The 12-bed Cardiac Intensive Care Unit (CICU) in St. Louis Children’s Hospital is specifically geared toward the care of children with congenital and acquired heart disease. The unit has dedicated nursing and physician teams that offer state-of-the-art care for pre- and post-operative cardiac surgery patients and for critically ill cardiology patients, including those with end-stage heart failure. Care is provided by a joint team comprised of attendings and trainees from Critical Care Medicine, Cardiology, and Cardiothoracic Surgery. Cardiology fellows rotate in the CICU primarily during their second year (3 months) and also during their third year (2 weeks) and are actively involved in all aspects of ICU care, including ventilator management, sedation, use of vasoactive and anti-arrhythmic drugs, and performing bedside procedures. Through the demanding experience in this intense environment, fellows gain a greater understanding of cardiac pathophysiology, cardiopulmonary interactions, cardiac pharmacology, and the effects of cardiac surgery. Several fellows have arranged combined fellowships in pediatric cardiology and critical care leading to dual-board eligibility.
Cardiac Intensive Care Unit
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