically-ill patients who undergo MRI, CT scan or interventional radiologic procedures.

Leadership

Christian Bauerfeld, MD – Division Chief

Bio coming soon….

Our Team is Dedicated to You

Pediatric Critical Care ICU Attendings

Learn about our University Pediatricians Attendings

Advanced Practice Providers

Want to learn more about our distinguished specialists? Click the button below to be taken to our Faculty Directory.

Education

Critical Care Fellowship Program Director: Ajit Sarnaik, MD
Critical Care Associate Program Director: Ji-Yeon Kim, MD

Children’s Hospital of Michigan is a tertiary care center located in the heart of Detroit. The hospital serves a diverse, urban and suburban population with a vast array of pathology. It is the pediatric facility for the Detroit Medical Center complex and serves as the center for critical care pediatric fellowship training for Central Michigan University. The hospital has accreditation as a Level I Pediatric Trauma Center.

The intensive care unit is currently a 48 bed unit. Admissions to the ICU include but are not limited to acute respiratory failure; fulminant infectious disease and sepsis; traumatic head injury; status epilepticus; oncologic complications including care of children following bone marrow or stem cell transplant; inborn errors of metabolism; and poisonings. The ICU also provides post-operative care following high-risk surgical procedures including heart, liver, and kidney transplant, neurosurgery, orthopedic spinal surgery, airway reconstruction and surgery for complex congenital heart disease.

Although our program is sponsored by Children’s Hospital of Michigan, our fellows are paid via a 501(c)(3) organization, so they are eligible for public service loan forgiveness (PSLF).

Clinical and Research Experience

For more information, please refer to the Pediatric Critical Care Medicine fellowship page on childrensdmc.org—click here or on the button below to visit the site.

Research

The Division of Critical Care Medicine at CHM has been a site for the Collaborative Pediatric Critical Care Research Network (CPCCRN) since its inception in 2005. The CPCCRN is a multicenter program devoted to the investigation of the safety and efficacy of treatment and management strategies used for the care of critically ill and injured children. The CPCCRN at CHM is lead by Dr. Kathleen Meert and funded by the Pediatric Trauma and Critical Illness Branch (PTCIB) of the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), a part of the National Institutes of Health (NIH). 

The CPCCRN is currently made up of 13 core clinical sites and 12 ancillary sites and a data coordinating center (DCC). The goal of the network is to develop an infrastructure to pursue well-designed collaborative clinical trials and meaningful descriptive studies in pediatric critical care medicine. Working together, the Network has engaged in a number of now completed and ongoing interventional trials. Today our objective is to continue to seek out ways to reduce morbidity and mortality in pediatric critical illness and injury, and to provide a framework for the development of the scientific basis of pediatric critical care practice.

Recent Publications and Recent Areas of Focus

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