Intensive Care Units
Medical Surgical Intensive Care Unit (MSICU)
The medical surgical intensive care unit, with 24 beds, is a large
tertiary and quaternary unit serving a full range of patients served
medical and surgical programs of the Hospital and receiving patients
within and outside the city. Specialized services and expertise include
complex ventilation, dialysis and continuous dialysis, specialized
hematology and sepsis services (60%) and those surgical services
without program specific
critical care units (40 per cent). Those services are predominately vascular,
general surgery/MIS and orthopedics.
Care Unit (CVICU)
The cardiovascular intensive care unit, with 13 beds, determines its population
in close cooperation with the Cardiac Care Network of Ontario.
Specific targets are set at the Ontario Ministry of Health. Typically, there
are approximately 1200 admissions per year with a relatively high proportion
of higher risk and complex surgical patients. Weighted cases in 2001/2 were 6,183
with 60 per cent elective cases and an average LOS of 3.5 days.
& Neurosurgery Intensive Care Unit (TNICU)
The Trauma and Neurosurgery Unit has 19 beds and serves two sets of patients. The hospital is a designated regional trauma centre for patients with multi-system
trauma (typically an ISS >15). The unit serves the area of Metro Toronto with
a geographic division (with Sunnybrook) and patients transported from outside
the city on alternating days through Criticall. There are approximately 400/yr
with ISS >15. The neurosurgical ICU beds serve a large tertiary neurosurgical
patient population as well as certain quaternary neurosurgical programs (pituitary,
skull base). The unit serves a large proportion of the Critical
Cardiac Intensive Care Unit (CICU)
The cardiac intensive care unit, with two ventilated and eight cardiac care beds, serves
a variety of patients but most commonly those with acute coronary syndromes
both from our local catchment area and the emergency department. It also serves
as a tertiary and quaternary referral from regional hospitals and facilitates
with advanced interventional cardiological procedures.
Note: All these units
are organized on a multidisciplinary team model, with decision making
process involving all the members of the team. At the unit level these teams
to patient care and a specific clinical area of expertise.