Department of Critical Care Medicine
【Growth Process】
On November 8, 2000, the Department of Critical Care Medicine was established as an independent department and the first ICU in Fuyang was established. It is located on the first floor of the old ward building and has 6 open beds.
In November 2003, the first continuous blood purification treatment (CRRT) was carried out. (Main developer: Tang Weidong)
In November 2003, the first bedside blood gas analysis and electrolyte examination was carried out.
In November 2003, the first case of airway management using a sealed suction tube was carried out. (Main developer: Zhang Xiaonu)
In January 2004, the ICU moved to the second floor of the new ward building, with 10 open beds.
In January 2004, the first case of peripheral puncture to central catheterization (PICC) was performed. (Main developer: Zhang Xiaonu)
In January 2004, the first case of plasma exchange to treat hyperbilirubinemia was carried out. (Main developer: Tang Weidong)
In December 2004, the first case of bedside fiberoptic bronchoscopy lavage aspiration was carried out. (Main developer: Tang Weidong)
On March 30, 2005, the first four-lumen Swan-Ganz floating catheter monitoring was carried out. (Main developer: Tang Weidong)
In March 2005, the first brain electroencephalogram (BiSS) monitoring was carried out. (Main developer: Tang Weidong)
In June 2005, the discipline was included in the "Fuyang First Round of Key College Construction Projects (2005-2007)".
In August 2005, the first gastroscopically guided nasojejunal tube placement was performed. (Main developer: Jiang Jianhua)
In April 2006, the first case of bedside bronchial artery embolization was performed to treat a patient with hemoptysis.
In August 2006, the first endoscopically guided percutaneous gastrostomy tube placement (PEG) was performed. (Main developer: Tang Weidong)
In October 2008, after a three-year construction cycle, the "Fuyang First Round Key College Construction Project (2005-2007)" passed the acceptance inspection and was included in the "Fuyang Key College Construction Project (2008-2010)".
In October 2009, the first case of intracranial pressure (ICP) monitoring was carried out.
On April 29, 2010, the first pulse profile temperature dilution continuous cardiac output monitoring technology (PiCCO) was carried out. (Main developer: Tang Weidong)
In November 2010, after a three-year construction cycle, the "Fuyang Key College Construction Project (2008-2010)" passed the acceptance inspection.
In March 2011, the first endoscopically guided percutaneous gastrostomy jejunum insertion (PEJ) was performed. (Main developer: Tang Weidong)
In July 2011, the discipline was included in the "Fuyang Famous Hospital Project" to further strengthen the construction of "key specialists".
In October 2011, the first case of non-invasive intra-abdominal pressure monitoring was carried out. (Main developer: Tang Weidong)
In May 2013, the first case of percutaneous dilatational tracheostomy (TDT) was performed. (Main developer: Tang Weidong)
In December 2013, the first severe ultrasound diagnosis was carried out using a portable color Doppler ultrasound diagnostic instrument.
In October 2014, the discipline was included in the “Fourth Batch of County-level Leading Medical Discipline Construction Plan of Zhejiang Province”.
In May 2015, with the overall relocation of the hospital, the ICU was located in the west area on the fourth floor of the inpatient department, with 24 beds. The open beds started from 13 and are currently 19.
In October 2015, the "Key Specialty" construction of the "Fuyang Famous Hospital Project" passed the acceptance inspection.
On May 26, 2017, extracorporeal membrane oxygenation (ECMO) was used for the first time to successfully treat a patient with fulminant myocarditis and cardiogenic shock. (Main developer: Chen Qi)
On July 5, 2017, intra-aortic balloon counterpulsation (IABP) was used for the first time to successfully treat a patient with acute myocardial infarction and cardiogenic shock. (Main developer: Chen Zhiyun)
In October 2017, prone position ventilation was used to treat an ARDS patient for the first time using a turning bed. (Main developer: Tang Weidong)
In September 2019, the first case of continuous blood purification therapy (CRRT) using citrate anticoagulation was carried out. (Main developer: Shao Xuebo)
In January 2020, after the final acceptance review, the discipline won the excellent grade of "The Fourth Batch of County-Level Leading Medical Disciplines in Zhejiang Province".
In July 2020, a patient with anhidrosis due to exertional heat stroke was successfully treated.
In April 2021, three patients with severe polytrauma were successfully rescued.
[Successive directors and head nurses]
In November 2000, department director Jin Zhicheng and head nurse Sheng Ying led the hospital's medical elite to build the department from scratch and established Fuyang's first ICU.
In February 2002, department director Tang Weidong and head nurse Zhang Xiaonv led the medical staff in the department to further improve the diagnosis and treatment standards of the discipline, and launched a series of new technologies and new projects. The discipline has made great progress, and through teaching and helping Four hospitals in Fuyang District have established critical care medicine departments, allowing critical care medicine to thrive in Fuchun and greatly improving the radiation capabilities of our department in Fuyang and even Hangzhou.
During this period, the successive head nurses were: Jin Xuhua in January 2009, Yang Xiaoyun in April 2010, Chen Suping in May 2014, and He Yanyan in May 2016.
In May 2016, Chen Qi was appointed as the deputy director of the department, and in May 2018, Shao Xuebo was appointed as the deputy director of the department.
【Current status of subject】
The Department of Critical Care Medicine was founded in November 2000. It is a leading medical discipline at the county level in Zhejiang Province and a key medical discipline in Fuyang District, Hangzhou City. It is the main supporting department for the trauma center, stroke center, chest pain center, and high-risk maternal treatment center in the region. Its comprehensive technical level ranks among the top in Hangzhou and reaches the advanced level in the country. The department covers an area of more than 1,300 square meters, has 24 beds, including 2 negative pressure single rooms, and has invested more than 10 million yuan in equipment. There are currently 9 doctors, including 1 chief physician, 2 deputy chief physicians, and 6 master's degree students. The department focuses on nutritional support and treatment of critically ill patients, diagnosis and treatment of patients with severe trauma, and diagnosis and treatment of patients with severe sepsis. Responsible for the "medical, teaching, research" and clinical quality control tasks related to the district and Zhejiang University of Traditional Chinese Medicine.
The department has been rated as the Women’s Civilization Demonstration Post in Zhejiang Province and the Youth Civilization Number in Fuyang District. Many of its medical staff have been awarded the title of National Advanced Worker, Zhejiang Province Model Worker, Hangzhou City Model Worker, Hangzhou City Outstanding Communist Party Member, and Zhejiang Province Outstanding Physician. Award, Fuyang Moral Model, "Moral and Artful" Medical and Health Workers, "Top Ten" Doctors, "Top Ten" Nurses, Technical Experts and other honorary titles.
【Diagnosis and treatment scope】
Routinely carry out emergency and critical care, such as: severe trauma, acute poisoning, severe cardiac disease, acute respiratory failure, acute kidney injury, severe infection, high-risk pregnant women, perioperative monitoring, multiple organ dysfunction syndrome (MODS), etc.
【Technical Features】
The department is equipped with a central monitoring system, invasive and non-invasive ventilators, extracorporeal membrane oxygenation (ECMO), intra-aortic balloon counterpulsation pump (IABP), PICCO PLUS volume detector, portable color Doppler ultrasound diagnostic instrument, Continuous blood purification equipment and other medical equipment.
It is responsible for the treatment of critically ill patients throughout Fuyang District and surrounding areas, and regularly carries out key technologies including mechanical ventilation, critical ultrasound, kidney replacement, ECMO, IABP, artificial liver, etc. including organ function support. It can provide comprehensive monitoring and supportive treatment for critically ill patients, such as rescue of severe trauma patients, blood purification treatment such as plasma exchange adsorption for acute poisoning patients, nutritional support treatment for critically ill patients, treatment of severe sepsis patients, and brain resuscitation, Perioperative monitoring and treatment of major surgeries.
The department effectively uses a series of cardiopulmonary and cerebral resuscitation techniques such as intelligent biphasic wave defibrillation, automated external defibrillation (AED), cardiopulmonary resuscitators, and temperature-controlled blankets for mild hypothermia brain protection; video laryngoscopy and percutaneous dilation tracheostomy are also used Such as the establishment of artificial airways, invasive and non-invasive ventilators for respiratory function support and respiratory mechanics monitoring, the application of portable ventilators in the outbound transportation of critically ill patients, bedside fiberoptic bronchoscopy, chest oscillation sputum discharge devices, flushable endotracheal intubations ( Tracheotomy and tube placement), application of airway humidification-oxygen therapy system in airway management, bedside bronchial artery embolization to rescue massive hemoptysis; routine disease severity scoring; standardized analgesia and sedation assessment and treatment; metabolism Monitoring and nutrition support technology, implement energy metabolism monitoring, standardize blood sugar control, water, electrolyte and acid-base balance treatment, and insert gastrointestinal nutrition tubes, percutaneous endoscopic gastrostomy tubes (PEG), and PEJ through gastroscopy guidance or blind insertion technology Feeding pumps are used for enteral nutrition, and parenteral nutrition is performed through central venous catheters or peripherally inserted central venous catheters (PICC); continuous blood purification treatments (such as CVVH, hemoperfusion, plasma exchange) are used for MODS and severe infections. , effective treatment of acute poisoning, etc.; perform routine monitoring of central venous pressure (CVP), invasive arterial blood pressure (ABP), and use four-lumen Swan-Ganz floating catheter, PiCCO and other invasive hemodynamic monitoring (including oxygenation and tissue perfusion monitoring), the application of mechanical ventilation and CVVH in the rescue of acute left heart failure; cooperate with the Department of Cardiovascular Medicine to implement temporary cardiac pacing technology and percutaneous coronary intervention (PCI); early identification and standardized control of severe infections; carry out multiple Intracranial pressure monitoring, non-invasive intra-abdominal pressure monitoring in injured patients, application of blood lactate monitoring in the diagnosis and treatment of acute poisoning patients, bedside rapid and continuous blood glucose monitoring, biochemical blood gas analysis monitoring and bedside ultrasound technology, etc.
