Critical Care

Edwin M. Frieberg, MD

The Critical Care section has enjoyed a welcome increase in strength during the past year with the recruitment of two excellent intensivists and the return to Tulane of a former section member. Dr. Dinesh Singh joined the section in the fall of 2008, most recently completing training in Pediatric Critical Care and Pediatrics at Advocate Lutheran General Children's Hospital in Parkridge, IL.  Dr. Olugbenga Akingbola's return to the Critical Care section in August 2008 was welcomed by all.  He assumed the role of Medical Director of the Pediatric Intensive Care Unit.  Dr.  Edwin Frieberg remains as Chief of the Section of Critical Care. 

The Critical Care Section is enthusiastic about opportunities for growth in clinical, educational and research arenas:

CLINICAL:  With the full support of Tulane University Hospital and the Chair of the Tulane University Pediatric Department, the Section  will soon be initiating a formal Sedation Service,  organized and implemented by Dr. Akingbola.   Sedation services will be available to pediatric practitioners to assist with procedures and imaging studies on both an in-patient and an out-patient basis.

The Section is poised to be fully involved in the management of post-operative pediatric congenital heart patients, as the Pediatric Cardiothoracic Program grows under the leadership of Dr. Thomas Yeh  and Dr. Mitch Recto.

We continue to attend at the truly tertiary, multi-disciplinary PICU at Tulane Hospital.  Program strengths include management of solid organ transplants concurrently with the transplant surgeons, Pediatric Nephrology and Pediatric Gastroenterology,; capability to provide ECMO for both respiratory and cardiac failure and  a full complement of renal replacement therapies with the assistance of the Nephrology service. 

The Critical Care Section is contracted with LSU Interim Hospital (University Hospital) to provide consulting services for pediatric trauma patients there,  24 hours per day, 7- days per week under the leadership of Dr. Frieberg.   In addition, we are integral members of the Trauma Comitttee at University Hospital and participate regularly in physician
peer review there.

Dr. Frieberg was voted by peers as one of the Top Doctors in Pediatric Critical Care in New Orleans in 2008 as published in New Orleans magazine.  In addition,  he was peer-chosen as one of the Top Doctors in Lousiana in his specialty as published in Louisiana Life magazine.

EDUCATION:  Our section is working towards creating a center at Tulane to offer the Pediatric Fundamentals of Critical Care Course under the direction of Dr. Akingbola.  This course is sponsored by the Society of Critical Care Medicine and is designed to provide community pediatric providers with basic knowledge and skills to provide the early care to their sickest patients. 

The Pediatric Component of the Tulane Simulation Center is nearing completion and readiness for use.  It will serve to complement the teaching of all levels of child health care providers and will be the site for the Fundamentals of Critical Care Course.

The moderation of the monthly Pediatric Morbidity and Mortality Conference remains the duty of the Critical Care Section under the guidance of Dr. Frieberg.  This conference remains an excellent, multi-disciplinary review of a particularly interesting case, often one resulting in patient mortality.

The section is dedicated to providing a core series of lectures Pediatric Critical Care topics for the residents rotating through the PICU.  In addition, daily patient rounds are centered around teaching.  A member of the section will deliver a presentation at Pediatric Grand Rounds in the upcoming year.

RESEARCH:  Dr. Singh is eager to resume basic science research related to his recent work examining the effects of systemic erythropoiten on modulating ventricular fibrillation in an animal model.    Dr. Akingbola plans to resume his work on Parameters for Ventilator Weaning in intubated pediatric patients.  The members of the group regularly review potential topics for case reviews, small controlled clinical trials or collaborative studies.  Regular publishing in the peer reviewed literature is a priority for the section.

The Critical Care Section in the Tulane Department of Pediatrics is excited to be an integral part of a new growth phase for the department.  We anticipate opportunities for meeting with and educating local and regional providers in the acute care of severely sick or injured patients.  We are convinced that our continued diligence in the areas of excellence described and our direct marketing to area providers will continue to help the department and Tuland Hospital to grow and thrive.

Department of Pediatrics, 1430 Tulane Avenue, New Orleans, LA 70112 504-988-5456