Intensive Care Unit Hdu Ecmo

Intensive care unit / HDU / ECMO

INTENSIVE CARE UNIT

Advanced Treatment Facility for Critically ill Children

The Paediatric Intensive Care Unit (PICU) of Apollo Children’s Hospitals, Chennai is the most advanced treatment facility of its kind, providing the highest level of care for critically ill and injured children. Many critically ill children with complex conditions are referred from all over India, and also internationally . The advanced technological resources in the PICU at ACH have resulted in excellent treatment results.

The PICU team provides treatment that is current, evidence-based and closely adheres to global best practices. The unit is staffed by internationally trained and highly committed Paediatric Intensive Care physicians and provides critical care for 24 hours a day, 7 days a week. They liaise regularly with paediatric medical and surgical subspecialists regarding coordination of care, discharge and follow-up. In addition, specially trained Critical Care nurses complement PICU care.

On the academic front, the PICU at ACH has an excellent reputation as one of the largest Paediatric Intensive Care Fellowship training centres in India and has spearheaded important research that has been published in prominent national and international journals of the speciality.

BASIC SERVICES

• Intensive Medical-Surgical-Nursing care
• Strict isolation practices
• Invasive / non-invasive monitoring

SPECIALISED CARE

• Multi-system trauma care
• Infectious Disease support that contributes to the targeted therapy of resistant and complicated infections
• Stringent Infection Control department that strictly monitors infection prevention and minimises hospital acquired infections.
• Specialised Burn Intensive Care
• Cardiac Intensive Care after surgery for congenital heart disease
• PICU care after complex abdominal and thoracic surgery, neurosurgical and craniofacial and spinal surgery
• Oncological / Haematological Care
• Procedural Sedation

MODERN PICU SERVICES

• Bedside invasive / non-invasive diagnostic procedures (e.g. Bronchoscopy, bedside EEG, ECG and echocardiography)
• Rapid ne-tuning of therapy for complicated forms of circulatory shock using focused “Point of care” Cardiac, Lung and Abdomen Ultrasound
• Intracranial pressure monitoring (ICP)
• Multimodal Monitoring for Cardiac output monitoring – USCOM, PiCCO
• Ultrasound guided placement of central vascular access which improves precision
• Blood gas measurement machines
• Centralized monitoring system
• Difficult airway algorithms and equipment
• Respiratory therapy
• High low oxygen therapy
• Non-invasive ventilation-BiPAP/CPAP
• Nitric oxide therapy
• High frequency ventilator
• End-tidal CO2 monitors
• Continuous hemoltratio/ dialysis/SLED
• Peritoneal dialysis
• ECMO

EXPERIENCE IN EXTRA-CORPOREAL MEMBRANE OXYGENATION (ECMO)

• The specialised and unique state-of-the-art ECMO area is located within the PICU complex. With positive pressure controlled air and anti-microbial surfaces, the ECMO unit has stringent infection-control standards that match those in the Operation Theatre
• Experienced multi-disciplinary team can set up ECMO under an hour for severe respiratory or cardio-respiratory failure that has failed conventional therapy.
• Many critically ill children who have failed conventional therapies have successfully undergone VV-ECMO (for refractory respiratory failure) and VA-ECMO (for refractory shock).

HIGH DEPENDENCY UNIT (HDU):

The Paediatric High Dependency Unit is designed to cater to children who are not sick enough to warrant PICU-level care, but who have complex medical or nursing-care needs that exceed the usual capability of the Paediatric ward.