Founded in 1981, CICU was independent from the surgical intensive care unit in January 2016. This is a young and battle-hardened department, which integrates medical, teaching and scientific research. It has 2 chief physicians, 3 attending physicians, and 3 resident physicians, 3 of them with doctoral degree and 5 with master degree. There are currently 18 beds, receiving about 1500 cases of critically ill children with various types of complicated congenital heart diseases (transposition of the great arteries, total anomalous pulmonary venous return, ulmonary atresia, left heart dysplasia syndrome, interruption of aortic arch, truncus arteriosus, etc.) and thoracic surgeries （ neonatal diaphragmatic hernia, neonatal esophageal atresia, etc.), from Zhejiang Province and other provinces and cities. The cure rate in the department is 98.7%.
The department is equipped with advanced medical equipments ，such as aadvanced vital signs central monitoring system, various non-invasive auxiliary ventilation equipment and constant frequency high frequency ventilator, bedsid X-Ray machine,temperature changing blanket treatment instrument, bedside fiber bronchoscope, bedside 24-hour continuous EEG monitor, bedside defibrillator, bedside ultrasound machine, near-infrared tissue blood oxygen parameter non-destructive monitor, to ensure that the best quality care are available for all critically ill children. It carries out various of diagnosis and treatment technologies, including the comprehensive treatment technology of ECMO, VAD, NAVA mechanical ventilation, NIRS monitoring, PICCO cardiac displacement monitoring, bedside ultrasound cardiac function monitoring, dynamic brain function monitoring, and pulmonary hypertension, bedside fiber bronchoscope alveolar lavage, bedside peritoneal dialysis, temporary pacemaker, bedside thoracotomy, etc. In addition, it pays attention to the exchanges and cooperation with many domestic and foreign first-class children's hospitals for personnel training and research projects.
(1) Various types of complex congenital heart diseases: postoperative care of complete transposition of the great arteries, complete ectopic drainage of pulmonary veins, pulmonary atresia, left heart dysplasia syndrome, interruption of aortic arch, permanent arterial trunk, double ventricular right ventricular, common atrioventricular pathway, tricuspid valve malformation, and tricuspid atresia.
(2) Various types of congenital heart disease: thoracotomy for ventricular septal defect, atrial septal defect, and patent ductus arteriosus; perioperative monitoring and treatment of interventional surgeries.
(3) Various types of thoracic surgery: postoperative care of thoracotomy and congenital diaphragmatic hernia, congenital esophageal atresia, congenital esophageal hiatal hernia, and mediastinal tumor.
After years of clinical practice and research, Cardiac Intensive Care Unit has formed a complete series of standardized treatment and care of perioperatvie period for critically ill patients, including congenital heart diseases, open heart surgery, heart failure, low cardiac output syndrome, pulmonary hypertension crisis, severe arrhythmia, shock, respiratory failure, capillary leak syndrome. Ventilator management, liquid management and nutrition support, perioperative organ protection strategies, coagulation management of critically ill patients have reached the leading position, especially in the perioperative management of neonatal critical and complicated congenital heart diseases.
The department annually treats about 1,500 critically ill patients with complicated congenital heart surgeries, including complete large vessel dislocation, single ventricle, complete atrioventricular passage, left ventricular dysplasia syndrome, right ventricular double outlet, complete pulmonary venous drainage, permanent arterial trunk, aortic arch interruption, corrected large vessel dislocation, pulmonary artery atresia, etc.; and thoracic surgery patients with congenital diaphragmatic hernia, esophageal hiatal hernia, congenital diaphragmatic eventration, mediastinal tumors, complex congenital heart mosaic surgery, etc. It successfully carried out postoperative management of tracheal stenosis with pulmonary artery sling combined with tracheal stenosis with right bronchial bridge, and Norwood stage I surgery for left heart hypoplasia syndrome. The development of ECMO technology and VAD technology in the department has greatly improved the cure rate of critical congenital heart diseases, reaching the domestic leading level.
The research directions include: basic and clinical research on the prevention and treatment of pulmonary hypertension in children; basic and clinical research on perioperative protection of organ function in congenital heart diseases; clinical research on perioperative treatment of congenital heart diseases. Over 2 National Natural Science Foundations, 1 Zhejiang Natural Science Foundation, and several provincial-level projects have been conducted. And more than 10 high-quality papers have been published, including 5 SCI papers and 5 Chinese first-level journals. In 2013, the department participated in the sub-project of the National Science and Technology Support Plan of the 12th Five-Year Plan “Improving the Effectiveness of Neonatal Severe Complex Congenital Heart Surgery and Early Comprehensive Treatment System for Neonatal Infection”. The scientific research results of the department Clinical and Basic Research on Important Organ Injuries in Children with Congenital Heart Disease in Perioperative Period won the 7th Song Qingling Pediatric Medicine Award, the first prize of Zhejiang Science and Technology Progress Award, and the first prize of Zhejiang Medicine and Health Science and Technology Innovation. It participated in the preparation of the books Pediatric Mechanical Ventilation (Shanghai Science and Technology Press), Technical Specifications and Practice of Critical and Critical First Aid-Basic Technology Promotion Manual (Zhejiang University Press), and the translation and preparation of the second edition of the Chinese version of Basic Critical Care Support for Children (PFCCS).