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    Pediatric Intensive Care Unit

    The PICU at Children's Hospital of Richmond at VCU is a 14-bed, state-of-the-art unit with all private rooms, designed specifically to accommodate the unique needs of infants, children, adolescents and their families.

    As part of the only Level 1 trauma center in the region, the PICU has the most advanced lifesaving technologies and treatments to care for critically ill and injured children, and we receive patients from throughout Virginia. Our PICU is staffed 24 hours a day, seven days a week by an in-house pediatric critical care specialist. Care for patients after solid organ transplant and open-heart surgeries is also provided in the PICU. Extra-corporeal membrane oxygenation (ECMO) or heart/lung bypass are available for the critically ill. Pediatric burn care is provided in conjunction with the Evans-Haynes Burn Center.

    Managing Critical Conditions

    Our expert team provides care for children with serious or life-threatening conditions affecting all the body's major organ systems. We also provide postoperative care for a broad range of surgical subspecialties. Among the conditions treated are: 

    Cardiovascular

    • Cardiac arrhythmias
    • Cardiogenic, hypovolemic, septic, traumatic or postoperative shock
    • Cardiorespiratory arrest
    • Left heart failure and pulmonary edema
    • Malignant hypertension
    • Myocarditis and cardiomyopathy
    • Postoperative cardiovascular dysfunction
    • Postoperative period following cardiac surgery
    • Pulmonary hypertension

    Endocrine and metabolism

    • Critical illness related to congenital metabolic disorders
    • Diabetic hyperosmolarity, nonketotic
    • Diabetes insipidus and the syndrome of inappropriate antidiuretic hormone secretion
    • Diabetic ketoacidosis
    • Nutritional marasmus

    Fluid, electrolyte and renal

    • Acute renal failure and tubular necrosis
    • Critical abnormalities of serum sodium, potassium, calcium, phosphorus and magnesium
    • Fluid overload
    • Metabolic acidosis or alkalosis
    • Postoperative period following kidney transplantation or major urologic surgery
    • Volume depletion (dehydration without shock)

    Gastrointestinal

    • Acute hepatic failure and coma
    • Acute pancreatitis
    • Gastrointestinal bleeding
    • Infectious colitis, enteritis, gastroenteritis (septic)
    • Intussusception and volvulus (bowel twisting or folding)
    • Postoperative period following gastrointestinal surgery or liver transplantation
    • Pseudomembranous colitis
    • Typhlitis in oncology patients

    Hematology and oncology

    • Acute posthemorrhagic anemia
    • Critical illness following chemotherapy, radiation therapy or bone marrow transplantation
    • Defibrination syndrome or disseminated intravascular coagulation (blood clotting disorder)
    • Induction period of chemotherapy for malignant disease
    • Sickle cell crisis
    • Significant thrombocytopenia (decrease in platelets)

    Infectious diseases

    • Botulism
    • Rocky Mountain spotted fever
    • Septic shock due to meningococcus, pneumococcus and other bacteria
    • Systemic candidiasis
    • Toxic shock syndrome due to staphylococcal or streptococcal infection

    Neuromuscular

    • Brain swelling due to accidental head trauma, Shaken Baby Syndrome, hypoxic-ischemic injury and metabolic disorders
    • Complications of muscular dystrophy
    • Intracranial bleeding due to trauma and blood coagulation disorders
    • Meningitis and encephalitis
    • Neuromuscular weakness due to myasthenia gravis or Guillain-Barre syndrome
    • Postoperative period following tumor resection, ventricular fluid shunt insertion, craniosynostosis repair or spinal fusion
    • Seizures and status epilepticus (persistent brain seizure)
    • Stroke due to vascular disorders or sickle cell disease

    Poisoning and environmental injuries

    • Accidental hypothermia
    • Accidental or deliberate ingestion of non-medicinal poisons
    • Accidental or deliberate overdose with salicylates, acetaminophen, antidepressants and other medications
    • Carbon monoxide poisoning
    • Envenomation by a poisonous snake or spider
    • Environmental and malignant hyperthermia
    • Lightning and other electrical injuries

    Respiratory

    • Acute and chronic respiratory failure
    • Adult respiratory distress syndrome
    • Aspiration pneumonia and near drowning
    • Bacterial and viral pneumonia
    • Epiglottitis and croup
    • Pleural effusion and empyema
    • Postoperative period following tracheostomy or other ear, nose and throat surgery
    • Postoperative respiratory dysfunction
    • Sickle cell acute chest
    • Smoke inhalation injury
    • Status asthmaticus (prolonged severe asthma attack)
    • Tracheobronchitis and bronchiolitis

    Traumatic injuries

    • Resuscitation and stabilization period following major trauma

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    For Appointments,
    Call 1.804.828.2467.

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