The Critical Care Section within the Division of Cardiothoracic Surgery is growing at a rapid rate. Currently comprising 4 members, our Section provides ~50% of the ICU coverage to patients in the Cardiovascular ICU, which is staffed 24/7 by in house attending intensivists, in addition to a resident/APC team.
Our Section, headed by Dr. Joseph Tonna, has been in formal existence since 2017. Dr. Tonna leads an NIH funded research program in the use and management of ECMO for refractory cardiopulmonary failure. Dr. Julian Macedo joined our Section in 2017, followed by Dr. Anna Ciullo in 2019. 
All are dual boarded emergency physicians and intensivists, with Dr. Macedo additionally boarded in Neurocritical Care. Recently, Dr. Matt Goodwin joined our Section as a dually trained cardiothoracic surgeon (in the adult cardiac section) and intensivist. His surgical training provides a wonderful compliment to our Section.
The Critical Care Section has a strong focus on providing excellent and omnipresent critical care to all patients in our Cardiovascular ICU, including those from Thoracic and Vascular Surgery. Patients in our CVICU include those ranging from primary acute pulmonary failure requiring ECMO to advanced heart failure, transplantation and durable VADs, to routine coronary bypass and valve replacements. The Section additionally cares for patients with complex thoracic procedures and multi-disciplinary cardiac/vascular combined cases. Our intensivists lead a multidisciplinary team of pharmacists, nurses, therapists, residents, APCs and fellows.
Beyond being excellent clinicians, our intensivists are educators, innovators and leaders. Dr. Ciullo runs the critical care simulation program for the School of Medicine, Dr. Macedo has garnered financial support from industry to investigate the complex and understudied neuro-cardiac relationship in this high-risk population, and Dr. Goodwin is expanding our transplantation program with the use of advanced techniques for organ recovery.
The Critical Care Section could not achieve all this without the unflagging support of the Division, including its surgeons, APCs and staff, and most importantly, our CVICU nurses and staff, without whom we could not provide the excellent care that we do.