There are different kinds of ICU. There's
a General ICU, which will handle pretty much
all types of ICU patients. There's a Medical
ICU, which manages patients with medical
conditions not secondary to surgery. So for instance,
renal failure, diabetes, neurologic
disease would be handled in a medical ICU.
There's Surgical ICU, which manages
patients who are very sick and who
have had or will need surgery. And
they may be come after surgery
or actually being prepared for surgery.
There's Cardiac Surgical ICUs, which usually
are managed by cardiac anesthesiologists and care
for patients after open heart surgery.
There are Neurologic Intensive Care Units,
primarily for patients with head injuries or serious
neurologic conditions, which are handled primarily
by neurosurgeons and intensivists,
or neurosurgeons and neurologists.
There are trauma ICUs for patients with life
threatening injuries following trauma. And these
can be, are usually handled by either trauma
surgeons, and intensivists in partnership.
And finally, there are Coronary Care Units for patients with ischemic
heart disease, which are usually managed by cardiologists.
In addition, one that I haven't put on the slide,
but one that is often considered
an ICU, is the Post-Anesthesia Care Unit,
the PACU, which I discussed
in an earlier lecture.
So the ICU physician,