Medical Intensive Care Unit
The Medical Intensive Care Unit (MICU) was started in the year 1991 as a 5-bedded unit adjacent to the E-ward to manage sick patients. This was initially manned only by the interns with support provided by the registrars and consultants on call. This was subsequently moved to the current site as a 11-bedded unit in 1993. Dr. George John took over as the first head of this unit following his return from Australia after completing his Critical Care training. The present unit now has a Level III unit with 12 beds that include 2 isolation beds as well as a Level II unit (HDU) which also has 12 beds including 2 isolation beds. The MICU has grown from having a single consultant to 4 full time consultants, several registrars and interns. Registrars provide on-site 24-hour cover with consultant back up.
The Critical Care Division at the Christian Medical College Hospital was formed in the Year 2001 with a view to bring the critical care services under one division. Prior to this, critical care units functioned individually as Medical Intensive Care Unit (MICU), Surgical Intensive Care Unit (SICU), Neuro Intensive Care Unit (NICU) and Pediatric Intensive Care Unit (PICU) under Medicine, Surgery, Neurology and Pediatrics respectively. Although each of these units still function as independent units, they now come under the Critical Care Division.
Dr. George John, MD, FRACP, FJFICM
Medical Intensive Care Unit
Dr. George John, MD, FRACP, FJFICM Professor
Dr. J. V. Peter, MD, DNB, FRACP, FJFICM Associate Professor
Dr. Kishore Pichamuthu, MD, DNB Assistant Professor
Dr. Binila Chacko, MD, DNB Assistant Professor
Ultrasound use in Medical ICU
The portable ultrasound unit was acquired in 2007. This is a Sonosite Micromaxx with capabilities for doing echocardiography including tissue doppler and abdominal, soft parts, obstetric and vascular ultrasound. We currently use it with 2 probes, the P17 probe(1-5MHz) for echo and ultrasound abdomen and chest and the vascular probe - HFL38 (6-13MHz) for vascular and chest applications. It starts up within 15 seconds and can withstand the bumps and drops of rugged use.
The ultrasound is routinely and extensively used in the medical ICU for day to day management of patients. We have found it to be particularly useful to determine volume status, measure cardiac output, diagnose pulmonary embolism and pneumothorax rapidly and assist with thoracocentesis and drainage of collections. A quick relevant ultrasound examination for these and other conditions is becoming an integral part of the clinical patient round.
Registrars are trained and encouraged to use ultrasound for volume status assessments and guidance for central line insertions even during night hours.
A personal note
Building this website, both content and design has been an immensely useful learning process for me (Kishore Pichamuthu) and an opportunity to experience God's providence. I appreciate George John for pushing me on whenever I seemed to run out of steam.
I also acknowledge the generous help from Dr. Yugan Mudaliar in Westmead hospital, Sydney in facilitating my working there for 3 months and informally train in ICU sonology. Dr. Yugan also provided the initial impetus and the material to get the site content development started.
I am thankful to my family (right) who have supported me through the long hours I have spent on this site.