Subspecialties

Critical Care

Residency

Critical Care

The Division of Critical Care Medicine provides primary consultative critical care in both the Cardiovascular ICU (CVICU) and the Neurosciences ICU (NSICU) at the UK Chandler Medical Center. Anesthesiologists lead a team comprised of fellows, residents, surgeons, nurses, pharmacists, respiratory therapist, dieticians and others to provide care to a wide variety of patients across these specialty units. 

In addition, the Division of Critical Care Medicine provides consultative critical care to postoperative surgical patients admitted to the ICU following abdominal organ transplantation, ENT, plastics, urologic and other types of general and specialized surgeries.

Anesthesiology Residency rotations in Critical Care Medicine are based primarily in the CVICU and the NSICU.  During these rotations, anesthesiologist critical care specialists lead a team comprised of residents, fellows, surgeons, nurses, pharmacists, respiratory therapist, dieticians and many others.

In the CVICU, our team works closely with surgeons to care for critically ill patients following complex cardiac and thoracic surgeries including both heart and lung transplants. The team also provides consultative support to patients requiring mechanical cardiac support devices such as ventricular assist devices (VADs) and total artificial hearts (TAH), as well as, for those patients with severe cardiac or respiratory system failure who require extra corporeal membrane oxygenation (ECMO).

In the NSICU, our multidisciplinary team works closely with stroke neurologists and neurosurgeons to care for a variety of intracranial pathologies including ischemic stroke, subarachnoid hemorrhage, traumatic brain injury, spinal cord injury, intracranial tumors, and patients with status epilepticus, as well as, to mitigate the effect of pre-existing or co-existing multi-organ dysfunction in these patients.

Didactic education occurs daily on anesthesiologist-led teaching rounds which focuses on patient-related pathology and trains fellows to develop a framework for information processing and decision-making skills.  Formal didactic lectures occur weekly with our surgical critical care colleagues and cover a broad range of critical care topics from a variety of specialties including local, regional and national experts.  Residents will also develop diagnostic and procedural skills, including bedside point of care ultrasound and the placement and utilization of arterial lines, central lines, pulmonary artery catheters, chest tubes, thoracentesis, paracentesis, and endotracheal intubation in critically ill patients.

Due to its large referral base and native patient population, the UK Chandler Hospital has among the highest patient acuity rates seen in the country.  As such, our Anesthesiology Critical Care Medicine Teams are challenged with very sick but incredibly rewarding patient cases on a daily basis.  Our residents play a pivotal role on our critical care teams and are rewarded with incredible experience, knowledge, decision-making opportunities, and invaluable hands-on diagnostic and procedural skills during their training.

 

Fellowship

The Department of Anesthesiology and the University of Kentucky offers a one-year ACGME-accredited fellowship in Anesthesiology Critical Care Medicine. The fellowship consists of 12 months of full time training beginning after satisfactory completion of an ACGME-accredited anesthesiology residency program.

The Division of Critical Care Medicine provides primary consultative critical care in both the Cardiovascular ICU (CVICU), as well as, the Neurosciences ICU (NSICU) at the UK Chandler Medical Center. Anesthesiologists lead a team comprised of fellows, residents, surgeons, nurses, pharmacists, respiratory therapist, dieticians and others to provide care to a wide variety of patients across these specialty units.  In addition, the Division of Critical Care Medicine provides consultative critical care to postoperative surgical patients admitted to the ICU following abdominal organ transplantation, ENT, plastics, urologic and other types of general and specialized surgeries.

In the CVICU our team works diligently to care for critically ill patients following complex cardiothoracic surgery, including cardiac revascularizations, valve replacements surgeries, lung resections, esophageal resections, and both heart and lung transplants. The multidisciplinary team also provides care to patients requiring various mechanical cardiac support devices such as right or left ventricular assist devices (VADs), total artificial hearts (TAH) and for those patients who require veno-arterial or veno-venous extra corporeal membrane oxygenation (ECMO).

In the NSICU, our multidisciplinary team works closely with stroke neurologists and neurosurgeons to care for a variety of intracranial pathologies including ischemic stroke, subarachnoid hemorrhage, traumatic brain injury, spinal cord injury, intracranial tumors, and patients with status epilepticus, as well as, to mitigate the effect of pre-existing or co-existing multi-organ dysfunction in these patients.

Critical Care fellows will rotate in both the CVICU and the NSICU, as well as, the Medicine ICU (MICU) and the Trauma ICU (TICU).  These rotations expose fellows to many different aspects of critical care medicine.  Fellows will also spend two months in electives of their choice, including transesophageal echocardiography, point of care ultrasound, nephrology, hepatology, infectious disease, nutrition medicine, transfusion medicine and numerous others that are designed to further hone their critical care knowledge and expertise.

Didactic education occurs daily on anesthesiologist-led teaching rounds which focuses on patient-related pathology and trains fellows to develop a framework for information processing and decision-making skills.  Formal didactic lectures occur weekly with our surgical critical care colleagues and cover a broad range of critical care topics from a variety of specialties including local, regional and national experts.

Due to its large referral base and native patient population, the UK Chandler Hospital has among the highest patient acuity rates seen in the country.  As such, our Anesthesiology Critical Care Medicine Teams are challenged with very sick but incredibly rewarding patient cases on a daily basis.  Our fellows play a pivotal role on our critical care teams and are rewarded with incredible experience, knowledge, decision-making opportunities, and invaluable hands-on diagnostic and procedural skills during their training.