Department of Anesthesia, Critical Care and Pain Medicine
Critical Care Division
Critical Care Division
55 Fruit Street
Boston,
MA
02114
About the Critical Care Anesthesia Fellowship
The Critical Care Anesthesia Fellowship at Mass General is a 12-month ACGME-accredited training program that prepares individuals for a career in the care of critically ill patients and management of an intensive care unit.
Explore This Division
About This Program
The Critical Care Division in the Department of Anesthesia, Critical Care and Pain Medicine at Massachusetts General Hospital integrates education, evidence-based medicine and research to provide specialized, multidisciplinary anesthesia care to critically ill adult patients.
Our clinical team includes intensivists (physicians who are board-certified in critical care in addition to anesthesiology, surgery or medicine), critical care nurses and nurse practitioners who have advanced training in critical care including echocardiography and cardiac intensive care unit (ICU) training, and critical care fellows.
We support patients in three Mass General ICUs:
- Surgical Intensive Care Unit (SICU), a 20-bed unit dedicated to caring for patients recovering from general, thoracic, trauma, vascular, orthopedic, gynecologic and obstetric surgeries
- Heart Center Intensive Care Unit (HCICU), a 36-bed unit dedicated to the management of cardiothoracic patients including heart transplants, lung transplants, ventricular assist devices and extracorporeal membrane oxygenation (ECMO)
- Blake 12, an 18-bed unit dedicated to caring for acutely and critically ill surgical, neurological, medical and transplant patients
Each unit is staffed 24 hours a day, seven days a week. Our clinicians are readily available to provide emergent airway coverage throughout the hospital.
The Critical Care Division also staffs the Mass General Post Anesthesia Care Unit (PACU), the recovery room where all non-critically ill patients are able to rest after surgery. Patients recovering from surgery in the PACU receive expert care from their multidisciplinary care team.
Services We Provide
We support critically ill patients with all types of medical and surgical conditions. Our services include:
- General and subspecialty surgical and medical critical care services including cardiovascular and thoracic care
- Emergency airway services at Mass General
- Emergency circulatory shock consults at Mass General
- Emergency point-of-care ultrasonography/echocardiography
- Mechanical circulatory support, or ECMO support, a specialized form of life support providing circulation and oxygenation
Patient- and Family-centered Approach to Care
The critical care team works closely with patients and their families to help them familiarize themselves with what to expect when receiving care, provide answers to questions before and after their procedures and ensure that their individual needs and goals are factored into the care plan. Patients and their families are active participants in the decision-making discussions related to treatment options and plans. The team always strives to build a thoughtful, coordinated and personalized plan of care in collaboration with the patient and their family.
Frequently Asked Questions
Who comprises the ICU team?
Our diverse and broadly trained critical care team includes board-certified intensivists — many of whom are also fellowship trained — from various backgrounds including anesthesiology, emergency medicine, medicine and surgery. In addition, the team also includes nurse practitioners, physician assistants, critical care nurses, respiratory therapists, pharmacists and resident and fellow physicians-in-training.
What kinds of patients do critical care providers treat?
We are dedicated to the management and care of critical care patients that are being treated medically, e.g., patients with decompensated heart failure who are being treated by mechanical circulatory shock, or surgically, e.g., patients undergoing or recovering from procedures such as vascular surgery, thoracic surgery, heart transplants and lung transplants.
What can I expect from my critical care team?
As a patient, you will receive 24-hour care from our team. We work closely with all providers on the ICU team, including specialty consultants, to ensure that you are receiving comprehensive, personalized treatment. We will also communicate regularly with family members and pride ourselves on our patient- and family-centered approach to critical care.
What is the education and training of a critical care physician at Mass General?
All of our ICU physicians are board-certified in critical care medicine. Many are also fellowship trained.
What is ECMO?
ECMO is a cardiac and respiratory support device that supports patients with severe heart and lung failure as a bridge to recovery or transplantation.
Mass General is recognized as an ECMO Center of Excellence by the Extracorporeal Life Support Organization, an international consortium of health care professionals and scientists who develop and evaluate new therapies for support of failing organ systems.
Investing in Future Leaders
The Critical Care Division provides opportunities for medical students, residents and fellows to study under leading critical care experts.
Each year, eight fellows are accepted into the Critical Care Anesthesia Fellowship program, rotating in the Ellison 4 SICU, the B8/E9 Heart Center ICU and the Blake 12 ICU during the course of 12 months. Through complex cases and hands-on training, fellows and residents are prepared for a career in the care of critically ill patients and management of an ICU.
Learn more about our fellowship program
The Mass General Difference
Mass General has consistently been recognized as a top hospital in the nation by U.S. News & World Report. This recognition is based on our quality of care, patient safety, and reputation in more than a dozen clinical specialties. Our commitment to excellence means that we work to ensure that you receive the best care at all points during your visit. Our patients benefit from shared expertise, leading research and our commitment to quality and excellence.
Meet Our Team
Meet the expert team of critical care doctors in the Mass General Department of Anesthesia, Critical Care and Pain Medicine.
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- Department of Anesthesia, Critical Care and Pain Medicine
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- Department of Anesthesia, Critical Care and Pain Medicine
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- Medical Director, Respiratory Care
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- Program Director, Critical Care-Anesthesiology Fellowship
- Associate Director, Surgical Intensive Care Unit
- Associate Professor of Anaesthesia, Harvard Medical School
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- Associate Anesthetist
- Associate Professor in Anesthesia
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- Department of Anesthesia, Critical Care and Pain Medicine
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- Department of Anesthesia, Critical Care and Pain Medicine
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- Department of Anesthesia, Critical Care and Pain Medicine
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- Department of Anesthesia, Critical Care and Pain Medicine
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- Department of Anesthesia, Critical Care and Pain Medicine
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- Medical Director, Preadmission Testing
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- Associate Program Director, Anesthesia Residency Program
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- Instructor Harvard Medical School
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- Department of Anesthesia, Critical Care and Pain Medicine
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- Department of Anesthesia, Critical Care and Pain Medicine
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- Director of Anesthesia for Plastic, Reconstructive and Breast Oncology Surgery
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- Department of Anesthesia, Critical Care and Pain Medicine
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- Department of Anesthesia, Critical Care and Pain Medicine
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- Chief, Division of Critical Care, Department of Anesthesia, Critical Care and Pain Medicine
- Medical Co-Director, Heart Center ICU, Mass General
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- Department of Anesthesia, Critical Care and Pain Medicine
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- Director, Trauma & Burn Anesthesia
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- Lead, Cardiac Anesthesia Quality Improvement
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- Department of Anesthesia, Critical Care and Pain Medicine
Patient Resources
Patients receiving critical care at Mass General are encouraged to use these resources to prepare for the ICU.
Surgical ICU
The SICU cares for critically ill patients recovering from surgical intervention.
Heart Center ICU
The HCICU focuses on cardiothoracic management.
Blake 12 Intensive Care Unit
Surgical, neurological, medical and transplant patients receive around-the-clock care.
Videos
Staff Spotlights
Jerome Crowley, MD, MPH
Jerome Crowley, MD, MPH, critical care physician and anesthesiologist, shares more about his day-to-day in an intensive care setting, the lessons he has learned throughout his career and how he stays motivated in his work.
Kenneth Shelton, MD
Kenneth Shelton, MD, critical care physician, cardiothoracic anesthesiologist and medical director of the HCICU, shares the motivation that brought him to Mass General, his perspective on the future of his field and advice for following a similar career path.
Innovation within the Critical Care Field
In addition to providing expert care to patients, our intensivists conduct innovative research on critical care, speak at national and international conferences, publish frequently, teach courses on critical care and work on clinical performance improvement projects to advance care at Mass General.
ECMO As a Rescue Therapy for Covid-19 Patients
Mass General is utilizing ECMO as a rescue therapy for severely ill COVID-19 patients. In this article, Kenneth Shelton, MD, medical director and lead intensivist at the HCICU, shares more.
High-Dose Inhaled Nitric Oxide Safe, Effective for Non-Intubated COVID-19 Patients
In November 2020, Mass General anesthesia researchers reported the benefits of high-dose inhaled nitric oxide as a rescue therapy for five non-intubated adults critically ill with COVID-19.
How to Make ICUs More Geriatric-Friendly
There are no international guidelines about which older adults should be admitted because the benefits of ICU care are uncertain. A team of researchers — including Lorenzo Berra, MD — outline considerations for making ICUs more geriatric-friendly.
The Anesthesia Research Center
The Anesthesia Research Center (ARC) brings together essential research resources for department investigations and consists of clinical research coordinators/fellows, data scientists, statisticians and research administrators with extensive experience in clinical research. The ARC helps to facilitate all aspects of a research project, from study start-up to completion, and with services spanning Institutional Review Board assistance, subject recruitment, data collection/entry and statistical analysis. The ARC has also established a pathway that leverages the electronic health record so departmental investigators can get involved in observational research. By providing a robust research infrastructure, the ARC aims to support investigators throughout the research process in an effort to optimize study design and execution, regulatory oversight and statistical methods.
Learn More
The Critical Care Division integrates education, evidence-based medicine and research to provide specialized, multidisciplinary anesthesia care to critically ill adult patients.