Extracorporeal Life Support (ECLS/ECMO)
The Extracorporeal Life Support (ECLS) Program is under the direction of Dr. Kristopher George from Cardiac Surgery and Dr. Waseem Farra (Director Intensive Care Units). The ECLS team consists of Registered Nurses and Licensed Registered Respiratory Therapists, nursing leadership, an administrative assistant, and an equipment technician/perfusionist. The team works in conjunction with the intensive care units in the care of adult patients.
The Ascension Providence Hospital is the ECMO referral site for all Ascension facilities in MI and nearby hospitals.
The Fellows are responding first to the ECMO call and provide the assessment of the patient. The fellows work hands-on in taking care of these patients. There is faculty supervision at every step. The fellows are prepared by participating in the ECMO course organized by ELSO. They also get hands-on training at the hospital. We are in the process of obtaining ECMO resources for our state of art Simulation Lab.
Pulmonary Hypertension Program
The Fellow's role is the longitudinal management of patients with PH, including the initial diagnostic evaluation, chronic outpatient management, and the inpatient management of right ventricular failure.
The education is also inclusive of:
Conduct inpatient pulmonary hypertension consultations
Opportunities to perform right heart catheterizations
Develop skills in the interpretation of echocardiography and chest imaging, including chest computed tomography, cardiac magnetic resonance imaging, and ventilation-perfusion scans
Engage in scholarly activity under the supervision of expert faculty
Director: Dr. Asadulla Mohammad
Pulmonary Embolism Response Team ( PERT )
There are approximately 100,000 deaths each year in the U.S. due to pulmonary embolism. Ascension Providence Hospital's team of experts is available round-the-clock to provide prompt attention and
deliver life-saving care to these patients.
The PERT comprises experts representing pulmonary critical care medicine, cardiology, vascular surgery, and interventional radiology. The teamwork between these services is exemplary.
The role of the ICU fellow is to coordinate this team when the PERT is triggered. This includes initial assessment, review of CT, performing bedside echo, and subsequently discussing with the interventionalist. The fellow has the opportunity to assist in these procedures with the interventionalist.
The PERT meets every other month to discuss progress, selected cases, and improvement in technology.
The PERT is also involved in research actively, utilizing the huge database that is available.
The Ascension Providence Hospital is a member of the National PERT Consortium.
Fellows Bootcamp and Other Onboarding Special Training
At the start of the new academic year in July, the fellows undergo a special boot camp that involves training in the simulation lab. The fellows learn procedures such as bronchoscopy, central lines, pleural catheters, lumbar puncture, ultrasound training, and lots more. This session is great for learning and team building.
The first-year fellows also get registered to attend the local bronchoscopy and pleural procedures course and the course held in Chicago by CHEST. These courses are great tools to jump-start the procedural skills of the fellows.
Board Passing Rates
Endobronchial Valve is an FDA-approved device for patients with severe emphysema. These are placed with help of bronchoscopy avoiding any invasive surgical procedures. Our team of fellows and attendings have started to place these valves. This adds further to unique clinical experience our fellows get during their training.