sutures newsletter


P & T Approvals, FDA Warnings About Testosterone Products, Treanda, Chantix

Pharmacy Focus

See highlights of the February meeting of the Pharmacy and Therapeutics Committee. Also, the U.S. Food and Drug Administration has issued warnings about prescription testosterone products, Treanda and Chantix.

Mark Your Calendar

Surgery Grand Rounds

Click the "read more" to see information about upcoming Surgery Grand Rounds.

Grand Rounds

Click here to view a schedule of all upcoming grand rounds.

Surgery Scheduling

Click the "read more" for hours and contact information for surgery scheduling.

Share Your News

Know an interesting colleague we should profile? A story we should tell? Submit your ideas, meetings and events for consideration.

Click here to submit your news to Sutures

SICU Can Be Right Choice for Critically Ill Patients

By Eric Ley, MD
Director, Surgical Intensive Care Unit

If you have a critically ill surgical patient who requires a higher level of care, consider the Cedars-Sinai Surgical Intensive Care Unit (SICU). The unit provides state-of-the-art treatment to more than 1,800 patients each year.

To discuss a patient, you can phone a surgical critical care fellow anytime at 310-423-7430. SICU fellows complete a one-year surgical critical care program approved by the Accreditation Council for Graduate Medical Education.

We train leaders in academic surgical critical care through an intensive clinical and educational experience. Two surgical fellows are accepted annually, and we have a 100 percent pass rate for board certification dating back to 2008. Our fellows this year are David Hoang, GL4, and Jason Murry, GL6.

The SICU is managed 24 hours a day by in-house faculty from the Acute Care Surgery Service. All of our attendings are boarded in Surgery and Surgical Critical Care. Morning rounds begin at 8 a.m., afternoon rounds are at 3 p.m., and evening rounds occur after 6 p.m. The SICU attending decides if the admission or stay is appropriate.

Prior to patient admission, the primary team must discuss a plan of care with the SICU team; this is especially important for patients admitted from the operating room due to rapid changes that occur during the immediate post-operative period. The SICU team is not an admitting service, so the H/P and admission orders are generated by the primary team. After patient admission, all orders are signed off by the SICU team, so to avoid delays, it is important to communicate your plan with the team.

If a patient deteriorates and emergent care is immediately required, the SICU team is a terrific resource. We can guide critical care prior to SICU admission and, as each attending is surgically trained, can assist in the O.R. The immediate availability of a surgical intensivist 24 hours a day can be especially helpful for after-hours assistance.