

Transplant Intensive Care Unit
The Mount Sinai Hospital is one of the few hospitals in the world with a Transplant Intensive Care Unit (ICU). This unit cares for critically ill patients undergoing liver, kidney, pancreas, and small bowel transplants. We also work with patients who are having multiple transplants, including the liver, small intestine, and another abdominal organ such as the stomach or pancreas. When we transplant all of these organs at the same time, it is called a multiviceral transplant.
The Transplant ICU has 12 beds and is staffed by full-time critical care doctors. It is a closed ICU, meaning it is overseen by a specialist known as an intensivist. We provide care 24 hours a day, 7 days a week. Every year, we see more than 400 patients. We are located in the Guggenheim Pavilion.
In addition to doctors, we also have a team of critical care fellows, surgery and anesthesia residents, and advanced care providers. More than 70 critical care registered nurses provide bedside care. We work with critical care specialists as well as experts from areas such as:
- The Recanati/Miller Transplantation Institute
- Respiratory therapy
- Pharmacy
- Nutrition
- Rehabilitation and occupational therapy
- Social work
- Chaplaincy
- Case management
- Palliative care services
Evidence-Based Care
Patients in the Transplant ICU are often very ill and require complicated treatment. We provide advanced, evidence-based care for the best possible outcomes. This includes:
- Rapid weaning pathways to help patients move off ventilators
- Daily social work and palliative care visits to see what patients need, and organize meetings to update patients and their loved ones
- Daily goal setting for physical and occupational therapy
- Nutritionists to identify nutritional needs and help with intravenous nutrition if needed
- Bedside percutaneous tracheostomy services to provide an airway for patients who are on a ventilator long term
- Continuous veno-venous hemofiltration therapy for patients who are too ill for standard dialysis
Critical Care Research
We perform advanced research trials at the Transplant ICU. We are researching areas such as:
- Drugs and drug-delivery methods
- Biomedical devices
- Diagnostic techniques
Critical Care Education
The Transplant ICU serves as one of the core rotations for the Critical Care Medicine Fellowship at The Mount Sinai Hospital. The fellowship is one of the world’s oldest and largest critical care fellowships. It has been training leaders, researchers, and clinical intensivists for more than four decades.
Additionally, the ICU provides training for rotating residents, medical students, and advanced care providers. We offer supervised procedural skill training, lecture series, and clinical didactics.
Awards and Recognition
The Transplant ICU has received awards for excellence, including:
- Beacon Silver Award for Excellence from the American Association of Critical Care Nurses
- The DAISY Award from the DAISY Foundation
Meet Our Team
Our highly skilled team is here to help.
- John Oropello, MD, Director
- Dhruv Patel, MBBS, Associate Director
- Mardisa Samson-Ramos, Nursing Manager