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Critical Care Anesthesia
Clinical Services
Bellevue Hospital
Bellevue is a busy city hospital with a large base of critically ill trauma patients. It is a level I Trauma Center, a brain and spinal cord injury center, and a reimplantation center. The Department of Anesthesiology shares responsibility for the care of all Bellevue Hospital patients in the Surgical ICU except for routine post-cardiac bypass patients. We see a wide variety of trauma, general surgical, thoracic, neurosurgical, vascular and cardiac surgical patients. At Bellevue Hospital, this amounts to an average of 3000 patient visits per year.
Clinical responsibilities include daily morning attending rounds, work rounds, procedure supervision, didactic teaching and topical reviews, case presentations, and discussions and research. Staffing is provided by anesthesiology residents, critical care fellows and board certified critical care attendings from the departments of anesthesiology and surgery.
The Trauma Anesthesia and Critical Care (TRACC) service at Bellevue Hospital was established in 1994. The critical care physician is integrally involved in the perioperative care of these patients when they become critically ill. In addition, the TRACC resident is a member of the trauma response team. The TRACC resident is called to the ER trauma alerts and participates in patient evaluation and management. In the Bellevue Surgical ICU, the TRACC service works closely with the primary service to determine and carry out the plan for patient management.
Tisch Hospital
Tisch Hospital is a University Hospital with a large referral base where the resident experiences both the common ICU problems, as well as the unusual and complex ICU patient. At Tisch Hospital, all surgical, cardiovascular and medical ICU patients are managed or co-managed by a multidisciplinary critical care team. Staffing is provided by anesthesiology, medicine and surgical residents, critical care fellows from the departments of anesthesiology and medicine, and attendings of the critical care faculty group practice, which consists of board certified critical care attendings from the departments of anesthesiology, medicine, and surgery.
Faculty
Anesthesiology critical care faculty include Dr. Brian Kaufman, Co-Director of Critical Care at Tisch Hospital, Director of the Surgical ICU and Neurosurgical ICU at Tisch Hospital, and Director of the Section of Critical Care Medicine of the Department of Anesthesiology and Department of Medicine; Dr. David Roccaforte, Co-Director of the Surgical ICU at Bellevue Hospital, Dr. Martin Griffel, Director of the Cardiovascular Surgery ICU at Tisch Hospital and Dr. Edwin Weeks.
