Department of Pediatrics - Facilities

24X7 availability of dedicated NICU intensivist  

14 BEDS LEVEL 3 NICU

1.       Comprehensive intensive care for critically ill and high-risk newborns.

2.       Management of extremely preterm, ELBW and VLBW infants.

3.       Management of neonatal respiratory disorders, including: Respiratory Distress Syndrome (RDS) ,Meconium Aspiration Syndrome (MAS), Persistent Pulmonary Hypertension of the Newborn (PPHN), Apnea of Prematurity, Air Leak Syndrome

4.       Management of neonatal sepsis, meningitis, pneumonia, shock, Necrotizing Enterocolitis (NEC), congenital infections, metabolic disorders, and electrolyte imbalances.

5.       Care of newborns with birth asphyxia, neonatal seizures, Intraventricular Hemorrhage (IVH), Neonatal Encephalopathy.

6.       Management of neonatal surgical emergencies including Congenital diaphragmatic hernia, Esophageal atresia/TEF, Intestinal atresias, Malrotation with volvulus, Anorectal malformations, Necrotizing enterocolitis requiring surgery, Spontaneous intestinal perforation, Congenital abdominal wall defects by a well-trained pediatric surgeon.

7.       Management of severe neonatal hyperbilirubinemia

State of Art services include:

Every delivery is attended by a Pediatrician to ensure immediate newborn assessment and resuscitation when required.

1.       Advanced Thermal Support: Warmers, Incubators, Transport Incubator

2.       Cutting edge Respiratory Care: T piece Resuscitator,  Bubble CPAP,  HHHFNC , Conventional Mechanical Ventilation,  HFO

3.       Advanced Monitoring & Diagnostics: Central Arterial & Venous Access, Intra-arterial BP monitoring, Bed side POCUS

4.       Neonatal Jaundice Management: LED Phototherapy, Exchange Transfusion

5.       Specialized Procedures: Surfactant Administration, Thoracostomy, Therapeutic Hypothermia

6.       Comprehensive In-House Facilities: 

a.       ROP Screening & Treatment: LASER & Anti VEGF therapy,

b.       Hearing & Neurological Assessment: BERA, OAE, USG Cranium, EEG, MRI

7.       Specialized Neonatal Care: Extreme Preterm & IUGR care, Kangaroo Mother Care, Development Supportive Care

8.       Empowering Baby Friendly Hospital Initiative to support breast feeding mothers

9.       TPN and Advanced Neonatal Nutritional support  

OPD SERVICES:

1.       Follow-Up Clinic for:

·         Neurodevelopmental Screening

·         Development Assessments

·         Feeding and Nutrition Support

2.       Therapeutic Service:

·         Physical Therapy

·         Occupational Therapy

·         Speech Therapy

3.       Immunization and Preventive Care Vaccination as per Indian Academy Of Pediatrics /NIS

4.       Parental Support & Education

Academic Activities:

1.       IAP - NNF Advanced NRP workshops

2.       NNF Fellowship in Neonatology Program for doctors and Nurses

3.       Research & Publications

4.       Nursing Staff Training

5.       Community Outreach Program

6.       Well Baby clinic

7.       High Risk Newborn Clinic

SERVICES DELIVERED IN PICU:

BEDS LEVEL 3 PICU

24X7 availability of dedicated PICU intensivist  

1.       Comprehensive Management of Critically Ill Children:

·         Septic shock and all forms of pediatric shock (hypovolemic, Cardiogenic, distributive, anaphylactic)

·         Acute respiratory failure including pneumonia, bronchiolitis, severe asthma, ARDS, and other respiratory illnesses

·         Diabetic ketoacidosis (DKA) and other endocrine emergencies

·         Status epilepticus, meningitis, acute encephalitis syndrome, traumatic brain injury, and other neurological emergencies

·         Polytrauma, burns, poisoning, and snakebite

·         Bleeding disorders and hematological emergencies

·         Acute kidney injury, electrolyte disturbances, and metabolic emergencies

·         Cardiac emergencies and heart failure

·         Severe sepsis and multi-organ dysfunction syndrome (MODS)

·         Post-operative intensive care following pediatric, neurosurgical, cardiothoracic, abdominal, trauma, and other major surgeries

·         Multidisciplinary care involving Pediatric Surgery, Neurology, Cardiology, Nephrology, Gastroenterology, Hemato-Oncology, Endocrinology, Pulmonology, infectious Disease, and Anesthesiology.

2.       Advanced Critical Care Procedures:

·         Continuous multi-parameter and hemodynamic monitoring

·         Bedside emergency procedures and procedural sedation

·         High-Flow Nasal Cannula (HFNC) therapy

·         Continuous positive airway pressure (CPAP)

·         Non-invasive ventilation (NIV)

·         Invasive mechanical ventilation

·         Bedside Point-of-Care Ultrasound (POCUS)

·         Ultrasound-guided central venous catheter (CVC) insertion

·         Arterial line insertion and invasive hemodynamic monitoring

·         Advanced airway management and difficult airway support

·         Chest tube (intercostal drain) insertion and management

·         Continuous Renal Replacement Therapy (CRRT)

·         Therapeutic Plasma Exchange (TPE/Plasma Exchange)

·         Extracorporeal Carbon Dioxide Removal (ECCO₂R)

·         Oxiris® hemoadsorption therapy for selected patients with septic shock and cytokine-mediated inflammatory states

·         Bone Marrow Aspiration and Biopsy

3.       Rehabilitation and Supportive Care:

·         Early Physiotherapy and respiratory rehabilitation with Chest Physiotherapy and airway clearance techniques

·         Early mobilization and positioning

·         Individualized enteral and Parenteral nutrition support

·         Family counselling

·         Multidisciplinary rehabilitation involving physiotherapists, nutritionists, occupational therapists, and speech therapists

4.       Academic and Training Activities:

·         Bedside teaching and clinical rounds

·         Hands-on POCUS and procedural skills training for postgraduate residents

·         Simulation-based pediatric emergency and critical care training

Special Clinics:

Thalassemia Clinic

·         Dedicated Thalassemia Ward and staff providing comprehensive care.

·         Free blood transfusion services for children with thalassemia.

·         Monthly consultations by a visiting Pediatric Hemato-oncologist Specialist.

·         Regular health care checkups, monitoring and management by our visiting Pediatric Hemato-oncologist Specialist and are faculty.

Pediatric Cardiology Clinic

·         Once a Month by visiting Pediatric Cardiologist

·         Services include clinical assessment, Pediatric Echocardiography and certain procedures and follow-up of children with congenital and acquired heart diseases.

High Risk Clinic for NICU Graduate

Provides care for high-risk infants, including preterm babies, low birth weight (LBW) and very low birth weight (VLBW) infants, neonates discharged from the NICU, babies with birth asphyxia, congenital anomalies, and other high-risk conditions.

Services include:

·         Growth monitoring and developmental surveillance.

·         Nutritional assessment and parental counseling.

·         Breastfeeding support and immunization.

·         Vision and hearing screening.

·         Early identification and intervention for developmental delays.

Immunization services

·         Immunization services provided as per the National Immunization Schedule (NIS) and Indian Academy of Pediatrics (IAP) Immunization Schedule.

·         Catch up immunizations is provided for partial immunized and unimmunized children.