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Critical Care Medicine

Children's Hospital of Michigan at the Detroit Medical Center is southeast Michigan's major referral center for children who need the most sophisticated medical and surgical care. Many of these patients spend time in the Intensive Care Unit (ICU), which also receives referrals from northern Lower Michigan and the Upper Peninsula. State-of-the-art support and monitoring of critically ill children is available at the bedside.

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.

For further information call (313)-745-KIDS or toll-free at (888) 362-2500.

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