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 Establishing a pediatric cardiac intensive care unit - Special considerations in a limited resources environment

Rakhi Balachandran1, Suresh G Nair2, R Krishna Kumar3
1 Pediatric Cardiac Intensive Care, Amrita Institute of Medical Sciences, Kochi, Kerala, India
2 Departments of Cardiac Anesthesia, Amrita Institute of Medical Sciences, Kochi, Kerala, India
3 Pediatric Cardiology, Amrita Institute of Medical Sciences, Kochi, Kerala, India

Correspondence Address:
R Krishna Kumar
Pediatric Cardiology, Amrita Institute of Medical Sciences and Research Center, Kochi- 682 041, Kerala
India
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DOI: 10.4103/0974-2069.64374

PMID: 20814475

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Year : 2010  |  Volume : 3  |  Issue : 1  |  Page : 40-49

 
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Pediatric cardiac intensive care has evolved as a distinct discipline in well-established pediatric cardiac programs in developed nations. With increasing demand for pediatric heart surgery in emerging economies, a number of new programs are being established. The development of robust pediatric cardiac intensive care units (PCICU) is critical to the success of these programs. Because of substantial resource limitations existing models of PCICU care cannot be applied in their existing forms and structure. A number of challenges need to be addressed to deliver pediatric cardiac intensive care in the developing world. Limitations in infrastructure, human, and material resources call for a number of innovations and adaptations. Additionally, a variety of strategies are required to minimize costs of care to the individual patient. This review provides a framework for the establishment of a new PCICU program in face of resource limitations typically encountered in the developing world and emerging economies.






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 MINI SYMPOSIUM: POSTOPERATIVE CARE
 



Rakhi Balachandran1, Suresh G Nair2, R Krishna Kumar3
1 Pediatric Cardiac Intensive Care, Amrita Institute of Medical Sciences, Kochi, Kerala, India
2 Departments of Cardiac Anesthesia, Amrita Institute of Medical Sciences, Kochi, Kerala, India
3 Pediatric Cardiology, Amrita Institute of Medical Sciences, Kochi, Kerala, India

Correspondence Address:
R Krishna Kumar
Pediatric Cardiology, Amrita Institute of Medical Sciences and Research Center, Kochi- 682 041, Kerala
India
Login to access the Email id


DOI: 10.4103/0974-2069.64374

PMID: 20814475

Get Permissions

Pediatric cardiac intensive care has evolved as a distinct discipline in well-established pediatric cardiac programs in developed nations. With increasing demand for pediatric heart surgery in emerging economies, a number of new programs are being established. The development of robust pediatric cardiac intensive care units (PCICU) is critical to the success of these programs. Because of substantial resource limitations existing models of PCICU care cannot be applied in their existing forms and structure. A number of challenges need to be addressed to deliver pediatric cardiac intensive care in the developing world. Limitations in infrastructure, human, and material resources call for a number of innovations and adaptations. Additionally, a variety of strategies are required to minimize costs of care to the individual patient. This review provides a framework for the establishment of a new PCICU program in face of resource limitations typically encountered in the developing world and emerging economies.






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 © 2008 Annals of Pediatric Cardiology | Published by Medknow
 Online since 20th April, 2008