Pediatric Intensive Care Unit (PICU)


Critical care facilities at LPCH include a 24-bed PICU, 20-bed CVICU, and 40-bed Level III NICU.   The 36-bed PICU averages 1,600-1,800 medical and surgical admissions annually and provides a full range of critical care services, including high-frequency ventilation, continuous renal replacement therapy, inhaled nitric oxide, and extra-corporeal life support.  The PICU supports all subspecialty services at LPCH, directs the 24/7 Transport Team and Transfer Center, the Palliative Care program, as well as the Rapid Response/Resuscitations programs at LPCH.  Services particularly active in the PICU include neurosurgery, ENT, liver, kidney and stem cell transplantation, pediatric surgery and the Level-1 Trauma Center at LPCH.

The PICU team includes critical care fellows, nurse practitioners, and pediatric residents, which provides family-centered care to all PICU patients.  Critically ill or injured children are admitted from communities throughout Northern California, together with selected referrals from Nevada, Oregon, and other states, particularly for organ transplantation and advanced neurosurgical services.

Dedicated pharmacists, respiratory therapists and critical care nurses are led by a nurse manager with four nurse practitioners. Members of the PICU team also include social workers, chaplaincy, child life, rehabilitation services, dieticians, and case managers. Quality and process improvement in the PICU is conducted via a multidisciplinary Local Improvement Team (LIT) which includes physician and nursing leads, a family advisory council member, a quality manager, performance improvement/analytics support, infection control, and the patient safety officer.  Most medical patients are admitted to the PICU with acute respiratory failure, septic shock, or acute neurologic deterioration. In recent months, the average daily census of the PICU has ranged from 18-36 patients, with a mean of 22.  During periods of high census, the PICU has the ability to ‘flex’ and overflow to the CVICU with primary physician coverage provided by the PICU team.

LPCH Health Care Team

Chambers-Okamura Endowed Professor of Pediatric Critical Care Medicine
Associate Professor of Pediatrics (Critical Care)
Professor of Pediatrics (Pediatric Critical Care) and of Anesthesiology, Perioperative and Pain Medicine
Clinical Professor, Pediatrics - Critical Care
Clinical Assistant Professor, Pediatrics - Critical Care
Clinical Assistant Professor, Pediatrics - Critical Care
Assistant Professor of Pediatrics (Critical Care)
Clinical Assistant Professor, Pediatrics - Critical Care
Clinical Professor, Pediatrics - Critical Care
Clinical Assistant Professor, Pediatrics - Critical Care
Clinical Associate Professor, Pediatrics - Critical Care
Clinical Instructor, Pediatrics - Critical Care
Clinical Professor, Pediatrics - Critical Care
Clinical Professor, Pediatrics - Critical Care Clinical Professor, Medicine - Biomedical Informatics Research
Clinical Assistant Professor, Pediatrics - Critical Care Clinical Assistant Professor, Neurology & Neurological Sciences
Clinical Professor, Pediatrics Clinical Professor, Pediatrics - Critical Care Clinical Professor, Emergency Medicine
Professor of Pediatrics (Critical Care) and, by courtesy of Psychiatry and Behavioral Sciences
Clinical Associate Professor, Pediatrics - Critical Care
Clinical Professor, Pediatrics - Critical Care
Instructor, Pediatrics - Critical Care
Clinical Associate Professor, Pediatrics - Critical Care
Clinical Instructor, Anesthesiology, Perioperative and Pain Medicine