Critical Care Medicine

Critical Care Medical and Surgical Services

Johns Hopkins All Children’s Hospital provides critical intensive care services to kids in the Tampa Bay area of Florida and throughout the United States.

If your child needs specialized care for a life — threatening condition they will be cared for in our intensive care unit. As a patient at Johns Hopkins All Children’s Hospital he or she will be treated by specially trained pediatric critical care care specialists and supportive staff. Our pediatric intensive care unit (PICU) is staffed by dedicated board certified/board eligible pediatric intensive care specialists who work closely with interdisciplinary teams of pediatric specialists throughout the hospital. A pediatric intensivist is in the ICU 24 hours a day to provide minute to minute care for your child.

Caring for Children in Critical Condition is All We Do

Our focus on caring for children with acute life-threatening illness means we understand the clinical difference of caring for children, as well as the emotional and familial aspects of care. We include families in all of our decision-making processes and consider you part of the care team, along with your child. Some of the critical care services we offer include:

General Medical and Surgical Critical Care

Our doctors, nurses and ancillary staff are experienced in the treatment of pediatric medical and surgical emergencies including trauma. Life-threatening infections like pneumonia, meningitis, influenza and respiratory illnesses like respiratory syncytial virus (RSV) are cared for by our pediatric intensivists in the PICU. Our highly trained physicians and nurses also work with medical and surgical specialists throughout the hospital to care for children recovering from surgeries. Children needing a ventilator to help them breathe or special medications to help their heart or other organs function more efficiently are cared for in the intensive care unit. Advanced forms mechanical ventilation are also available to care for critically ill and injured children with life-threatening respiratory issues.

Advanced Life-Saving Therapies

Our advanced therapy program uses the latest technology and treatment options, offering hope to children in critical need. Some advanced therapies the CVICU provides include:

  • Continuous veno-venous hemofiltration (CVVH) — a treatment for children with acute renal failure.
  • Extracorporeal membrane oxygenation (ECMO) — a lifesaving technology for newborns in respiratory or cardiac failure 
  • Implantation of left ventricular assist devices (LVAD), such as the Abiomed Impella® and Berlin Heart® INCOR, which help a weakened heart pump blood
  • Our active cardiac transplantation program offers hope to children who need a new heart

Molecular Absorption Recirculating System (MARS) Liver Dialysis

We offer the only pediatric extracorporeal liver dialysis service in the Tampa Bay area — critical lifesaving technology for kids whose livers are failing or low-functioning.

Continuous Renal Replacement Therapy (Pediatric Kidney Dialysis)

For children with kidney failure or reduced kidney function, we offer continuous renal replacement therapy, or dialysis, to help them live while recovering from or awaiting a transplant.

Congenital Diaphragmatic Hernia (CDH) Program

Congenital diaphragmatic hernia (CDH) is a serious developmental defect of the diaphragm, which allows a baby’s abdominal organs to move through the diaphragm and locate higher in the chest cavity, obstructing the lungs from growing and functioning properly. The surgical treatment of CDH is complex, delicate and may require multiple surgeries and recovery on extracorporeal membrane oxygenation (ECMO), a very complex form of life support that acts as a child’s heart and lungs to deliver oxygen to the child’s blood during recovery. Johns Hopkins All Children’s Hospital doctors and surgeons specialize in the most severe cases of CDH, offering a lifeline to families who have received a difficult diagnosis. Learn more about our treatment for congenital diaphragmatic hernia program.

Neonatal Intensive Care Unit (NICU)

For babies born prematurely, with extreme low birth weight or serious congenital defects, the NICU is their first home. Here, we care for our littlest and most vulnerable patients. It’s a state-of-the-art facility staffed with compassionate and experienced staff who are dedicated to helping your child heal and grow until you are able to take them home.

We’ve designed our NICU to be a comfortable and peaceful environment for baby and family by providing private rooms – which allow for calm and quiet for better bonding and rest.
As a Regional Level IV NICU, designated by the American Academy of Pediatrics, we care for the most critically ill babies in a 17-county area. Our experienced and highly skilled specialists and surgeons cover a wide spectrum of conditions from preemies to babies born with complex anomalies.

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Cardiovascular Intensive Care Unit (CVICU)

Many pediatric critical care conditions are related to congenital heart defects, cardiovascular disorders or recovery from heart surgery or transplant. Our Heart Center pediatric cardiologists and surgeons work closely with specially trained critical care staff to care for children admitted to the 22-bed CVICU, outfitted with special pediatric equipment, just for children.

The CVICU features both state-of-the-art cardiac operating suites and two pediatric cardiac catheterization labs. Our peri-anesthesia care unit (PCU) means that all pre- and postoperative anesthesia preparation and recovery happen in a dedicated space staffed by highly trained nurses.

Dedicated Transport Team

Many patients arrive from other area and regional hospitals, and their first encounter with critical care is through LifeLine, our dedicated pediatric transport team. Our LifeLine team is specially trained in the emergency medical transport of children and infants, which requires both technical skills and emotional sensitivity.

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