Cardiology | Fellowship | Cardiac Intensive Care Unit

Cardiac Intensive Care Unit

The CICU at St. Louis Children’s Hospital is a state-of-the-art, 16-bed, dedicated unit that provides all forms of cardiovascular intensive care for children and adults with congenital and acquired cardiovascular diseases. Approximately 400 patients are admitted to the CICU per year, with 35% of admissions for post-operative care, reflecting our internationally renowned heart failure/transplant program. Patients range in age from premature neonates to adults, and patient complexity and acuity are amongst the highest in the nation. A full range of clinical services is available, including mechanical circulatory support for heart failure patients with ventricular assist devices (Berlin Heart, HeartMate II, HeartWare, PediMag and CentriMag), the paracorporeal lung assist device system (Novalung and Quadrox oxygenators) and ECMO. Care is provided by a joint team comprised of faculty and trainees from Critical Care Medicine, Cardiology, and Cardiothoracic Surgery. The Critical Care Faculty are in house 24/7.

Cardiology fellows rotate in the CICU primarily during their second year (8 weeks) 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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