Mount Sinai Health System Hospital Campuses: Mount Sinai Beth Israel • Mount Sinai Beth Israel Brooklyn • The Mount Sinai Hospital
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Surgical Critical Care and Acute Care Surgery
The Surgical Critical Care Division runs the Surgical Intensive Care Unit (SICU) at Mount Sinai Beth Israel. Patients with complex surgery, complications of surgery, and major organ dysfunction (for instance, heart, lung, kidney) may require a stay in the SICU where they can receive breathing, blood pressure, kidney and other support not available elsewhere in the hospital.
Surgical Intensivists: 24/7 Coverage and Acute
Every morning at Mount Sinai Beth Israel, the attending intensivist leads a team of residents, physician assistants, respiratory therapists, nutritionists and pharmacists through a review of each SICU patientís status. The team monitors the brain, heart, lung, kidney, liver, gut, nutritional, infectious, fluid and electrolyte, blood and clotting status, and formulates a plan for the day. Care is coordinated between the SICU team and the surgical team on a twice-daily basis. The surgical intensivistís office is next door to the SICU and an attending intensivist is present in the hospital 24 hours a day, seven days a week.
Surgical intensivists also perform surgery, mostly on patients who require acute care surgery, and who often have come in through the Emergency Department or via direct referrals from doctorsí offices. Such acute care surgeries include:
Surgical intensivists also perform elective surgery on high-risk patients. For instance, a patient with severe heart failure or emphysema or one who has kidney failure and is on dialysis may require elective colon, hernia or gallbladder surgery. The safe management of their surgery may require several days in the SICU to closely monitor the heart, artificial ventilation or dialysis in the immediate period of instability after surgery. In these cases, the SICU team provides both the operative care and the SICU care.
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