Critical Care Division
What is Critical Care Medicine?
The Intensive Care Unit is home to practitioners of Critical Care Medicine. It is the place where the efforts of multidisciplinary medical specialists and support staff bring their knowledge to bear on acute illness. The critical care specialist coordinates these efforts by carefully balancing the available technology and the needs of the patient to provide the highest quality of patient care. The ICU is also home to the teaching of medical students, residents, and fellows; and is a ‘laboratory of the highest order’ where invention and innovation occur continuously and is often the focal point for the future of medicine.
UNC Hospitals developed the nation’s first ICU.
What is the Critical Care Division at UNC comprised of?
The Critical Care Division provides services in the 16-bed Cardiothoracic Intensive Care Unit (CVTICU) to which cardiac, thoracic, and vascular patients are admitted, as well as the 16-bed Surgical Intensive Care Unit to which critically ill general surgery, trauma, and abdominal transplant patients are admitted. The critical care team manages all aspects of a patient’s care. Both units are true multidisciplinary teams where physicians, residents, medical students, advanced practice providers, nurses, pharmacists, respiratory therapists, physical therapists, occupational therapists and dieticians all come together to take the best care possible of the patients.
Typically, the CVTICU team is comprised of senior anesthesia residents, cardiothoracic surgery residents, advanced practice providers, and medical students. Students and residents rotating here will have the opportunity to manage heart transplants, lung transplants, LVADs, ECMO, transcatheter valve replacements, open aneurysms and dissections, and other complex cardiac, thoracic, and vascular surgery patients. This unique and interesting patient population provides great opportunities for learning.
Typically, the SICU team is comprised of a critical care fellow, general surgery residents, anesthesia residents, and interns from various specialties: anesthesia, surgery, surgical subspecialties, emergency, and ob/gyn as well as medical students. Students and residents rotating here will the opportunity to manage multiple types of transplant patients (kidney, liver, pancreas, autologous islet cell), polytrauma victims, complex surgical oncology patients, HIPEC patients, patients in septic shock and a plethora of other interesting surgical patients. All surgical services, except the aforementioned vascular and cardiothoracic, admit their patients to the SICU.
FOCUS on POCUS
What is on the horizon for Critical Care at UNC?
The members of the Critical Care team include:
Meena Bhatia, MD, Dr. Meena Bhatia completed her anesthesiology residency at Rush University Medical Center in Chicago, IL. After her residency, she completed a critical care fellowship at the University of Chicago. She then went on to pursue a cardiothoracic fellowship at St. Luke’s Texas Heart Institute in Houston, TX. She serves as the interim division chief of critical care at UNC. Her academic interests include; peri-operative acute kidney injury, lung protective ventilation, blood conservation management, and education.
Mark Henry, MD, Dr. Mark Henry is a Clinical Assistant Professor of Anesthesiology. He completed anesthesia residency at the Medical University of South Carolina in Charleston followed by Critical Care Medicine and Cardiothoracic Anesthesiology fellowships – both at Vanderbilt University Medical Center, Nashville, TN. His primary interest is clinical education: preparing learners to care for patients and educate others. Other interests include: Veno-Arterial Extracorporeal Support (V-A ECMO), ICU Liberation (Sedation, pain control, early extubation and early mobilization), and the Post Intensive Care Syndrome.
Shawn Jia, MD, Dr. Shawn Jia is an anesthesiologist and critical care physician at UNC Hospital. He completed his anesthesiology residency at Duke University Medical Center and critical care fellowship at University of California San Francisco Hospital. His interests include critical care ultrasound, medical education, and peri-operative quality improvement.