Praveen Khilnani1, Bala Ramachandran2, Farhan Shaikh3, Rachna Sharma4, Anil Sachdev5, S Deopujari6, Arun Bansal7, Dayanand Nakate8, Sanjay Ghorpade9. 1. Pediatric Intensive Care Unit, Madhukar Rainbow Children's Hospital, New Delhi, India. Correspondence to: Dr Praveen Khilnani, Director, Pediatric Critical Care and Emergency Services, Madhukar Rainbow Children's Hospital, Malviya Nagar, New Delhi 110 017, India. praveenkhilnanil957@gmail.com. 2. Department of Intensive Care and Emergency Medicine, KK CHILDS Trust Hospital, Chennai, Tamil Nadu, India. 3. Pediatric Intensive Care Unit, Rainbow Children's Hospital, Banjara Hills, Hyderabad, Telangana, India. 4. Pediatric Intensive Care Unit, BLK Superspecialty Hospital, Delhi, India. 5. Pediatric Intensive Care Unit, SGRH, Delhi, India. 6. Nelson Child Hospital, Nagpur Maharashtra, India. 7. Department of Pediatrics and Pediatric Critical Care, PGIMER, Chandigarh, India. 8. Ashwini Sahakari Rugnalaya Ani Sanshodhan Kendra Nyt, Solapur, Maharashtra, India. 9. Pediatrician, Satara, Maharashtra, India.
Abstract
BACKGROUND: Consensus Guidelines for Pediatric Intensive Care Units (PICUs) were published in Indian Pediatrics in 2002. OBJECTIVE: The current document represents a recent update in the Indian context, regarding unit design, equipment, organization, staffing as well as admission and discharge criteria for different levels of Pediatric Intensive Care and teaching units with PICU training programs, as well as nonteaching units. PROCESS: The Pediatric Intensive Care College Council (PICC), an academic wing of the Indian Academy of Pediatrics (IAP) Intensive Care Chapter took the initiative to update the guidelines with members of the PICU guidelines Committee writing group. After a great deal of discussion at conferences and through mailing and feedback with listed members, as well as with the guidance and feedback of senior PICU guidelines advisory committee members, The consensus is now updated. These guidelines are intended to serve as a reference for health Care institutions wishing to establish a new PICU or to modify an existing PICU. As a resource, experience of those members who have worked extensively in western PICUs was also taken into consideration, in addition to published guidelines in the medical literature. PICUs with teaching programs run by the IAP Intensive Care Chapter must follow these criteria for unit accreditation and teaching curricula as applicable. RECOMMENDATIONS: Unit design, equipment, organization, staffing as well as admission and discharge criteria for different levels of pediatric intensive care are updated.
BACKGROUND: Consensus Guidelines for Pediatric Intensive Care Units (PICUs) were published in Indian Pediatrics in 2002. OBJECTIVE: The current document represents a recent update in the Indian context, regarding unit design, equipment, organization, staffing as well as admission and discharge criteria for different levels of Pediatric Intensive Care and teaching units with PICU training programs, as well as nonteaching units. PROCESS: The Pediatric Intensive Care College Council (PICC), an academic wing of the Indian Academy of Pediatrics (IAP) Intensive Care Chapter took the initiative to update the guidelines with members of the PICU guidelines Committee writing group. After a great deal of discussion at conferences and through mailing and feedback with listed members, as well as with the guidance and feedback of senior PICU guidelines advisory committee members, The consensus is now updated. These guidelines are intended to serve as a reference for health Care institutions wishing to establish a new PICU or to modify an existing PICU. As a resource, experience of those members who have worked extensively in western PICUs was also taken into consideration, in addition to published guidelines in the medical literature. PICUs with teaching programs run by the IAP Intensive Care Chapter must follow these criteria for unit accreditation and teaching curricula as applicable. RECOMMENDATIONS: Unit design, equipment, organization, staffing as well as admission and discharge criteria for different levels of pediatric intensive care are updated.
Authors: Lorry R Frankel; Benson S Hsu; Timothy S Yeh; Shari Simone; Michael S D Agus; Marjorie J Arca; Jorge A Coss-Bu; Mary E Fallat; Jason Foland; Samir Gadepalli; Michael O Gayle; Lori A Harmon; Vanessa Hill; Christa A Joseph; Aaron D Kessel; Niranjan Kissoon; Michele Moss; Mohan R Mysore; Michele E Papo; Kari L Rajzer-Wakeham; Tom B Rice; David L Rosenberg; Martin K Wakeham; Edward E Conway Journal: Pediatr Crit Care Med Date: 2019-09 Impact factor: 3.624