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DEPARTMENT OF ANESTHESIOLOGY ANNUAL REPORT

DEPARTMENT OF ANESTHESIOLOGY ANNUAL REPORT

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ADULT CRITICAL<br />

CARE MEDICINE<br />

Christopher C. Young, M.D.<br />

FCCM<br />

Chief, Division of Critical Care<br />

Medicine<br />

Associate Clinical Professor<br />

of Anesthesiology and<br />

Surgery<br />

Members<br />

Cecil O. Borel, M.D.<br />

Guy deLisle Dear, M.B., FRCA<br />

Lewis R. Hodgins, M.D.<br />

Frank H. Kern, M.D., FCCM<br />

Nancy W. Knudsen, M.D.<br />

Richard E. Moon, M.D., C.M., M.Sc.,<br />

FRCP(C), FACP, FCCP<br />

Eugene W. Moretti, M.D.<br />

Laura E. Niklason, M.D., Ph.D.<br />

James A. L. Pittman, M.B., B.S., B.Sc.,<br />

FRCA<br />

Scott R. Schulman, M.D.<br />

John T. Sum-Ping, M.D., Ch.B., FRCA<br />

Bryant W. Stolp, M.D., Ph.D.<br />

Fellow<br />

Patrick J. Neligan, M.D. (Anesthesiology)<br />

Members of the Division of Critical Care<br />

perform patient care, teaching and<br />

research in adult critical care in several<br />

intensive care units: The Surgical Intensive<br />

Care Unit (SICU) at Duke, the SICU<br />

at the Veterans Affairs Medical Center<br />

(VAMC) and the Neuroscience ICU at<br />

Duke. Divisional faculty also provide<br />

medical care in the Hyperbaric Center<br />

and the Pediatric ICU. Reports from the<br />

Neurosciences ICU, Hyperbaric Center,<br />

and Pediatric ICU are listed elsewhere<br />

in this publication. In June of 2000, Dr.<br />

Reves, at the recommendation of the<br />

Departmental Executive Committee,<br />

announced a name change of several<br />

of the Divisions within the Department<br />

of Anesthesiology to reflect their<br />

involvement in Critical Care Medicine.<br />

This involvement is clinical, educational,<br />

and investigative. The changed<br />

names of our divisions are:<br />

Cardiothoracic Anesthesia and<br />

Critical Care Medicine<br />

General, Vascular, Transplant<br />

Anesthesia and Surgical Critical<br />

Care Medicine<br />

Pediatric Anesthesia and Critical<br />

Care Medicine<br />

Women’s Anesthesia and Critical<br />

Care Medicine.<br />

The matrix Division of Critical Care<br />

Medicine remains responsible for the<br />

overall education of fellows in Critical<br />

Care Medicine and continues to coordinate<br />

our department's multiple<br />

specialty-specific critical care programs.<br />

Surgical Intensive Care<br />

Units<br />

Clinical Activities<br />

Patient care is provided in the Surgical<br />

Intensive Care Units at Duke and the<br />

VAMC under the Co-Directorship of faculty<br />

of the Department of Anesthesiology.<br />

The Duke University Hospital SICU<br />

is a 16 bed, Level One trauma unit. In<br />

addition, it serves as a site for care of<br />

a variety of postoperative general and<br />

subspecialty surgical patients. Attending<br />

CLINICAL ACTIVITIES<br />

staff from the Departments of Medicine,<br />

Surgery, and Anesthesiology provide<br />

twenty-four hour a day, seven day per<br />

week coverage. Dr. William Fulkerson,<br />

Dr. Joseph Govert (Medicine), Dr. Mark<br />

Sebastian, Dr. Betsy Tuttle-Newhouse,<br />

Dr. Steven Vaslef (Surgery), Dr. Nancy<br />

Knudsen, Dr. Gene Moretti, Dr. Laura<br />

Niklason and Dr. Christopher Young<br />

(Anesthesiology) share attending responsibilities.<br />

The Durham VA Medical<br />

Center's 12-bed unit emphasizes the<br />

management of postoperative open<br />

heart patients, as well as patients from<br />

general, orthopedic, urologic, plastic,<br />

and other subspecialty surgical services<br />

who require critical care. Dr. Lewis<br />

Hodgins, Dr. John Sum-Ping, Dr. Laura<br />

Niklason, and Dr. Christopher Young<br />

share attending responsibilities in this<br />

unit.<br />

Attending Staff<br />

Dr. Eugene Moretti, Dr. Laura Niklason,<br />

Dr. Nancy Knudsen, and Dr. Christopher<br />

Young continue to participate in the<br />

24 hour per day coverage in the Duke<br />

North Surgical ICU. Dr. James Pittman<br />

joined the VA faculty this past year as<br />

a Visiting Associate (from the United<br />

Kingdom) and shares attending responsibility<br />

in the VA ICU with Drs. Sum-<br />

Ping, Hodgins, Niklason, and Young.<br />

Dr. Frank Kern and Dr. Scott Schulman<br />

practice in the Pediatric Intensive Care<br />

Unit. Dr. Cecil Borel serves as the Medical<br />

Director of the Neurointensive Care<br />

Unit. Dr. Richard Moon is the Medical<br />

Director of the Hyperbaric Center and<br />

is involved in research, teaching, and<br />

patient care there with Drs. Bret Stolp<br />

and Guy Dear. During the past year, we<br />

bid farewell to two esteemed colleagues<br />

from the Critical Care Division.<br />

Dr. Andrew Hilton returned home to<br />

Australia to pursue further training and<br />

practice opportunities in Critical Care<br />

Medicine. Andrew and family (Ingrid,<br />

Max, and Ziggy) are living happily in<br />

Melbourne and look forward to welcoming<br />

any visitors to the “land down<br />

under.” Dr. Charles Garcia-Rodriguez<br />

CLINICAL ACTIVITIES 49

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