Seattle Children's Hospital is a 420-bed hospital and home to an award-winning, state-of-the-art PICU and the University of Washington Pediatric Critical Care Medicine Fellowship. Seattle Children's serves the largest geographic area of any children's hospital in the country and is the sole academic pediatric medical center for Washington, Wyoming, Alaska, Montana, and Idaho (WWAMI). Seattle Children’s is the major pediatric extracorporeal life support (ECLS) referral center for the region, and approximately 50 children per year receive ECLS support in the PICU, CICU and NICU. Seattle Children’s has an active solid organ transplant service that performs 40-45 liver, kidney and small bowel transplants per year. In addition, Seattle Children’s is part of the Seattle Cancer Care Alliance and provides care for children and young adults with cancer, including hematopoietic stem cell transplants and CAR-T cell therapies.
The Pediatric Intensive Care Unit (PICU) has 38 single-patient beds to care for critically ill children with medical and surgical disease up to age 21. Of the 2000 annual PICU admissions, approximately 600 are surgical. Three separate critical care teams provide multidisciplinary, family-centered care to all patients. Two teams have pediatric residents, a PCCM fellow, and a PCCM attending physician. The third team has advanced practice providers and a PCCM attending physician. Critical care teams participate in joint bedside rounds with hematology-oncology, bone marrow transplant, hepatic and intestinal failure and solid organ transplant teams. Additional subspecialty consultants may join bedside rounds at the request of the critical care team.
The Cardiac Intensive Care Unit (CICU) has 20 single-patient beds to care for children with congenital and acquired heart disease, both medical and surgical. The CICU has 700 annual admissions, including 400 cardiopulmonary bypass cases per year. Seattle Children’s is the major regional pediatric heart transplant center and performs 15-20 heart transplants per year. Newborns with congenital heart disease are cared for in the CICU with Neonatology consulting. Two critical care teams provide family-centered care to all patients. Both teams have fellows from PCCM, cardiology, and anesthesia, advanced practice providers and a CICU attending physician. Care teams participate in joint bedside rounds with cardiac surgery, heart failure and inpatient cardiology teams.