The Transplant Surgical ICU (TSICU) is a mixed medical-surgical 10-bed combined ICU-IMU that serves the surgical specialty patient population, with a specific emphasis on liver, kidney, and pancreas transplant patients. In addition, the TSICU manages bariatric, otorhinolaryngology, urology, and general surgical patients through a multidisciplinary team composed of an ICU attending, fellow, nurse practitioner or physician assistant, pharmacist, respiratory therapist and nutritionist. Medical and nurse practitioner students are also trained in this ICU during the year. Formal rounds are conducted daily in this closed ICU, with regular coordination of care occurring throughout the day with specialty services such as transplant surgery, hepatology, nephrology, and otorhinolaryngology. The ICU is led by a medical director and nurse manager who work together to focus on quality of care and service to this patient population.
Lyndon B. Johnson General Hospital
We provided three important services to LBJ General Hospital (one of the two county hospital in the city). We are in charge of the Medical Surgical Intensive Care Unit (16 beds), pulmonary consult services and pulmonary outpatient clinic. The MSICU is a multidisciplinary unit essential to the PCCM fellowship training. MSICU at LBJ is a closed unit where we manage not only MICU patients but also provided ICU consults for other services such as surgical, obstetric, orthopedic. plastic, ENT/ophthalmology and cardiology patients. This rotation allows the fellows to obtain proficiency in the ICU management of complicated patients and learn to work in a multidisciplinary medical team. The pulmonary service at LBJ Hospital is one of the most interesting and rewarding services. We have a very well equipped bronchoscopy suite with a highly trained bronchoscopy nurse and technician. We performed regular bronchoscopic procedures including EBUS and advanced interventional procedures. The LBJ outpatient pulmonary clinic is a busy clinic with a very large number of patients with diverse pulmonary pathology.
We at UT Pulmonary and Critical Care Medicine have an academic relationship with one of the largest LTAC (Long Term Acute Care) hospitals in the city of Houston. Kindred at the medical center has a diverse group of patients that in particular include patients with Lung transplant, heart transplant and Mechanical Circulatory Support (MCS) devices. Our fellows rotate through Kindred as a part of their educational experience and are available throughout the week to manage acute care problems that the patients may encounter while at the Kindred Hospital. The lung transplant experience that our fellows gain from this rotation helps them manage end stage pulmonary diseases in a more effective manner. In addition, we continue to follow all critically ill patients that are being discharged from Memorial Hermann Hospital at the medical center, this provides our patients, faculty and fellows with continuity of care. We are also available for Pulmonary consults at the Kindred Hospital. Our faculty and fellows are well versed in all aspects of pulmonary and Critical care medicine. If necessary our team is highly capable to place arterial lines, central lines, perform thoracentesis, flexible bronchoscopies and advanced bronchoscopic procedures.