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

Annals of Pediatric Cardiology

Volumn 3, Issue 1, 2010, Pages 40-49

  Nair, Suresh G ^a   Kumar, R Krishna ^a   Balachandran, Rakhi ^a  

^a AMRITA INSTITUTE OF MEDICAL SCIENCES   (India)

Author keywords

Congenital heart surgery; Critical care; Developing country

Indexed keywords

ANALGESIC AGENT; ANTIARRHYTHMIC AGENT; ANTIBIOTIC AGENT; ANTICOAGULANT AGENT; ESSENTIAL DRUG; INOTROPIC AGENT; NITRIC OXIDE; SEDATIVE AGENT; VASODILATOR AGENT;

ARTERIAL GAS; BLOOD; BREATHING APPARATUS; CLINICAL DECISION MAKING; CLINICAL PATHWAY; CONFERENCE PAPER; CONFLICT MANAGEMENT; CORONARY CARE UNIT; COST CONTROL; CRITICAL ILLNESS; DATA COLLECTION METHOD; DEVELOPING COUNTRY; ECONOMIC ASPECT; EXTUBATION; FAMILY CENTERED CARE; HEALTH CARE COST; HEALTH CARE MANPOWER; HEALTH CARE PERSONNEL; HEALTH CARE POLICY; HEALTH CARE QUALITY; HEALTH CARE UTILIZATION; HEALTH ECONOMICS; HEART SURGERY; HOSPITAL MANAGEMENT; HOSPITAL PHYSICIAN; INTENSIVE CARE; INTENSIVE CARE UNIT; LABORATORY TEST; LEADERSHIP; LENGTH OF STAY; MEDICAL INSTRUMENTATION; NURSING STAFF; PATIENT MONITORING; PORTABLE EQUIPMENT; PROFESSIONAL PRACTICE; RESOURCE MANAGEMENT; STAFF TRAINING; TEAMWORK;

EID: 77953941084     PISSN: 09742069     EISSN: 09745149     Source Type: Journal    
DOI: 10.4103/0974-2069.64374     Document Type: Conference Paper

References (34)

1. Tchervenkov CI, Jacobs JP, Bernier PL, Stellin G, Kurosawa H, Mavroudis C, et al. The improvement of care for paediatric and congenital cardiac disease across the world: A challenge for the World Society for Pediatric and Congenital Heart Surgery. Cardiol Young 2008;18:63-69
2. Epstein D, Brill JE. A history of pediatric critical care medicine. Pediatr Res 2005;58:987-996
3. Downes J. Development of Pediatric Critical Care Medicine - How did we get here and why? In: Wheeler DS, Wong TP, editors. Pediatric critical care medicine basic sciences and clinical evidence. London: Springer Verlag; 2007. p. 3-30
4. Chang AC. Pediatric cardiac intensive care: Current state of the art and beyond the millennium. Curr Opin Pediatr 2000;12:238-246
5. Stromberg D. Pediatric cardiac intensivists: Are enough being trained? Pediatr Crit Care Med 2004;5:391-392
6. Liu J. Challenges and progress of the pediatric cardiac surgery in Shanghai Children's Medical Center: A 25-year solid collaboration with Project HOPE. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu 2009:12-18
7. Leon-Wyss JR, Veshti A, Veras O, Gaitan GA, O'Connell M, Mack RA, et al. Pediatric cardiac surgery: A challenge and outcome analysis of the Guatemala effort. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu 2009:8-11
8. Fuchs RJ, Berenholtz SM, Dorman T. Do intensivists in ICU improve outcome? Best Pract Res Clin Anaesthesiol 2005;19:125-135
9. Gajic O, Afessa B. Physician staffing models and patient safety in the ICU. Chest 2009;135:1038-1044
10. Baden HP, Zimmerman JJ, Brilli RJ, Wong H, Wetzel RC, Burns JP, et al. Intensivist-led team approach to critical care of children with heart disease. Pediatrics 2006;117:1854-1856
11. Jonas R. Why early primary repair. In: Jonas RA, Laussen PC, Howe RD, LaPierre R, Matte G, editors. Comprehensive surgical management of congenital heart disease. London: Hodder Arnold Publishers; 2004. p. 3-12
12. Rosenberg DI, Moss MM, American college of critical care medicine of the society of critical care medicine. Guidelines and levels of care for pediatric intensive care units. Crit Care Med 2004;32:2117-2127
13. Khilnani P, Indian Society of Critical Care Medicine (Pediatric Section), Indian Academy of Pediatrics (Intensive care Chapter). Consensus guidelines for pediatric intensive care units in India. Indian Pediatr 2002;39:43-50
14. Roth SJ. Postoperative care. In: Chang AC, Hanley FL, Wernovsky G, Wessel DL, editors. Pediatric cardiac intensive care. Baltimore: Williams and Wilkins; 1998. p. 163-188
15. Brilli RJ, Spevetz A, Branson RD, campbell GM, Cohen H, Dasta JF, et al. Critical care delivery in the intensive care unit: Defining clinical roles and the best practice model. Crit Care Med 2001;29:2007-2019
16. Chang AC. How to start and sustain a successful pediatric cardiac intensive care program: A combined clinical and administrative strategy. Pediatr Crit Care Med 2002;3:107-111
17. Ho D, Xiao Y, Vaidya V, Hu P. Communication and sense-making in intensive care: An observation study of multi-disciplinary rounds to design computerized supporting tools. AMIA Annu Symp Proc 2007:329-333
18. McMillan TR, Hyzy RC. Bringing quality improvement into the intensive care unit. Crit Care Med 2007;35:S59-65
19. Kuzin JK, Yborra JG, Taylor MD, Chang AC, Altman CA, Whitney GM, et al. Family-member presence during interventions in the intensive care unit: Perceptions of pediatric cardiac intensive care providers. Pediatrics 2007;120:e895-901
20. Mack EH, Wheeler DS, Embi PJ. Clinical decision support systems in the pediatric intensive care unit. Pediatr Crit Care Med 2009;10:23-28
21. Garland A. Improving the ICU: Part 2. Chest 2005;127:2165-2179
22. Gallesio AO. Improving quality and safety in the ICU: A challenge for the next years. Curr Opin Crit Care 2008;14:700-707
23. McMillan TR, Hyzy RC. Bringing quality improvement into the intensive care unit. Crit Care Med 2007;35:S59-65
24. Strack van Schijndel RJ, Burchardi H. Bench-to-bedside review: Leadership and conflict management in the intensive care unit. Crit Care 2007;11:234
25. Kissoon N. Bench-to-bedside review: Humanism in pediatric critical care medicine: A leadership challenge. Crit Care 2005;9:371-375
26. Kumar RK, Shrivastava S. Paediatric heart care in India. Heart 2008;94:984-990
27. Rao SG. Pediatric cardiac surgery in developing countries. Pediatr Cardiol 2007;28:144-148
28. Chang AC. Manpower shortage in pediatric cardiac intensive care: How can we undo this Gordian knot? Pediatr Crit Care Med 2004;5:414-415
29. Talwar S, Choudhary SK, Airan B, Juneja R, Kothari SS, Saxena A, et al. Reducing the costs of surgical correction of congenitally malformed hearts in developing countries. Cardiol Young 2008;18:363-371
30. Price MB, Jones A, Hawkins JA, McGough EC, Lambert L, Dean JM. Critical pathways for postoperative care after simple congenital heart surgery. Am J Manag Care 1999;5:185-192
31. Scott BH, Seifert FC, Grimson R. Blood transfusion is associated with increased resource utilisation, morbidity and mortality in cardiac surgery. Ann Card Anaesth
32. Kumar RK, Tynan MJ. Catheter interventions for congenital heart disease in the third world countries. Pediatr Cardiol 2005;26:241-249
33. O'Grady NP, Alexander M, Dellinger EP, Gerberding JL, Heard SO, Maki DG, et al. Guidelines for the prevention of intravascular catheter-related infections: The Hospital Infection Control Practices Advisory Committee, Center for Disease Control and Prevention, U.S. Pediatrics 2002;110:e51
34. Bakshi KD, Vaidyanathan B, Sundaram KR, Roth SJ, Shivaprakasha K, Rao SG, et al. Determinants of early outcome after neonatal cardiac surgery in a developing country. J Thorac Cardiovasc Surg 2007;134:765-771