Medical Director: Anthony Carlese, DO
Nursing Director: Theresa Letizia, RN
This 12-bed North 3 Heart Center Unit is a teaching unit and NHLBI-supported research center.
Cardiothoracic Surgery, Cardiology and Critical Care jointly manage the patients. Critical Care Medicine is directly responsible for the management and staffing of the CSICU. All procedures are done by Cardiothoracic Surgery or Critical Care housestaff. Critical Care Medicine house staff manage surgical complications, pacemakers, arrhythmias, and coagulation disorders and post-operative respiratory and renal insufficiency.
The unit is staffed with a CCM attending, two CCM fellows, and a CCM PA. A Cardiothoracic Surgery fellow and PA staff are also included.
CSICU patients present with coronary artery bypass graft, valvular surgery and thoracic surgery. In addition, there is a rapidly expanding heart transplant program and a ventricular assist device (VAD) program. Patients after rountine heart surgery, heart transplant, implantation of ventricular assist devices make up the majority of the pathology scene.
Critical Care Medicine Fellowship Training Program fellows rotating through the Montefiore CSICU gain exposure to management of perioperative cardiac failure and cardiogenic shock, post-operative emergencies including cardiac tamponade and hemorrhage, severe respiratory failure and renal failure. Acute cardiac medical intensive care diagnoses include myocardial infarction, unstable angina, cardiogenic shock and complex arrhthymias.
The Montefiore Medical Center Adult Cardiothoracic ICU is the primary site for providing ECMO services for adult patients.
In 2012 Montefiore Medical Center was named a Center of Excellence by the Extracorporeal Life Support Organization (ELSO).