Gas run Critical Care....

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sevoflurane

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Can anyone out there quote me what percentage of ICU's are run by anesthesia????? 😕 I am very curious about this number. In my part of the world they tend to keep to the OR.
 
sevoflurane said:
Can anyone out there quote me what percentage of ICU's are run by anesthesia????? 😕 I am very curious about this number. In my part of the world they tend to keep to the OR.


I am not sure about the West or Midwest. With my limited experience, in the South, anesthesia tends to keep to the OR and pain and ICU's tend to be run by their respective surgical services (trauma surgery in SICU, neurosurgery in NSICU, etc.), but in the North/Northeast, it seems that anesthesia is more active in managing the ICU's.
 
At Hopkins, SICU/PICU/CTSICU/NCCU (neuro) 85% run by anesthesia.
 
UF- Anesthesia runs SICU, and is moving to run CTICU. I believe residents may elect to spend ICU months in the PICU as well.

I'm curious about anesthesiology running PICU's. I was under the impression that this was a dedicated peds fellowship, with no way in from the anesthesiology angle unless you did a peds residency first. (Ironic, how they closed this door, what with a potential shortage of peds intensivists on the horizon...)

Any thoughts?
 
At Moffitt/Long (UCSF), the MICU is run by anesthesia ...
 
So if you do get a critical care fellowship, and if you don't get a job in one of the few places where anesthesiologists run the icu, then what do you do? I love CC, but that seems like not the best odds.
 
G0S2 said:
Texas San Antonio- SICU is run by anesthesia.

When I was there at UTHSCSA, the trauma surgeons ran the SICU at the University, unless things have changed in 3 years. I know at Wilford Hall, anaesthesia runs it.
 
Daniel Trolene said:
At Moffitt/Long (UCSF), the MICU is run by anesthesia ...

That's scary.
 
Eidolon6 said:
That's scary.


I don't think it is scary at all. I consider myself an internist in the OR. I think that an Anesthesiologist could do just as well of a job as a Pulmonary physican handling the MICU. Critical care is critical care. Surgical and Medical patients all get sepsis, ARDS, PE, etc etc...

I think I can manage CHF and COPD exacerbations pretty well without doing an IM residency.
 
Eidolon6 said:
When I was there at UTHSCSA, the trauma surgeons ran the SICU at the University, unless things have changed in 3 years. I know at Wilford Hall, anaesthesia runs it.


That may be. I should have clarified and said the SICU at the VA attached to UTHSCSA is run by anesthesia.


Thanks
 
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