Consensus Guidelines for Pediatric Intensive Care Units in India, 2020

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Consensus Guidelines for Pediatric Intensive Care Units in India, 2020 PRAVEEN KHILNANI,1 BALA RAMACHANDRAN,2 FARHAN SHAIKH,3 RACHNA SHARMA,4 ANIL SACHDEV,5 S DEOPUJARI,6 ARUN BANSAL,7 DAYANAND NAKATE8 AND SANJAY GHORPADE9 FOR INDIAN ACADEMY OF PEDIATRICS COLLEGE COUNCIL OF PEDIATRIC INTENSIVE CARE CHAPTER From 1Pediatric Intensive Care Unit, Madhukar Rainbow Children’s Hospital, New Delhi; 2Department of Intensive Care and Emergency Medicine, KK CHILDS Trust Hospital, Chennai, Tamil Nadu; 3Pediatric Intensive Care Unit, Rainbow Children’s Hospital, Banjara Hills, Hyderabad, Telangana; 4Pediatric Intensive Care Unit, BLK Superspecialty Hospital, Delhi; 5Pediatric Intensive Care Unit, SGRH, Delhi; 6Nelson Child Hospital, Nagpur Maharashtra; 7Department of Pediatrics and Pediatric Critical Care, PGIMER, Chandigarh; 8Ashwini Sahakari Rugnalaya Ani Sanshodhan Kendra Nyt, Solapur, Maharashtra; and 9Pediatrician, Satara, Maharashtra; 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. [email protected] 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. Keywords: Accreditation, Criteria, Critical care, Design, Level of care. Published online: August 29, 2020. PII: S097475591600237

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onsensus Guidelines for pediatric intensive care units (PICUs) were published in Indian Pediatrics in 2002 [1]. The current document represents a recent update in the Indian context, regarding unit design, equipmen