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Consensus Guidelines for Pediatric Intensive Care Units in India, 2020

Praveen Khilnani1, Bala Ramachandran2, Farhan Shaikh3

  • 1Pediatric 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.

Indian Pediatrics
|September 7, 2020
PubMed

Insights

Updated consensus guidelines for Pediatric Intensive Care Units (PICUs) in India cover unit design, equipment, organization, staffing, and patient admission/discharge criteria. These recommendations aim to improve pediatric critical care standards nationwide.

Area of Science:

  • Pediatric Critical Care Medicine
  • Healthcare Management
  • Hospital Infrastructure

Background:

  • The initial consensus guidelines for Pediatric Intensive Care Units (PICUs) in India were published in 2002.
  • Significant advancements in pediatric critical care necessitate updated guidelines.

Purpose of the Study:

  • To provide a comprehensive update on the 2002 consensus guidelines for PICUs in the Indian context.
  • To establish current standards for unit design, equipment, organization, staffing, and patient management in pediatric intensive care.

Main Methods:

  • The update was initiated by the Pediatric Intensive Care College Council (PICC), an academic wing of the Indian Academy of Pediatrics (IAP) Intensive Care Chapter.
  • Guidelines were developed through extensive discussions, feedback from members, and consultation with senior advisory committee members.
  • International best practices and published literature from western PICUs were incorporated.

Main Results:

  • Revised recommendations address critical aspects of PICU establishment and modification.
  • Updated criteria include unit design, essential equipment, organizational structure, staffing requirements, and admission/discharge protocols.
  • Specific considerations are provided for both teaching and non-teaching PICUs.

Conclusions:

  • These updated guidelines serve as a vital reference for healthcare institutions in India.
  • Adherence to these standards is crucial for establishing new PICUs or enhancing existing ones.
  • The guidelines support the accreditation and curriculum development for PICUs with training programs.
Abstract

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