UTMB’s Anesthesiology Division of Critical Care Medicine (CCM) provides day and night
intensivist coverage for the post-operative ICU beds. Dr. Beth Teegarden
serves as the Medical Director of the SICU and Dr. Deepinder Mann serves as program director
of the Anesthesiology CCM fellowship. Additional critical care faculty
include Drs. Donald Prough (Chair of Anesthesiology), Aristides Koutrouvelis, William
Whitehead, J. Sean Funston, Luis Pacheco (Dept of OB/GYN), David Epperson, Jong Lee, Steve Wolf, and Antonio Saad.
Currently, the critical care units at UTMB include an 16-bed Surgical
Intensive Care Unit, including Cardiovascular, Trauma, Transplant, and
others, a Medical ICU, a dedicated Neuro ICU, and an adult Burn ICU. Our anesthesiology
program also participates with Shriners Hospital for Children ICU.
The Critical Care Division provides intensivist coverage for 16 postoperative Surgical ICU beds in the newly constructed Jeannie Sealy hospital, opened April 2016. The unit is
"semi-closed, with close collaboration with all the surgical services.
Strong emphasis is placed on a multidisciplinary approach to critical
care, involving colleagues from other medical specialties as well as from the
nursing staff, pharmacists, respiratory therapists, physical
therapists, nutritionists, medical social workers, as well as palliative
and ethics services.
The Critical Care Division is responsible for the training of
anesthesiology CCM Fellows, residents in anesthesiology, surgery, OB and
medicine, as well as medical students. Anesthesia residents spend 4-6
months in critical care during their PGY-1 through PGY-4, with
progressive responsibilities. The teaching experience embraces all
aspects of critical care, placement and management of invasive
hemodynamic monitors, training in point of care ultrasound to include acquisition of heart, lung, abdomen, bladder and vascular images, ventilator
management, renal replacement therapy, use of drug infusion techniques,
nutritional support, infectious disease control and medical ethics.
Further information on our ACGME accredited anesthesia critical care fellowship and application process can be found here.
Intensivist Faculty: Drs. Prough, Koutrouvelis, Whitehead, Funston, Pacheco, Teegarden, Mann, Epperson, Lee, Wolf, and Saad.
Unit Statistics:
- Number of beds: budgeted for 12 beds; capacity is 16
- Number of patients seen per year: YTD as of September 2017 - approximately 4-5,000 units of service (patient days)
- Examples of surgical cases cared for: frequently admitted include trauma, CT surgery, LVADs, ECMO, GI, transplants (liver, heart, kidney), vascular
- Admission and care for complex/critically ill obstetrics and pulmonary medicine patients.
- Areas of coverage: ENT, GYN, Plastics, Transplant, Hepatobiliary, Cardiothoracic, Orthopedic, General Surgery and Trauma
- Unit is SEMI closed
- Multidisciplinary nature (Pharmacists, RN, RT, Pain Management,
Respiratory, Nutritionist, Social Work, PT/OT, Palliative/ethics)
Nursing:
- SICU received the Gold Beacon Award from AACN. The Beacon Award
is reflective of a work environment with greater collaboration between
colleagues and leaders, higher morale and lower turnover.
- Previous nurse manager received the AACCN Circle of Excellence
award for "creating a network of experts who continually generate
innovation and excellence in high acuity and critical care."
Fellowship is accredited by ACGME and ABA offers subspecialty
certification in CCM (one of the oldest accredited CCM programs in the
country)
ICU Teaching conferences: ICU Teaching block in
Anesthesiology residency. TRISAT regional webinar conferences every
Tuesday. Resident/Fellow teaching conference on Fridays. Noon ICU
lectures. ICU rounds educational topics. Critical Care Interdisciplinary
Journal Club.