Clinical Program

The LPCHS PICU provides a full range of advanced critcal care services, including high frequency oscillatory ventilation, continuous renal replacement therapy, and ECMO. High-volume services include neurosurgery, ENT/airway reconstruction, solid-organ and stem cell transplantation,  trauma and general pediatric surgery, cardiology, nephrology, pulmonary and general pediatrics. Strong collaborations exist with the Stanford Children's Heart Center particularly with our Cardiovascular ICU. The PICU supports all subspecialty services at LPCHS as a Level 1 Trauma Center, directs the 24/7 Transport and Transfer Center, the Pallative Care Program, and the REVIVE Initiative for Resuscitation Excellence. 

Our PCCM fellows lead interdisciplinary teams that include nurse practitioners, pediatric and emergency medicine residents, medical students, nurses, respiratory therapists, pharmacists, dieticians, social networks, and case managers to provide family-centered care to all PICU patients. Critically ill or injured childen are admitted from communities throughout  Northern California, with referrals from Nevada, Oregon, Washington, Hawaii, and other states, particularly for organ transplantation or advanced neursurgical services. The LPCHS PICU will expand in late 2017 from 24 beds to 36 beds in a new state-of-the-art space. 

Procedure Videos

Chest Tube Insertion: http://www.nejm.org/doi/full/10.1056/NEJMvcm071974

Placement of a Femoral Venous Catheter: http://www.nejm.org/doi/full/10.1056/NEJMvcm0801006

Pulmonary Artery Catheterization Video: http://www.nejm.org/doi/full/10.1056/NEJMvcm1212416

Ultrasound-Guided Internal Jugular Vein Cannulation: http://www.nejm.org/doi/full/10.1056/NEJMvcm0810156

Ultrasound-Guided Insertion of a Radial Arterial Catheter: http://www.nejm.org/doi/full/10.1056/NEJMvcm1213181

Use of Pressure Transducers: http://www.nejm.org/doi/full/10.1056/NEJMvcm1513613