Department of Anesthesia, Critical Care and Pain Medicine (Education Division)
Beth Israel Deaconess Medical Center
East Campus, Rabb 239
330 Brookline Avenue
Boston, MA 02215
A Day in the Life
"The SICU usually houses approximately 15 patients, with a variety of general, thoracic, transplant, hepatobiliary, and neurosurgical illnesses. The Trauma SICU houses another 10-15 patients, usually with recent blunt or penetrating trauma, in addition to thoracic, vascular, and general surgery patients. Resident rotators are drawn from the anesthesia and surgical departments, which provides for great collaboration and communication with consulting teams. Rounds generally start at 7:30; I try to arrive around 7:00 to orient myself to overnight events (and, importantly, drink coffee). Rounds are led by the rotating SICU fellow and attending. After rounds complete, the team takes care of any urgent issues before heading to lecture. Lectures are usually 45-60 minutes and cover acutely-relevant ICU topics. After grabbing some lunch, residents usually divide up procedures and stabilize any lingering patient issues. As an anesthesia resident, I've gained a lot of familiarity with placing internal jugular central lines in the OR, but the ICU provides the opportunity to place lines at other sites, perform bronchoscopies, place challenging arterial lines, perform bedside echocardiography, and quite a few other non-OR based procedures. Evenings are covered by the on-call resident and the in-house anesthesiology intensivist. With any luck, I can grab some sleep - or at least some coffee while stabilizing the latest critically ill admission. All told, the SICU is a great rotation."
-Aaron Mittel, Class of 2016