Welcome to Pediatric Critical Care Medicine

"Learn from yesterday, live for today, hope for tomorrow. The important thing is not to stop questioning" - Albert Einstein

The Division of Pediatric Critical Care Medicine at Stanford University and Stanford Children’s Health is experiencing unprecedented growth and success. 

Our clinical program cares for 1600-1800 acutely ill, high-complexity patients/year in the 24-bed Pediatric Intensive Care Unit (PICU) at Lucile Packard Children’s Hospital Stanford (LPCHS), together with satellite PICUs in Walnut Creek (John Muir Medical Center; 8 beds) and San Francisco (California Pacific Medical Center; 10 beds).  The LPCHS PICU provides a full range of advanced critical care services, including ECMO.  It supports all subspecialty services at LPCHS as a Level 1 Trauma Center, directs the 24/7 Transport and Transfer Center, the Palliative Care program, and the REVIVE resuscitation program.  High-volume services include neurosurgery, ENT/airway reconstruction, solid-organ and stem cell transplantation, general pediatric surgery, cardiology, nephrology, pulmonary and general pediatrics. Strong collaborations exist with the Stanford Children’s Heart Center through the Cardiac ICU and other programs.  PICU teams include critical care fellows, nurse practitioners, pediatric residents, nurses, respiratory therapists, pharmacists, dieticians, social workers and a case manager providing family-centered care to all PICU patients.  Critically ill or injured children are admitted from communities throughout Northern California, with referrals from Nevada, Oregon, Washington, Hawaii, and other states, particularly for organ transplantation or advanced neurosurgical services.  The LPCHS PICU will expand in 2017 from 24 to 36 beds in state-of-the-art space.

Our research program includes basic science programs investigating the role of NFκB in pulmonary angiogenesis and vascularization, discovering novel proteins in the developing lung secretome (Alvira Lab), investigating pulmonary vascular tone regulation and oxygen sensing, regulation of pulmonary barrier functions, understanding the role of hypoxia-inducible factor-1 in lung development (Cornfield Lab), elucidating the mechanisms and management of opioid-induced tolerance/withdrawal, and developing novel measures of chronic stress (Anand Lab).  Clinical and translational research programs include investigations in clinical pharmacology and pharmacometrics; REVIVE resuscitation and simulation, biomedical informatics, global health initiatives, quality and process improvement, and solid-organ transplantation.  The Division is also involved in multi-center clinical trials in collaboration with the Pediatric Acute Lung Injury and Sepsis Investigators (PALISI) network and other leading research groups.  The CCM division is nested in a renowned Children's Hospital, at a leading Medical School and a premier University – thereby allowing unparalleled opportunities for research, collaborations with distinguished colleagues, and access to the topmost trainees in every field.

Our education program includes a vibrant, ACGME-accredited PCCM fellowship program, as well as the training of pediatric, emergency medicine, surgery, anesthesiology, or other residents, surgical fellows and critical care nurse practitioners.  Trainees in these programs are exposed to traditional bedside and didactic teaching, procedural skills using ultrasound- or video-guidance, hi-fidelity simulation programs, and web-based learning modules.  The PCCM fellowship program accepts ~4 fellows each year and seeks to train the future leaders in pediatric critical care, creating clinician-scientists and clinician-educators for leading careers in academic medicine.

Our philosophy is based on creative energy, enthusiasm, and optimism. “The positive thinker sees the invisible, feels the intangible, and achieves the impossible (Winston Churchill)”.  We see opportunity in every difficulty, rather than difficulties in every opportunity.  Goals labeled as impossible, indeed say “I’m-possible” to the positive thinker.  Come visit us, or join us, to experience the camaraderie, collegiality and creativity in the Division of Pediatric Critical Care Medicine at Stanford, as we make a difference in the lives of the critically ill children everywhere.