ICU

Surgical ICUs at the University of Michigan

There are 2 primary surgical ICUs that Anesthesiology residents will rotate through (CVC ICU & SICU) as well as two other ICUs where patients requiring operations will be cared for (TBICU & NICU). All together, there are 70 adult Surgical ICU beds, accounting for over 4000 admissions/year. The complete range of operations are represented by this population, often including complex ‘re-do’ operations, repairs/reconstructions after previous surgeries, transfers from other institutions. Experience will also be obtained by consulting on, or caring for patients in the 20 bed Medical ICU (MICU), or the 10 bed Cardiology ICU (CICU) who may require emergent airway management or who may be going to the ORs.

CVC ICU
The Cardiovascular Center (CVC) ICU is a 24 bed unit where patients recovering from or requiring cardiac, thoracic, vascular operations will be cared for. There are approximately 1200 admissions/year to this unit. Patient and disease categories include post cardiotomy, major thoracic operations of the lung, esophagus, mediastinum, acute aortic dissections, the entire array of aortic and major vascular reconstructions, mechanical assist devices for acute and chronic heart failure including ventricular assist devices, total artificial hearts, ECMO, and transplantation of heart and lung.

The ICU is divided into two teams of residents, ICU Physician extenders (NPs & Pas) Intensivists as well as a complete compliment of ancillary medical providers. Fellows from Critical Care, Cardiac Anesthesiology and Cardiology compliment the teams. These two teams combine for night coverage with in-house call averaging every fourth night for residents.

SICU
The Surgical Intensive Care Unit (SICU) is a 20 bed unit where patients from all the major branches of surgery are cared for. The SICU admits over 1500 cases/year. The SICU also accepts overflow patients from other adult ICUs including medical ICUs. The SICU team is comprised of both Anesthesiology and Surgery residents, fellows and faculty. There is always a junior and senior resident as well as an in-house fellow on call. In house call averages every fourth night. The SICU is under the medical direction of Dr. Lena Napolitano, an internationally recognized surgical critical care expert.

MICU
The Medical Intensive Care Unit (MICU) is a 20 bed general medical ICU that accepts and manages a variety of serious medical disorders or complications requiring intensive care. Special emphasis includes referrals for severe ARDS, decompensated interstitial lung diseases and acute hepatic failure. The University of Michigan has been a leading center in the National ARDS Network as well as coordinating center for several pulmonary SCOR grants. The ICU team is directed by Dr. Rober Hyzy MD, a noted pulmonary intensivist and is comprised of a medical/pulmonary intensivists, pulmonary ICU fellows, senior and junior medical residents as well as a multidisciplinary team of allied health care providers.

NICU
The Neurosurgical Intensive Care Unit (NICU) is a 15 bed ICU that manages all acute neurologic and neurosurgical intensive care patients including acute cerebrovascular emergensies, and all peri-operative patients with complex cerebral pathologies. The ICU is directed by Theresa Jacobs, M.D., a Neurologist/Intensivist.

TBICU

The Trauma-Burn Intensive Care Unit (TBICU) is level 1 accredited 12 bed acute ICU and another 10 bed step-down unit that admits over 1500 patients with severe multiple traumatic injuries, and burns. The UMMC operates numerous rotary and fixed wing aircraft that support the statewide role of this unit in treating the most complex and severely injured patients in the state of Michigan as well as beyond.

			University of Michigan Health System
			Department of Anesthesiology Division of Critical Care ADMINISTRATIVE






		Description of the ICUs at the University of Michigan
	Surgical ICUs at the University of Michigan There are 2 primary surgical ICUs that Anesthesiology residents will rotate through (CVC ICU & SICU) as well as two other ICUs where patients requiring operations will be cared for (TBICU & NICU). All together, there are 70 adult Surgical ICU beds, accounting for over 4000 admissions/year. The complete range of operations are represented by this population, often including complex ‘re-do’ operations, repairs/reconstructions after previous surgeries, transfers from other institutions. Experience will also be obtained by consulting on, or caring for patients in the 20 bed Medical ICU (MICU), or the 10 bed Cardiology ICU (CICU) who may require emergent airway management or who may be going to the ORs. CVC ICU The Cardiovascular Center (CVC) ICU is a 24 bed unit where patients recovering from or requiring cardiac, thoracic, vascular operations will be cared for. There are approximately 1200 admissions/year to this unit. Patient and disease categories include post cardiotomy, major thoracic operations of the lung, esophagus, mediastinum, acute aortic dissections, the entire array of aortic and major vascular reconstructions, mechanical assist devices for acute and chronic heart failure including ventricular assist devices, total artificial hearts, ECMO, and transplantation of heart and lung. The ICU is divided into two teams of residents, ICU Physician extenders (NPs & Pas) Intensivists as well as a complete compliment of ancillary medical providers. Fellows from Critical Care, Cardiac Anesthesiology and Cardiology compliment the teams. These two teams combine for night coverage with in-house call averaging every fourth night for residents. SICU The Surgical Intensive Care Unit (SICU) is a 20 bed unit where patients from all the major branches of surgery are cared for. The SICU admits over 1500 cases/year. The SICU also accepts overflow patients from other adult ICUs including medical ICUs. The SICU team is comprised of both Anesthesiology and Surgery residents, fellows and faculty. There is always a junior and senior resident as well as an in-house fellow on call. In house call averages every fourth night. The SICU is under the medical direction of Dr. Lena Napolitano, an internationally recognized surgical critical care expert. *MICU* The Medical Intensive Care Unit (MICU) is a 20 bed general medical ICU that accepts and manages a variety of serious medical disorders or complications requiring intensive care. Special emphasis includes referrals for severe ARDS, decompensated interstitial lung diseases and acute hepatic failure. The University of Michigan has been a leading center in the National ARDS Network as well as coordinating center for several pulmonary SCOR grants. The ICU team is directed by Dr. Rober Hyzy MD, a noted pulmonary intensivist and is comprised of a medical/pulmonary intensivists, pulmonary ICU fellows, senior and junior medical residents as well as a multidisciplinary team of allied health care providers. *NICU* The Neurosurgical Intensive Care Unit (NICU) is a 15 bed ICU that manages all acute neurologic and neurosurgical intensive care patients including acute cerebrovascular emergensies, and all peri-operative patients with complex cerebral pathologies. The ICU is directed by Theresa Jacobs, M.D., a Neurologist/Intensivist. *TBICU* The Trauma-Burn Intensive Care Unit (TBICU) is level 1 accredited 12 bed acute ICU and another 10 bed step-down unit that admits over 1500 patients with severe multiple traumatic injuries, and burns. The UMMC operates numerous rotary and fixed wing aircraft that support the statewide role of this unit in treating the most complex and severely injured patients in the state of Michigan as well as beyond. Other ICUs at UMHS

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