Units:     4CSICU     4CSICU Nursing Unit     4Critical Care Medicine     4MSICU Nursing Unit     4Neonatal Intensive Care (NICU)     4Respiratory Care Services   CSICU The Cardiac Surgery Intensive Care Unit of KFSH&RC-Jeddah is one of the top centres in Saudi Arabia with the quality of care offered comparable to respected centres worldwide. Adult Cardiac Surgery 4      Surgery of acquired heart disease is performed 4      Procedures include CABG and valve replacements 4      30% of total admissions are adults Pediatric Cardiac Surgery 4      A wide range of complex congenital heart disease is treated surgically with extremely good results 4      Successful use of ECMO (extra corporial membrane oxygenation) treatment Top CSICU Nursing Unit This nursing unit provides the highest level of care and treatment.  When fully operational, it comprises ten beds and has a minimum nurse-to-patient ratio of 1:1 over twenty-four hours.  Cardiac surgeons and intensivists provide additional specialised coverage Nursing Care 4      Cardiovascular monitoring 4      Respiratory support 4      Active and aggressive therapy for critically ill patients 4      Intra-aortic balloon pump, ECMO, peritoneal & haemodialysis, PRISMA 4     CSICU provides a full spectrum of critical care ranging from post operative management of patients undergoing cardiac surgery, to the acute life threatening conditions of multiple system organ failure Top Critical Care Medicine Critical Care Medicine has been highly successful providing clinical service, performing teaching and training critical care house staff.  In the fiscal year 2005, our section cared for 541 patients.  Procedures performed included bronchoscopies, central venous lines, peripherally inserted line, arterial line, pulmonary artery, catheter, and chest tube placement.  Our patient conditions were diverse and included: 4      Sepsis and septic shock 4      Multiorgan failure 4      Hemodynamic instability 4      Acute lung injury and acute respiratory distress syndrome of various etiology 4      Post-operative critical care illness 4      Complex ventilator management 4      Organ support and nutritional support 4      Neurological critical care 4      Post-renal transplantation care 4      Oncology hematological critically ill patient Special programs provided by Critical Care Medicine include: 4      Consultations on critically ill medical and surgical patients. 4      Special treatment procedure. 4      Short term and long term critical care management. Top                                                          MSICU Nursing Unit The Medical-Surgical Intensive Care Unit provides quality care to a mixed population of patients such as medical, surgical, plastic surgery, kidney transplants and others.  All surgical cases except cardiac cases are accepted and patient demographics are from both pediatric and adult populations. Currently, the unit is set up for fourteen patients with a nursing staff of forty-nine. Top Neonatal Intensive Care (NICU)

NICU is set up to render specialized care with its wide range of high-tech equipment and supplies.  It is the unit’s mission to achieve optimal healthcare by highly qualified medical and nursing staff and to continuously educate the parent in a supportive, resourceful way. The NICU unit is registered for 15 beds, delivering care for level 1, 2 and 3 patients, and its scope of care includes premature and term neonates from Labour & Delivery.  Patients are referred from surrounding hospitals in the Kingdom of Saudi Arabia for cardiac surgery, such as BT-shunt or PA-binding, to be admitted and cared for post-operatively in the NICU.  PDA- legations are conducted in the unit on premature inborn admissions in collaboration with the OR team. Premature neonates are admitted to the NICU with varying gestational ages, starting at 23 weeks.  The unit is specialised to care for these patients, not only for single micropremies, but also twins, triplets and quadruplets.  The unit had its set of quintuplets three years ago and their progress has been covered in the local newspapers. Top

Respiratory Care Services

Respiratory Care Services at KFSH&RC-Jeddah was established in 2000 with only 4 staff members.  Today we have 27 qualified staff members providing 24-hour service, 7 days-a-week.

Our scope of practice covers a wide area depending on diagnostic and therapeutic activities.  The diagnostic activities include obtaining, analysing, and interpreting physiological specimens such as blood gases (ABG, VBG, CBG, and cord gases); chest x-ray interpretation; consultative patient assessments; performing sleep disorder studies; and test studies of the cardiopulmonary system.  Our pulmonary function test lab is equipped with state-of-the-art equipment and provides a full range of tests such as spirometry with flow volume loops, nitrogen wash-out test (FRC), body plethysmography lung volume, DLCO test, pulse oximetry, metabolic exercise test, oxygen consumption test, and ETCO2 monitoring. The therapeutic activities include: medical gases and environmental control systems including nitric oxide; mechanical ventilator support; high frequency oscillatory ventilation (HFOV); artificial airway care; bronchopulmonary hygiene; pharmacological agents administration; and surfactant administration.  We attend all high-risk deliveries including C-sections; the Cystic Fibrosis clinic; pentamidine treatments; patient transports, bronchoscopies; cardiopulmonary rehabilitation and hemodynamic cardiovascular support.  We are also members of the hospital’s cardiopulmonary resuscitation team.  We provide routine respiratory care to patients on all wards as well as the intensive care units.

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