The surgical intensive care unit as a cost-efficient substitute for an operating room at a Level I trauma center.

Critically ill patients in the surgical intensive care unit (SICU) continue to require operative procedures. Traditionally, this has meant the transport of these critically ill patients out of the safe, monitored confines of the SICU to the operating room (OR). This can be hazardous to the patient, as well as expensive. Performing the procedures in the OR can avoid both the dangers of transport and the expense of the OR. Herein is a descriptive study of 80 procedures performed on 36 patients in the SICU. We believe that these data show that the SICU can be a cost-effective alternative to the OR in a trauma center in critically ill patients. Significant cost savings may be realized without increasing the iatrogenic or infectious complications.