General Surgery Critical Care Unit I

Our hospital's SICU was established and put into operation in 1992. It was one of the five ICU training bases in China whose establishment was directly supported by the Ministry of Health at that time, and was also one of the earliest ICUs in China dedicated specifically to the management of critically ill general surgery patients. The SICU has 12 open beds. It currently has 11 physicians, including 1 professor and chief physician; 3 associate professors and associate chief physicians; 4 lecturers and attending physicians; and 3 resident physicians. 6 of the physicians have obtained or are pursuing doctoral or master's degrees in medicine. Some physicians have studied or undertaken advanced training in the United States, Hong Kong, and elsewhere. The SICU is currently the institutional base of a deputy chairperson of the Critical Care Medicine Branch of the Chinese Medical Association and of the chairperson of the Critical Care Medicine Branch of Guangdong Province. The SICU adheres to a patient-centered approach, works to build harmonious doctor-patient relationships, and successfully fulfills all medical targets each year. It mainly admits critically ill patients from the departments of surgery, obstetrics and gynecology, stomatology, and otorhinolaryngology. Conditions treated include sepsis, septic shock, hypovolemic shock, cardiogenic shock, obstructive shock, severe pneumonia, thymoma complicated by myasthenic crisis, acute peritonitis, thoracic / abdominal aortic aneurysm, liver transplantation, kidney transplantation, multivisceral transplantation, and perioperative patients with concomitant organ dysfunction. All SICU physicians are proficient in commonly used and advanced critical care skills, including endotracheal intubation, deep venous puncture, arterial puncture, fiberoptic bronchoscopy for examination and treatment, SWAN-GANZ floating catheter placement, PICCO technology, Weijieliu monitoring technology, blood purification technology, etc. For all patients transferred into the unit, close, dynamic, and accurate monitoring and timely, efficient treatment are provided. This ensures the smooth completion of all difficult, complex, and critical operations in every specialty. At the same time, in clinical development, we actively develop and maintain our strengths in hemodynamic and oxygen metabolism monitoring, continuous bedside blood purification, early goal-directed therapy for SEPSIS, and the development and application of new technologies and new projects: ① neurally adjusted ventilatory assist (NAVA) technology; ② HVHF (high-flow blood purification technology); ③ continuous cardiac output and SvO 2 monitoring technology as routine clinical monitoring; ④ targeted monitoring of catheter-related infections; in particular, the application of new technologies and new theories in hemodynamic management, continuous renal replacement therapy (CRRT), oxygen metabolism management, airway management and mechanical ventilation, severe pancreatitis, and liver transplantation management is at the forefront in China. Over the past 3 years, the SICU has admitted an annual average of 800-900 surgical critically ill patients; the proportion of critically ill patients has reached 75-80%, and the rescue success rate for critically ill surgical patients has reached 85-93%, providing sufficient assurance for the performance of complex and critical operations. The SICU has become one of the windows into our hospital's overall strength.

Personnel: Department Director: Chen Juan Deputy Directors: Ouyang Bin Chen Minying Academic Leader (Chief Expert): Guan Xiangdong Director: Chen Juan Deputy Directors: Ouyang Bin Chen Minying Senior-title Personnel: Guan Xiangdong Associate-senior-title Personnel: Chen Minying Chen Juan Ouyang Bin Wu Jianfeng