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Departments

Department of Critical Care Medicine

 History

The Department of Critical Care Medicine at Zhongshan Hospital, Fudan University, specializes in diagnosing and treating life-threatening conditions. Founded in 1978 by Prof. Wu Zhaoguang as the Surgical Care Unit, it initially focused on three main tasks: saving lives, creating conditions for recovery, and treating disease causes. Over the past 40 years, under the leadership of Dr. Jiang Hao, Dr. Xue Zhanggang, Dr. Zhu Duming, and Dr. Zhong Ming, the department has seen significant advancements.

In 1996, the Surgical Care Unit merged with the Department of Anesthesiology. Prof. Zhu Duming took charge in 1999, and the unit gained independence in 2003, officially becoming the Department of Critical Care Medicine. In 2005, the A-ICU was established in Building A for critically ill patients requiring special care, and a Liver Transplantation Care Unit was added. By 2012, the department had become an independent secondary discipline with 38 beds and was recognized as a key discipline by the Ministry of Health. In 2014, it expanded to include the Cardiac Surgery ICU, forming a comprehensive care model with four units. The department became a national training base for critical care specialists in 2018 and a standardized training base for residents in 2020.

Our team includes experienced chief and deputy chief physicians, along with national and regional experts, forming a robust, technologically advanced, and cohesive unit.

 Spatial Layout and Clinical Services

The Department of Critical Care Medicine consists of three sections: two comprehensive ICUs and one specialized ICU, totaling 80 beds. The comprehensive ICU in Building 8 primarily treats perioperative critically ill patients and pregnant women. The International Specialized Medical Care Unit handles perioperative critical illnesses in both surgery and internal medicine, while the Hepatosurgery Care Unit specializes in liver surgery patients, including those with liver failure and post-transplant care.

The department excels in perioperative monitoring, hemodynamic monitoring, sepsis management, respiratory failure treatment, nutritional support, critical care ultrasound, and organ transplant perioperative management. Our clinical services include hemodynamic monitoring, ECMO, blood purification therapy, respiratory support, bronchoscopy, minimally invasive tracheotomy, and critical care ultrasound. We have established systematic diagnostic and therapeutic protocols, creating sub-specialties such as extracorporeal life support, respiratory therapy, geriatrics, and hepatic critical care. Innovations like "percutaneous minimally invasive tracheotomy" and "ultrasound-guided nasoenteric tube placement" have been recognized for their contributions to new technology applications.

 Intelligent ICU - The Future of Digital-Intelligent Integration

Building on traditional critical care informatization, we have adopted the digital twin concept for intensive care. After more than a year of development, we have established a data center for critical care equipment, achieving detailed data recording and digital cognition of critical illnesses. This supports the foundation of "digital critical care."

We have developed a Critical Care Knowledge Base, covering data standards, diagnostic norms, clinical pathways, assessment scales, quality control rules, expert consensus, and management indices, bringing together high-quality professional knowledge.

In collaboration with technology companies, we are developing a new generation of "Digital Twin Intensive Care Units," utilizing the hospital's core information resources: data and knowledge. Our critical care information platform integrates 108 beds, 200 devices, 10TB of data, and 20 million records, and includes 100 assessment scales, 200 calculation modules, and 600 data interfaces. This has enabled paperless, mobile, and automated nursing care, with nearly 10 ongoing research projects demonstrating the benefits of digital intelligence.

 

[Backup Guarantee - Zhongshan Hospital Critical Care Nursing Team]

As one of the main focuses of nursing discipline construction, after years of development and accumulation, with the principles of "standardization, specialization and humanization". Among them, there are 1 senior professional titles, 2 associate senior titles, 1 doctoral degree, 7 master's degrees, and 3 master's degree students.

Critical care nursing team focuses on the development of specialized teams, including specialties of extracorporeal life support, specialties of continuous renal replacement therapy, specialties of critical care nutrition, and specialties of critical care wound stoma, and so on. Each nursing specialty developed vertically from multiple aspects of technology, research and innovation. It enhances the clinical nursing level in critical care treatment and highlights the value of critical care nursing.

In recent years, critical care nursing has been a part of fudan's double first-class discipline construction project. It has been awarded shanghai municipal hospital core skills training base for critical care medicine and emergency nursing, the first batch of intensive care nurse training bases by Shanghai Nursing Association, one of the three pilot hospitals in China for CMB China Advanced Nursing Practice (APN) Talent Cultivation and Utilization Project, and high-level local university construction project.