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Hollywood Presbyterian Medical Center -- Neonatal Intensive
Care Unit
The Neonatal Intensive Care Unit (NICU) at the Hollywood
Presbyterian Medical Center has 15 beds and provides care
for critically ill preterm and term neonates. As there are
around 5000 deliveries annually at this hospital, the NICU
is a busy place. Many high-risk pregnancies are delivered
by maternal-fetal specialists and obstetricians working at
the Hollywood Presbyterian Medical Center and/or at the Institute
for Maternal - Fetal Health. The wide range of complexity
of pregnancies results in the admission of neonates to the
NICU with a wide variety of conditions. Accordingly, there
are patients who have conditions with lower complexity and
severity such as transient tachypnea of the newborn or mild
respiratory distress syndrome, while others may present with
more complex medical problems such as extreme prematurity
and its complications, moderate-to-severe respiratory distress
syndrome, meconium aspiration syndrome with or without persistent
pulmonary hypertension, or sepsis syndrome. As for the patients
of the Institute for Maternal and Fetal Health delivered at
Hollywood Presbyterian Medical Center, the list of diagnoses
ranges from congenital abnormalities of the heart, lungs,
nervous system, gastrointestinal and/or urogenital tract to
arteriovenous malformations, metabolic, hematologic and genetic
syndromes and tumors. These conditions are often identified
prenatally through the Institute's comprehensive prenatal
diagnosis program. Such babies are stabilized by USC/CHLA
faculty neonatologists in the delivery suite and/or the NICU
at Hollywood Presbyterian Medical Center and, when indicated,
transferred next door to the Center
for Newborn and Infant Critical Care at the Childrens
Hospital Los Angeles for subspecialty treatment provided by
neonatologists, general pediatric surgeons, neurosurgeons,
cardiothoracic surgeons, pediatric otolaryngologists, pediatric
urologists, geneticists, and pediatric endocrinologists, pulmonologists,
hematologists/oncologists and many others.
As of June 1, 2004, the USC Division
of Neonatal Medicine has been responsible for providing
medical service in this NICU, with Dr. Shahab Noori receiving
the appointment as its Medical Director. With the divisional
neonatologists working both at this NICU and at CHLA's Center
for Newborn and Infant Critical Care, a continuity of care
is assured in a state-of-the-art clinical setting. In addition,
the medical operations are built on an academic model with
neonatology attending staff, neonatology fellows and CHLA
pediatric residents providing 24 hour service for the patients
in the NICU at Hollywood Presbyterian. The medical team works
in close collaboration with the dedicated nursing, respiratory
therapy, pharmacy, occupational therapy and ancillary staff
within the hospital. Finally, with the busy obstetrical services
located there, a solid experience in neonatal resuscitation
and the treatment of neonatal diseases is being provided to
all trainees rotating through the unit.
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