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Paediatric Intensive Care

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About Paediatric Intensive Care

Specialised Critical Care for Children from 1 Month to 15 Years

The Paediatric Intensive Care Unit, or PICU, at Sitaram Bhartia Institute of Science and Research provides specialised care for critically ill children, from 1-month-old infants to adolescents up to 15 years of age.

The PICU is designed for children who need close monitoring, advanced respiratory support, specialist medical care, post-surgical support, nutritional support, and coordinated treatment from paediatric and super-specialty teams.

Our team includes experienced paediatricians, trained nurses, paediatric specialists, anaesthesiologists, technicians, and support staff who work together to provide safe, child-focused, and family-centred intensive care.

The goal is to support critically ill children with timely intervention, careful monitoring, evidence-based care, and compassionate communication with parents throughout the treatment journey.

Children Who May Need PICU Care

PICU care may be required for children who need advanced monitoring or intensive medical support.

This may include children who require:

  • Oxygen therapy
  • High-flow nasal cannula support
  • Non-invasive ventilation
  • Invasive mechanical ventilation
  • Central line insertion
  • Close monitoring of vital signs
  • Bedside paediatric echocardiography
  • Specialist support for complex medical conditions
  • Nutritional support or parenteral nutritionPre-surgical or post-surgical
  • critical care
  • ICU support after major or minor thoracic surgery
  • ICU support after major or minor abdominal surgery
  • Multidisciplinary paediatric super-specialty care

PICU Facilities and Services

Advanced Respiratory Support

The PICU provides respiratory support for children who need assistance with breathing.

This may include:

  • Oxygen therapy
  • High-flow nasal cannula
  • Non-invasive ventilation
  • Invasive mechanical ventilation

Respiratory support is planned according to the child’s age, condition, oxygen levels, breathing effort, and clinical assessment.

Comprehensive Monitoring

Critically ill children require close and continuous monitoring.

The PICU team monitors important health parameters such as:

  • Heart rate
  • Respiratory rate
  • Blood pressure
  • Oxygen saturation
  • Clinical condition
  • Response to treatment

Continuous monitoring helps the team identify changes early and adjust care as needed.

Central Line Insertion

Central line insertion may be required for selected critically ill children who need advanced medication, fluids, nutrition, or intensive monitoring.

The procedure is performed where clinically indicated and under appropriate medical supervision.

Paediatric Super-Specialist Support

The PICU is supported by paediatric super-specialists who help manage complex and challenging medical conditions.

Super-specialty support may include:

  • Paediatric Pulmonology
  • Paediatric Gastroenterology
  • Paediatric Cardiology
  • Paediatric Nephrology
  • Other paediatric specialists where required

This allows children with complex conditions to receive coordinated care from relevant specialists.

Baby-Friendly and Family-Centred Care

The PICU is designed to support not only the child’s medical needs but also emotional and developmental needs.

Our approach includes:

  • Gentle handling
  • Soothing techniques
  • Parent involvement in the care process
  • Support and education for parents
  • Clear communication with families
  • Care that respects the child’s comfort and dignity

We understand that having a child in intensive care can be stressful for families. The team works to keep parents informed and involved wherever possible.

Nutritional Support

Nutrition is an important part of recovery for critically ill children.

The PICU provides nutritional support based on each child’s age, condition, feeding ability, and medical needs.

This may include:

  • Specialised feeding plans
  • Enteral nutrition where suitable
  • Parenteral nutrition where required
  • Monitoring of nutritional status
  • Coordination with doctors and support teams
  • Paediatric Pre-Surgical and Post-Surgical Care

The PICU supports children who need critical care before or after surgery.

This may include children undergoing:

  • Major thoracic surgery
  • Minor thoracic surgery
  • Major abdominal surgery
  • Minor abdominal surgery
  • Other surgical procedures requiring intensive monitoring

The PICU team works with paediatric surgeons and anaesthesiologists to support safe pre-operative and post-operative care.

Bedside Paediatric Echocardiography

Bedside paediatric echocardiography may be used to assess the heart in critically ill children without moving them out of the PICU.

This supports timely evaluation and clinical decision-making when cardiac assessment is required.

Imaging and Diagnostics Support

The PICU is supported by imaging and diagnostic services for urgent evaluation and interpretation of results.

This may include:

Bedside paediatric echocardiography
Urgent diagnostic support
Imaging support based on clinical need
Coordination with radiology and clinical teams

Timely diagnostic support helps guide treatment decisions in critically ill children.

Coordinated Care with Paediatric Super-Specialties

Critical care often requires support from multiple specialists.

The PICU team works closely with:

  • Paediatrics
  • Paediatric Pulmonology
  • Paediatric Gastroenterology
  • Paediatric Cardiology
  • Paediatric Nephrology
  • Paediatric Surgery
  • Anaesthesia
  • Imaging and Diagnostics
  • Nursing and critical care support teams

This multidisciplinary approach helps ensure that different aspects of the child’s condition are assessed and managed together.

Our Approach to PICU Care

At Sitaram Bhartia, PICU care is built around timely intervention, continuous monitoring, child safety, and family-centred communication.

Our approach focuses on:

  • Early diagnosis and intervention
  • Personalised treatment plans
  • Evidence-based paediatric intensive care
  • Continuous monitoring of vital signs
  • Advanced respiratory support where required
  • Paediatric super-specialist involvement
  • Nutritional support tailored to the child
  • Pre-surgical and post-surgical critical care
  • Parent involvement in the care process
  • Supportive communication with families
  • Continuous training and learning for care teams

The aim is to provide safe, compassionate, and coordinated critical care for every child admitted to the PICU.

When May a Child Need PICU Care?

A child may need PICU care when their condition requires close monitoring, advanced treatment, or intensive medical support.

Parents should seek urgent medical care if a child has:

  • Severe breathing difficulty
  • Low oxygen levels
  • Unconsciousness or reduced responsiveness
  • Seizures
  • Severe dehydration
  • Serious infection concerns
  • Sudden deterioration in health
  • Need for mechanical ventilation
  • Need for intensive monitoring after surgery
  • Any critical condition advised by a paediatrician or emergency doctor

PICU admission is decided by the treating doctor based on the child’s condition and care needs.

Doctors and Care Team

The PICU team includes paediatricians, paediatric super-specialists, trained nurses, anaesthesiologists, technicians, and support staff.

The team works together to provide intensive monitoring, advanced respiratory support, specialist care, nutritional support, pre-surgical and post-surgical care, and family-centred communication for critically ill children.

Why Choose Sitaram Bhartia for PICU Care?

Specialised Paediatric Critical Care

The PICU provides specialised intensive care for critically ill children from 1 month to 15 years of age.

Advanced Respiratory Support

Children who need breathing support may receive oxygen therapy, high-flow nasal cannula, non-invasive ventilation, or invasive mechanical ventilation based on clinical need.

Continuous Monitoring

The PICU team closely monitors heart rate, respiratory rate, blood pressure, oxygen saturation, and overall clinical condition to support timely care decisions.

Paediatric Super-Specialist Support

The PICU is supported by paediatric super-specialists, including Paediatric Pulmonology, Paediatric Gastroenterology, Paediatric Cardiology, and Paediatric Nephrology.

Baby-Friendly and Family-Centred Care

Care is planned with attention to the emotional and developmental needs of infants and children, with parent involvement, education, and supportive communication.

Nutritional Support for Critical Illness

The team provides feeding and parenteral nutrition plans tailored to the child’s condition and recovery needs.

Pre-Surgical and Post-Surgical Care

The PICU supports children before and after major and minor thoracic and abdominal surgeries, in coordination with paediatric surgeons and anaesthesiologists.

Bedside Paediatric Echocardiography

Bedside paediatric echocardiography supports timely cardiac assessment for critically ill children without unnecessary movement.

Multidisciplinary Hospital-Based Care

The PICU works closely with Paediatrics, Paediatric Surgery, Anaesthesia, Imaging and Diagnostics, and other super-specialties to provide coordinated critical care.

Parent Support and Communication

The team keeps parents informed, explains the care plan, and supports families through the child’s intensive care journey.

Meet Our Team

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Dr. Anirban Mandal

Dr. Anirban Mandal

Consultant,
Paediatric Intensive Care

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