Dell Children's Medical Center doubles space for its cardiac critical care unit in Austin

Dell Children's Medical Center doubled the number of its cardiac critical care unit beds last week from 24 to 48 by opening a new unit in its main hospital.

The new unit takes over a space that was part of the pediatric intensive care unit, which moved after the fourth tower opened in November 2022.

The doubling of the critical care unit comes five years after the launch of the Texas Center for Pediatric and Congenital Heart Disease, a joint project of the hospital and UT Health Austin, the clinical arm of Dell Medical School.

Dell Children's Medical Center leaders and Will Coffey, one of the first patients treated by the congenital heart team five years ago, cut the ribbon on the new cardiac intensive care unit. It expands the number of intensive care beds for the cardiac program from 24 to 48.
Dell Children's Medical Center leaders and Will Coffey, one of the first patients treated by the congenital heart team five years ago, cut the ribbon on the new cardiac intensive care unit. It expands the number of intensive care beds for the cardiac program from 24 to 48.

The center has now done more than 2,000 heart surgeries, including 30 heart transplants and all the mechanical intervention surgeries that can be done as well as a partial heart transplant. It now has delivered in the hospital babies who were diagnosed with heart programs as fetuses and then were taken immediately to surgery at birth.

"Because of their expertise, we've had to expand," Michael Wiggins, the president of Dell Children's, said of the cardiac team. "It is a milestone on our path and our commitment to delivering the highest level and most comprehensive heart care to families in Central Texas."

Michael Wiggins, the president of Dell Children's, and Dr. Charles Fraser, the head of the Texas Center for Pediatric and Congenital Heart Disease, congratulate each other on the opening of the second cardiac intensive care unit.
Michael Wiggins, the president of Dell Children's, and Dr. Charles Fraser, the head of the Texas Center for Pediatric and Congenital Heart Disease, congratulate each other on the opening of the second cardiac intensive care unit.

The program has grown faster than anyone anticipated, getting to mechanical devices and heart transplants years before Dr. Charles Fraser Jr., the head of the cardiac program, thought it would.

"Who would have thought we would be here five years ago, opening up our 48th dedicated critical care bed for children, adults, patients and families with congenital heart disease?" Fraser said.

In first 5 years of heart program, Dell Children's has surprised even itself. Where it's headed.

He pointed to the dozens of nurses, doctors and fellows who gathered for the opening Thursday: "None of them were here five years ago," he said.

The growth, he said, "is driven by the need — the need of patients and families," he said.

Patients are coming from throughout Texas, neighboring states and even Europe, South America and Africa for cardiac care.

The new cardiac intensive care unit at Dell Children's Medical Center adds 24 beds, for a total of 48. It is expected to be completely full in a month because of the growth of the 5-year-old congenital heart program.
The new cardiac intensive care unit at Dell Children's Medical Center adds 24 beds, for a total of 48. It is expected to be completely full in a month because of the growth of the 5-year-old congenital heart program.

Because the center outgrew the cardiac critical care unit, it has had to control how many patients could enter its program. "You've got to have a bed available," said Dr. Chesney Castleberry, the medical director for the heart failure, VAD (ventricular assist device) and transplant program. Now, she'll be able to bring in more kids as well as add staffers.

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The opening of a second unit puts critical cardiac patients in one space. Previously, some critical cardiac patients were housed throughout the hospital because it had outgrown the original unit, which opened in 2019. Fraser expects this new unit to be full within a month. The hospital will make use of space in the neonatal intensive care unit, which also recently expanded, and the new pediatric intensive care unit when both cardiac units are full, he said.

Ten of the new rooms are designed for kids in heart failure who are expected to have a lengthy stay in the hospital. There is a shower in the room for family members to use.
Ten of the new rooms are designed for kids in heart failure who are expected to have a lengthy stay in the hospital. There is a shower in the room for family members to use.

Ten of the new unit's beds will be for children in heart failure, many of whom are waiting for a heart transplant. Patients typically wait three to four months for a heart once listed, and those too sick to be at home move into the hospital until the transplant happens. With that in mind, Dell Children's added showers to those rooms so family members can stay with their children and not only have the pull-out couch, but also a full bathroom.

"It's their unit, it's their hospital, and we're just lucky to participate in their lives," Fraser said.

This article originally appeared on Austin American-Statesman: Dell Children's Medical Center opens new cardiac care unit in Austin