Child jumping rope

Critical Care Medicine/PICU

The MassGeneral Hospital for Children Pediatric Intensive Care Unit (PICU) is a multidisciplinary unit that provides high quality care for critically ill infants, children and adolescents.

To arrange for transport of a critically ill infant or child, call our Pediatric Access Line at 1-877-644-8988

For all other critical care calls: 617-724-4350

Overview

The MassGeneral Hospital for Children Pediatric Intensive Care Unit (PICU) is a 14-bed, multidisciplinary unit, which has distinguished itself by providing high quality care for critically ill infants, children and adolescents. Our patients present with a wide variety of life-threatening issues, such as severe infections, respiratory diseases, trauma and post-operative care of various complex surgeries.

Our mission is to provide state-of-the-art critical care medicine by bringing together the most sophisticated technology and scientific advancement in an environment sensitive to the multicultural patients and families we serve. Excellent communication with the family and primary care pediatrician is seen as a critical success factor in optimizing outcomes.

A Coordinated Multidisciplinary Approach

The MassGeneral Hospital for Children PICU provides monitoring and life-sustaining treatment for critically ill patients suffering from a wide range of illnesses. We provide advanced cardiovascular, respiratory and neurological support, both invasive and non-invasive, including extracorporeal membrane oxygenation (ECMO). The PICU attendings are all trained in pediatric critical care medicine. In order to optimize the care of both the child and family, the pediatric intensivists, in collaboration with the critical care nurses, orchestrate a multidisciplinary team that includes medical and surgical physicians, as well as:

  • Respiratory therapists
  • Pediatric pharmacists
  • Physical therapists
  • Occupational therapists
  • Child life specialists
  • Social workers
  • Chaplains
  • Nutritionists
  • Imaging and laboratory personnel

We have a complete range of pediatric consultant services, including:

  • Pulmonology
  • Endocrinology
  • Cardiology and cardiac surgery
  • Gastroenterology
  • Hematology/oncology
  • Infectious diseases
  • Neurology
  • Nephrology
  • Trauma surgery
  • General surgery
  • Orthopaedic surgery
  • Neurosurgery
  • Transplant surgery
  • Pediatric urology

The PICU fellowship program provides graduate-level patient supervision 24 hours a day.

At MassGeneral Hospital for Children, we strive to provide an open and welcoming environment. We believe that no one knows a child as well as parents do, and therefore parents, along with primary care providers, become partners in the child’s care. The parents have an active voice in all treatment plans.

A Program of Constant Improvement

Our procedures and formulary are continually assessed through tools such as the Collaborative Practice Meeting, where novel therapies are evaluated and PICU performance is monitored. Quality assurance is provided through case studies and other forums. Scheduled educational activities are held in the PICU and, by arrangement, in the community.

Service for Sedation and Pain-Free Procedures

The procedural sedation program provides analgesia and/or sedation as appropriate for children in need of potentially painful or anxiety-provoking procedures. This service is provided in a specially decorated, child-friendly patient room within the PICU, which is less intimidating than the operating room. Common procedures include lumbar punctures and bone marrow biopsies, kidney biopsies, central venous catheter placement, knee taps and others.

The TeleHealth Program

The Pediatric TeleHealth program provides live video conferencing between the PICU and select patient rooms in emergency departments at outlying community hospitals, including MassGeneral for Children at North Shore Medical Center, Newton-Wellesley Hospital and Nantucket Cottage Hospital. Via this link, the PICU staff may provide on-demand medical advice and guidance to help assess, and if needed, stabilize critically ill infants and children and prepare them for transport to the PICU. This telemedicine technology also supports an international link between the Buen Samaritanu Hospital in Aguadilla, Puerto Rico and the PICU.

Research

The division of Pediatric Critical Care Medicine is performing laboratory and clinical research, including:

  • Mechanisms of inflammation, apoptosis and neuroprotection in brain injury
  • Predictors of severity and outcome in severe, acute and chronic pulmonary diseases
  • Applications of innovative technology in the PICU environment

Doctors

  • Carroll, Ryan W., MD, MPH

    Clinical Interests
    • Severe malaria
    • Pediatric critical care development
    • Global health
    • Post-operative care in low- and middle-income settings
    • Inhaled nitric oxide and physiology
    • Technology and patient interfaces
    • Medicine, engineering, and entrepreneur interface
    • Program development in developing countries
    Board Certifications
    • Pediatrics, American Board of Pediatrics
    • Pediatric Critical Care Medicine, American Board of Pediatrics
    Locations
    • Boston: Pediatric Critical Care Unit
  • Cummings, Brian Michael, MD

    Clinical Interests
    • Critical care
    • Quality Improvement
    • Medical ethics
    Board Certifications
    • Pediatrics, American Board of Pediatrics
    • Pediatric Critical Care Medicine, American Board of Pediatrics
    Locations
    • Boston: Pediatric Critical Care Unit
  • Duran, Carlos I., MD

    Board Certifications
    • Pediatrics, American Board of Pediatrics
    • Pediatric Critical Care Medicine, American Board of Pediatrics
    • Pediatric Pulmonology, American Board of Pediatrics
    Locations
    • Boston: Pediatric Critical Care Unit
    • Boston: Shriner's Hospital for Children
    • Norwood: Norwood Hospital-Pediatrics
    • Taunton: Stewart Morton Hospital-Pediatrics
  • Flaherty, Michael R., DO

    617-724-4350

    Accepting New Patients

    Clinical Interests
    • Medical education
    • Public Health and Safety
    • Critical care
    • Inpatient pediatrics
    Board Certifications
    • Pediatrics, American Board of Pediatrics
    Locations
    • Boston: Pediatric Critical Care Unit
    • Norwood: Norwood Hospital-Pediatrics
  • Lok, Josephine Mun-Yee, MD

    Board Certifications
    • Pediatric Critical Care Medicine, American Board of Pediatrics
    Locations
    • Boston: Pediatric Critical Care Unit
  • Murphy, Sarah Alicia, MD

    617-724-4350

    Accepting New Patients

    Clinical Interests
    • Traumatic injuries
    • Global health
    Board Certifications
    • Pediatrics, American Board of Pediatrics
    • Pediatric Critical Care Medicine, American Board of Pediatrics
    Locations
    • Boston: Pediatric Critical Care Unit
  • Whalen, Michael J., MD

    Clinical Interests
    • Gene transfer
    • Traumatic injuries
    Board Certifications
    • Pediatric Critical Care Medicine, American Board of Pediatrics
    Locations
    • Boston: Pediatric Critical Care Unit
  • Yager, Phoebe Hildreth, MD

    Clinical Interests
    • Traumatic injuries
    • Innovative technology in the PICU
    Board Certifications
    • Pediatrics, American Board of Pediatrics
    • Pediatric Critical Care Medicine, American Board of Pediatrics
    Locations
    • Boston: Pediatric Critical Care Unit
    • Boston: Pediatric Palliative Care

Other Providers

News

  • Not Taking a Breath for Granted: Mikey's Story at FAC Grand Rounds - 5/17/2017, Mass General

    At 3 months old, Mikey was diagnosed with laryngomalacia. This made it hard for him to breathe. It also meant that he might need surgery and a tracheotomy. On April 11, his parents, Katie and Michael, shared their family’s experience at this year’s Grand Rounds, sponsored by the Family Advisory Council at MassGeneral Hospital for Children (MGHfC).

  • FAC Spotlight: Adolescent Rounding Brings New Meaning to Family-Centered Care - 3/14/2017, Mass General

    In this FAC Spotlight, meet Eleanor McLaughlin, RN, a nurse on the PICU and member of MGHfC's Family Advisory Council, who helped improve patient care by implementing adolescent rounding in the PICU. Adolescent rounding is an innovative practice that gives teens and young adults a place to be heard and advocate for their care by participating in morning rounds.

  • Lucas's story: Miracle baby's heart grows stronger after life-saving care - 2/28/2017, Mass General

    At just seven weeks old, Lucas Calderon was rushed to the Emergency Department at MGHfC. His tiny body had gone into cardiogenic shock, caused by SVT, a condition that causes a fast heart rate because of extra electrical conduction tissue in the heart. Now at age 1, Lucas is the happiest of miracle babies.

  • Yager appointed chief of Critical Care Medicine - 2/8/2017, Mass General

    Phoebe Yager, MD, has been appointed chief of Critical Care Medicine for MassGeneral Hospital for Children (MGHfC).

  • Research of Josephine Lok, MD - 12/9/2014, Mass General

    The microvascular endothelium is instrumental in many processes in the brain, including oxygen delivery, barrier function, and response to inflammation. After brain trauma, microvasculature disturbances lead to increased permeability, vasoconstriction, and capillary occlusion, events which amplify the primary insult. An understanding of these endothelial responses to injury is important in the investigation of neuroprotective strategies during brain injury. This topic forms one major area of my research.

Video

  • Intro graphic for the Pediatric Intensive Care Unit welcome video

    Welcome to the Pediatric Intensive Care Unit

    Learn about the Pediatric Intensive Care Unit (PICU) at MassGeneral Hospital for Children, including who's who on your health-care team, accommodations for parents and guardians staying overnight with children, and a short introduction to family-centered care.

Contact

Contact Us

MGHfC PICU

Bigelow Building

55 Fruit Street6th Floor Boston, MA 02114
  • Near Public Transit
  • Accessible
  • Phone: 617-724-4350
  • Fax: 617-724-4391

To arrange for transport of a critically ill infant or child, please call our Pediatric Access Line at 1-877-644-8988 and you will be connected directly to a critical care physician.

To schedule an appointment with a MassGeneral for Children pediatric specialist, please call 888-644-3248 or complete our online appointment form to request an appointment.

Physicians may call 888-644-3211 or use the online referral form and the Access & New Appointment Center will call your patient within 1 business day.

To arrange for transport of a critically ill infant or child, call our Pediatric Access Line at 1-877-644-8988

For all other critical care calls: 617-724-4350

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