Out Patient Service

Training and teaching:

Faculty is involved in guiding MD, DM, PhD students working on pediatric intensive care.

Division regularly gets short and long term trainees from India and abroad.

The unit has developed modules for

1. Mechanical ventilation
2. Cardiopulmonary resuscitation
3. Fluid electrolytes
4. Management of shock
5. Common emergencies
6. Central venous catheter insertion

The unit regularly organizes in-service training of nurses in therapeutics (PICU and Peds wards).

Sessions for UGs on management protocols for common emergencies/ emergency drugs are organized.

Specialized services provided:

Mechanical Ventilation

High frequency ventilation

Inhaled Nitric oxide treatment

Intensive monitoring; including monitoring of arterial BP, CVP

Peritonial dialyses

Hemo dialysis

Continuous renal replacement therapy

Exchange transfusion

Bedside imaging- X-ray, ultrasonography, Echocardiography

Post-operative care

RESEARCH

Division is actively involved in clinical and basic sciences research in various aspects of pediatric intensive care

Research related to circulatory failure: The division has been involved in studies on status of endocrine system in children with septic shock. This included studies on adrenal, thyroid function and vasopressin levels in children with septic shock. In addition, we evaluated role of a biomarker-troponin in children with septic shock.

We have validated use of various severity of illness scoring systems.

We have studied the prevalence of various health care associated infections in critically ill children. Role of oral mucosal decontamination in preventing ventilator associated pneumonia has been studied.  We have studied the glucose homeostasis in critically ill children, prevalence of hypophosphatemia in critically ill children.

We are currently evaluating various hemotologic abnormalities in critically ill children, determining the prevalence of catheter related venous thrombosis, and incidence of hypertension in critically ill children.

Clinical services:
Annual admissions: 350- 400

Break up of cases:

1. 40%: Severe sepsis/septic shock.
2. 30%: Respiratory distress requiring ventilation
3. 15%: Neurologic illnesses
4. 10%: Renal/ hepatic illnesses
5. 5%: Multiple organ failures