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.
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.
Division Chief: Ramesh Sachdeva, 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).