Department of Pediatrics

The Pediatric Intensive Care Unit at CMRI is equipped to provide the highest level of care to critically ill children. This is a 5 bed unit that provides care for infants, children and adolescents with severe medical and surgical illnesses or injuries, Multiple pediatric and surgical subspecialties work together to provide the highest level of critical care. It averages approximately 300 admissions per year, and its team provides core for infants and children with the complete spectrum of critical pediatric medical illness and traumatic injury.

The Pediatric Intensive Care Unit is currently staffed by full-time pediatric intensivist who are well efficient in managing sick children. Our spectrum of treatment includes pediatric emergencies, respiratory emergencies like acute bronchiolitis, pneumonia, bronchial asthma, respiratory failure, renal disorders like acute kidney failure, nephrotic & nephritic syndrome. PICU Doctors collaborate with surgical subspecialties including: general pediatric surgery, ENT, neurosurgery, orthopedic surgery, plastic surgery, and cardiothoracic surgery, The department has widened its approach with highly specialized areas. These areas often include: pediatric neurology for seizure and developmental delay, hematology/oncology, pediatric cardiology, Infectious disease, rheumatology among others. The unit is well equipped with all modern amenities with latest ventilators, high flow oxygen nasal devices and nasal Bi PAR Together with our medical subspecialists, we specialize in the complex, multi-dimensional medical care of children.

Neonatology is the specialized care of newborn baby including premature and tiny babies. The advent of newer therapeutic modalities, artificial life-support techniques and infection control mechanism has tremendously decreased modality in new borns.

We offer the highest level of care for neonatal diagnosis, treatment, surgery, and rehabilitation. The NICU is equipped with advanced diagnostic and therapeutic modalities to care for extreme pre-terms, low birth weight, critically sick babies with MAS, HIE, Sepsis, metabolic disorders etc. We also manage babies with congenital surgical disorders and have facility to transfer critically sick newborns from other neonatal units

with State-of-the-art technology to care for newborns with complex medical problems. We offer the highest level of care for neonatal diagnosis, treatment, surgery, and rehabilitation. The NICU is equipped with advanced diagnostic and therapeutic modalities to care for extreme pre-terms, low birth weight, critically sick babies with MAS, HIE, Sepsis, metabolic disorders etc. We also manage babies with congenital surgical disorders and have facility to transfer critically sick newborns from other neonatal units.

The NICU is covered 24/7 by in-house neonatologists and specially trained neonatal nursing staff.

Family-centered Care:

The Neonatology (NICU) offers parents and infant patients a family-centered facility with a caring staff to ensure that both parents and baby are comfortable and at ease. Neonatalists and nursing specialists work with pediatric specialists, such as lactation experts, psychologists, speech pathologists and physical and occupational therapists to ensure comprehensive, individualized care.

Neonatal Developmental Care Program:

Routine procedures are performed in the neonatal unit; room lighting, sound and the frequency and timing of medical/nursing care are all adapted to suit each infant’s needs.

Studies have shown that neonatal developmental care has many positive effects on babies; from reducing the amount of time an infant needs assisted ventilation to accelerating weight gain

Family-centered Facility:

Family-friendly amenities help make this facility comfortable and pleasant.

Mothers have 24-hour visitation rights. Parents are encouraged {a. attend medical rounds and other meetings concerning their baby’s progress.

Parents have the opportunity to room in with their baby prior to discharge. This allows parents to get comfortable caring for their new baby.

Long-term Neonatal Care and Rehabilitation:

Neonatology (NICU) Unit’s Follow-up Program addresses the long-term needs of children and families who experience a range of medical and developmental disorders reusing from premature birth or complications from their illness.

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FAQ's

  • Per the Indian Academy of Pediatrics (IAP), the following schedule is necessary for children:
    National Immunization Program:
    • At Birth – Tuberculosis (BCG), Oral Polio Vaccine (OPV), Hepatitis B -1
    • At 6 weeks – Diphtheria w1 (DTP), OPV1
    • At 10 weeks – DTPw2, OPV2
    • At 14 weeks – DPTw3, OPV3
    • 9 months – Measles
    • 15 month and 5 yrs MMR and Chicken Pox

    • 18-24 months – DTPw B1, OPV B1 (Booster)
      • 5 years – DTB2, OPVB2
      How ever the additional vaccinations are as follow
      Rotavirus oral

    To prevent against Rota viral infection two to three doses along with DPT/Polio

    • Pneumococcal Vaccination :To prevent against pneumococcal pneumonia 3 doses and a booste along with DPT vaccination
    • Hepatitis A 2 doses at one year and 2nd dose six months later.
      • Beside these additional vaccination for Flu, Meningococcal and Rabies ( in special situations)

    Consult your Pediatrician for details.

Most children aren’t toilet trained until the age of 2.5 – 3 years, which is when the child starts having daytime bladder control.

  • Use a treat/reward-based system. Every time use the toilet, give them a reward. Don’t yell or scold them if they soil their pants. That may lead to frustration and fear in the child.
  • Place the equipment( Toilet seat) at an easy-access area for you just in case you don’t get any forewarning.
  • If you are using a potty-chair, let your child get comfortable with the chair, practice sitting down and getting up.
  • Next time your child uses a diaper, dump the stool in the toilet in front of your child for them to understand that’s where poop goes.
  • Have your child wash her/his hands every time they get off the potty, even if they haven’t done anything.
  • Heap a lot of praise with physical hugs and whoops every time they use the potty.
  • Not all children get trained at the same rate. Do not compare and punish your children if they spoil their pants.

It isn’t recommended to use fluoride-based toothpaste for children less than the age of 3. While some component of fluoride is ideal for making sure your child grow strong teeth, tap water normally has that content. If using fluoride-based toothpaste, supervise your child’s brushing to make sure they don’t swallow extra toothpaste and only use a pea sized amount.

After showing your child to a doctor to rule out any speech impediments, there are a few ways to make sure they are clear in their speech:

  • Everyday practice reading a story out loud. Make sure it’s fun and engaging to not bore the child. Saying the words out loud will help the child form the words clearer.
  • Talk to your child to find out any underlying cause such as shyness or anxiety
  • Tell your child every time his/her speech is unclear. Make them aware of their speech patterns
  • Create a visual cue such as raising your eyebrows or tapping the side of your mouth so your child knows he/she is not clear in their speech without embarrassing them in front of others
  • If your child is inclined, sign them for local theatre or debate so they are in positions which need them to have a clear speech.
  • Be encouraging and patient with your child

It is safe to give a pacifier to your child up to 4 years to avoid problems with dental formation. There are many pros and cons of using a pacifier and the choice is up to you. The best natural pacifier is a piece of cut and washed carrot. every time give a new piece. It is not necessary to give a pacifier.

Missing one dose, while not recommended, does not equate to your child getting polio. However, you need to make sure you don’t skip any further doses.

Antibiotics are safe for children. However, the dosage depends on the body weight of the child and it must be prescribed by a pediatrician after a thorough clinical examination and detailed medical investigations.

Depending on your pediatrician and the health status of your child, the visits may vary.

  • Ideally, an infant under the age of 6 months goes for a monthly visit
  • Children between 6 months to 2 years should go every 3 months
  • Children between 2 to 5 years should go every 6 months
  • Children above the age of 5 years should go once a year

It is necessary to see your doctor as early as possible if anything is changing unusually like their behavior,, growth or having frequent headaches or recurrent infections.

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