Pediatric Cardiac Intensive Care (PCICU)
When a child needs the highest level of heart care, the Pediatric Cardiac Intensive Care Unit (PCICU) at University of Iowa Health Care Stead Family Children’s Hospital provides continuous, specialized monitoring and treatment.
Our PCICU team cares for infants, children, adolescents, and young adults with congenital and acquired heart disease, including care before and after heart surgery and during complex medical hospitalizations.
We manage a wide range of cardiac needs, from immediate postoperative recovery to highly specialized life-support care. Treatment is provided through close collaboration with pediatric cardiac surgery, cardiology, anesthesia, imaging, and multiple pediatric subspecialties to support each child’s medical needs.
Expert care from a team that knows children’s hearts
Your child’s care is carefully coordinated and centered on their individual needs. The PCICU team includes pediatric cardiac intensivists, surgeons, cardiologists, anesthesiologists, nurses, respiratory therapists, pharmacists, dietitians, and other specialists who work together to share information and coordinate care. Families are an important part of this team, and we encourage your involvement in care and decision making.
For some families, care begins before birth. When a heart condition is diagnosed during pregnancy, we partner closely with maternal–fetal medicine and neonatal specialists to plan delivery and immediate newborn care. After birth — or for children diagnosed later — physicians and bedside nurses are available around the clock to answer questions, explain changes in care, and help you understand what comes next.
Collaborative, family-centered intensive care
We know an ICU stay can be overwhelming. Our PCICU is designed to support both medical care and family well‑being. Patient rooms provide space for caregivers, and features such as Drew’s Lamp allow children to adjust room lighting to create a more comfortable and less intimidating environment.
Child life specialists, music therapists, and facility dogs provide emotional support throughout each child’s stay, while staff use comfort‑focused care whenever possible. For families traveling from across Iowa and beyond, we can help with practical needs such as parking, lodging, and meal options so you can focus on your child.
Behind the scenes, our team follows strict safety and quality practices to reduce infection risk, protect skin integrity, and support healing. Nutrition, pain management, physical therapy, and early rehabilitation are integrated into care plans so recovery can begin as soon as it is safe to do so.
Advanced cardiac care and support
When a child’s heart needs the highest level of support, our PCICU provides access to advanced therapies, including specialized ventilation, extracorporeal membrane oxygenation (ECMO), and ventricular assist devices (VADs) to support heart and lung function.
Pediatric cardiac intensivists, surgeons, and heart failure specialists work closely together, using continuous monitoring and evidence‑based care to guide each decision. From emergency stabilization through recovery and transition, care is focused on safety, coordination, and compassion.
Our pediatric cardiac ICU team participates in clinical trials and research studies focused on improving treatments, reducing complications, and supporting recovery for children with critical heart conditions. Many of these studies explore new approaches to intensive care, mechanical support, and post‑surgical recovery, helping advance pediatric cardiac care for current and future patients.
What to expect
Each day, families meet with the full care team during family‑centered rounds, typically held in the morning and again in the evening. We share updates clearly, explain medical decisions, and review information as often as needed, recognizing that there is a lot to take in. When additional procedures or testing are needed, care is coordinated across specialties to support smooth transitions.
An attending physician is present in the unit at all times, and your child’s bedside nurse is always nearby. When it is time to transition out of the ICU, we help prepare you for the next phase of recovery and review what to expect after transfer or discharge home.
Pediatric cardiac intensive care tests and treatments
- Continuous cardiac and organ monitoring
- Mechanical ventilation and oxygen support
- Mechanical circulatory support
- Extracorporal membrane oxygenation (ECMO)
- Ventricular assist devices (VAD)
- Post-operative and transplant care
- Cardiac anesthesia
- Child life and family support services
Pediatric cardiac intensive care conditions treated
- Congenital heart disease
- Cardiomyopathy
- Heart failure
- Heart transplant
- Partial heart transplant
- Post-surgical recovery
- Circulatory and respiratory failure
Want to speak with a pediatric cardiac intensive care specialist?
Locations and Offices