Critical patients with multi-systemic injuries are hospitalized at Shaare Zedek Medical Center's Intensive Care Unit. These patients remain here for several days or weeks while their body recovers, most of this time they are anesthetized and ventilated. Once their condition improves, they are slowly withdrawn from the medication and anesthesia and begin the rehabilitation process that will enable them to go back to their life.
However, most of the work is with the families. Our goal is to help patients and their family deal with this stressful period by providing support and warmth. Family members receive a daily update on their loved one's situation and are active participants in all decision-making. Our social worker is always at their disposal to help them adjust to the new circumstances and support them through this challenging time. We also do our best to provide the best conditions so that the prolonged stay at the department won't be a burden.
Due to the heterogeneity of injuries that are referred to us, our department is staffed by a multi-disciplinary team that includes internists, surgeons, anesthesiologists, orthopedists and skilled nurses that perform the majority of daily work. The nurses have a comprehensive training and a unique sensitivity to the patients' needs. Our ever-growing collection of thank-you notes is the best testimony to our success.
The work done at the department includes:
• Developing methods for automated withdrawal from the ventilator.
• Developing methods for nourishing critical patients intravenously or using a feeding tube.
• Using special ventilation methods such as High Frequency Ventilation (ventilation at low oxygen volume and high breathing rate - at least 60 breaths a minute).
• Using advanced equipment and innovative techniques, among those advanced ventilators, sophisticated monitors, additional equipment such as a laboratory and imaging devices that belong exclusively to the department, beds that prevent bedsores and more.
When a patient is admitted to the department, we will insert a urine catheter, a feeding tube and a central line, attach them to a monitor to keep track of their blood pressure, oxygen levels and the likes, and sometimes attach other advanced monitoring equipment. While this takes place, one of the nurses will meet with the family and explain about the department and its regulations.
Patients admitted to the ICU may suffer:
• Severe infections
• Acute respiratory failure
• Acute renal insufficiency
• Post-op complications
• Organ failure
In addition to the routine work at the department, the staff is highly involved in the work of many other hospital departments. Our physicians are called upon for counseling, evaluation of critical patients, assistance in ventilation procedures, inserting a central line and more.
Dr. Philip Levin
Main Building, 7th Floor