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About

Amrita Institute of Medical Sciences (Amrita Hospital), based in Faridabad, Delhi, India is recognised as one of the premier tertiary healthcare institutions in South Asia that is currently offering Fellowship programs in various specialities.

Pediatric critical care has rapidly advanced in the last 2 decades and has created its identity as a distinct pediatric subspeciality in India and elsewhere in the world.  PICUs are essential components of all hospitals dealing with pediatric patients, both in public and private sector. This has created an increasing demand for trained Pediatric intensivists. Pediatric critical care is an ever- dynamic field with advances in methods of monitoring and treatment, which have helped to improve patient survival over the years. It is imperative for candidates to be trained at well-equipped centres with facilities available for imparting high standards of knowledge and hands on experience.

Department

+91 484 4008131
Pediatric Pulmonology and Critical Care

Duration

1 year- PG Diploma in PICU,2 years- PG fellowship in PICU

No. of Seats Available

2 per year

Eligibility

M.D(PEDIATRICS) / DNB(PAEDIATRICS) / D.Ch (PEDIATRICS)

Course Objectives

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To understand the pathophysiology of critical illness causing organ dysfunction in children, train the fellows in using clinical signs, point of care ultrasound assessment and investigation reports to plan and execute the management of organ dysfunction in children, to train the fellows to safely perform intubation , insertion of invasive lines and other critical care procedures in ICU , to learn the principles and practice of mechanical ventilation and extra corporeal organ support, orientation in critically analyzing and performing research in Paediatric critical care.

 

Curriculum

Module 1 Module 2 Module 3 Module 4 Module 5 Module 6 Module 7 Module 8 Module 9 Module 10
Module 1

Physiological aspects of organ dysfunction and support

  1. Respiratory physiology
  2. Cardiovascular physiology
  3. Neurophysiology
  4. Acid base and electrolyte physiology
Module 2

Respiratory system

  1. Respiratory failure
  2. Oxygen delivery devices
  3. Endotracheal intubation
  4. Non invasive ventilation
  5. Invasive mechanical ventilation
  6. ARDS
  7. Tracheostomy
Module 3

 

  1. Shock
  2. Inotropes and vasopressors
  3. Myocarditis
  4. Cardiac failure
  5. ECMO
  6. Post operative cardiac intensive care
Module 4

Neurocritical care

  1. Raised intracranial pressure
  2. Seizures
  3. Coma
  4. Brain death
  5. CNC infections
  6. Traumatic brain injury
  7. Neuromuscular failure
Module 5

Critical care nephrology

  1. Acute Kidney injury
  2. Renal replacement therapy
  3. Fluids and electrolytes
Module 6

Liver support

  1. Gastrointestinal bleeding
  2. Hepatic encephalopathy
  3. Acute liver failure
  4. Post liver transplant critical care
Module 7

Care of a child in PICU  

  1. Sedation, analgesia, delirium and withdrawal
  2. Ventilator Acquired Pneumonia
  3. Catheter associated blood stream infection
  4. Procedural sedation
  5. Communication and counseling
Module 8

Nutrition

  1. Enteral Nutrition in the critically ill child
  2. Parenteral nutrition
Module 9

Monitoring in critical care

  1. Noninvasive monitoring
  2. Invasive monitoring
  3. End tidal CO2
  4. Pulse oxymetry
  5. Arterial BP
  6. EEG
  7. ICP
Module 10

Endocrine

  1. Diabetic ketoacidosis
  2. Adrenal insufficiency
  3. Diabetes insipdus

Miscellaneous

  1. Burns
  2. Polytrauma
  3. Febrile neutropenia
  4. Post stem cell transplant care
  5. Critical care aspects of post solid organ transplant

Programme

Vision

Pediatric critical care has rapidly advanced in the last 2 decades and has created its identity as a distinct pediatric subspeciality in India and elsewhere in the world. PICUs are essential components of all hospitals dealing with pediatric patients, both in public and private sector. This has created an increasing demand for trained Pediatric intensivists. Pediatric critical care is an ever- dynamic field with advances in methods of monitoring and treatment, which have helped to improve patient survival over the years. It is imperative for candidates to be trained at well-equipped centres with facilities available for imparting high standards of knowledge and hands on experience. The PICU at Amrita institute, Faridabad is best poised to provide high quality training in this field. This will be beneficial to increase the number of trained pediatric intensivists in the region with the goal of eventually improving care of critically ill children in the region and country.

List Opportunities for out-going students

There are many hospitals in private and public sector in India which have recognized the need for PICUs and are starting new PICUs. This has led to a high demand for Pediatric intensivists in different parts of the country. An outgoing student has the option of joining any of the newly developing PICUs in the country or continuing further specialized training in Australia, UK or Canada. In fact pediatric critical care is further evolving to highly specialized areas of expertise – including transplant PICU, nephron PICU, cardiac PICU to name a few. The course will be beneficial to lay a strong foundation for those who wish to further specialize in any of these areas. The course will also benefit pediatricians who wish to improve their critical care skills, which will be an helpful to them when they work in any hospital.

Theoretical Knowledge

Domains in Pediatric Intensive Care Medicine curriculum

  • History of Pediatric Critical Care
  • Basic sciences
  • Resuscitation and initial management of the acutely ill child
  • Clinical assessment, investigation,
  • Data interpretation and monitoring
  • Organ system support and therapeutic interventions
  • Peri-operative care
  • Compassionate and family oriented care
  • End of life care
  • Patient safety
  • Transport
  • Acute disease management
  • Trauma and burns
  • Sepsis
  • Professionalism
  • The Intensivist in the New Hospital Environment: Patient Care and Stewardship
  • of Hospital Resources
  • The Nursing care in Pediatric Critical Care
  • Research in Pediatric Critical Care
  • Proving the Point: Evidence-Based Medicine in Pediatric Critical Care
  • Outcomes in Pediatric Critical Care Medicine:Implications for Health Services Research and Patient Care
  • Safety and Quality Assessment in the Pediatric Intensive Care Unit
  • Information Technology in Critical Care
  • Family-Centered Care in the Pediatric Intensive Care Unit
  • Ethics in Pediatric Intensive Care
  • Ethical Issues in Death and Dying
  • Palliative Care
  • The Process of Organ Donation and Pediatric Donor Management
  • Pediatric Transport: Shifting the Paradigm to Improve Patient Outcome
  • Pediatric Vascular Access
  • Pediatric Intensive Care in Developing Countries
  • Educating the intensivist
  • Critical Care in Public Health Emergencies
  • Psychosocial Aspects of Pediatric Critical Care
  • Analgesia, Sedation, and Neuromuscular Blockade in Pediatric Critical Care ·
  • The Dying Child in the Intensive Care Unit ·
  • Structure and Function of the Heart
  • Regional Circulation
  • Principles of Invasive Monitoring
  • Assessment of Cardiovascular Function
  • Echocardiography and Noninvasive Cardiac Diagnostics
  • Diagnostic and Therapeutic Cardiac Catheterization
  • Pharmacology of the Cardiovascular System
  • Cardiopulmonary Interactions
  • Myocardial Dysfunction, Ventricular Assist Devices and Extracorporeal
  • Membrane Oxygenation
  • Disorders of Cardiac Rhythm
  • Shock States
  • Cardiac Bypass for Repair of Congenital Heart Disease in Infants and Children
  • Critical Care After Surgery for Congenital Cardiac Disease
  • Cardiac Transplantation
  • Physiologic Foundations of Cardiopulmonary Resuscitation
  • Performance of CPR in Infants and Children
  • Structure and Development of the Upper Respiratory System in Infants and Children
  • Structure of the Respiratory System – Lower Respiratory Tract
  • Physiology of the Respiratory System
  • Control of Breathing and Acute Respiratory Failure
  • Assessment and Monitoring of Respiratory Function
  • Ventilation-Perfusion Inequality
  • Mechanical Dysfunction of the Respiratory System
  • Overview of Breathing Failure
  • Noninvasive Monitoring in Children
  • Specific Diseases of the Respiratory System: Upper Airway
  • Asthma
  • Neonatal Respiratory Disease
  • Pneumonitis and Interstitial Disease
  • Diseases of Pulmonary Circulation
  • Mechanical Ventilation and Respiratory Care
  • Noninvasive Ventilation: Concepts and Practice
  • Diseases of Pulmonary Circulation
  • Acute Respiratory Distress Syndrome in Children
  • Extracorporeal Life Support
  • Malignant Hyperthermia
  • Pediatric Neurocritical Care
  • Pediatric Neurological Assessment and Monitoring
  • Neuroimaging
  • Development, Structure, and Function of the Brain and Neuromuscular Systems
  • Coma and Depressed Sensorium
  • Intracranial Hypertension and ICP Monitoring
  • Status Epilepticus
  • Severe Traumatic Brain Injury in Infants and Children
  • Hypoxic-Ischemic Encephalopathy: Pathobiology and Therapy of the PostResuscitation Syndrome in Children
  • Stroke and Intracerebral Hemorrhage
  • Acute Neuromuscular Diseases and Disorders in Pediatric Critical Care
  • Acute Central Nervous System Infections
  • Renal Structure and Function
  • Fluid and Electrolyte Issues in Pediatric Critical Illness
  • Acid-Base Balance and Disorders
  • Tests of Kidney Function in Children
  • Renal Pharmacology
  • Glomerulo-tubular Dysfunction and Acute Kidney Injury
  • Pediatric Renal Replacement Therapy in the Intensive Care Unit
  • Cellular Respiration
  • Nutrition in the Critically Ill Child
  • Inborn Errors of Metabolism
  • Common Endocrinopathies in the PICU
  • Diabetic Ketoacidosis
  • Structure and Function of Hematopoietic Organs
  • Thromboembolism in Pediatric Intensive Care
  • Hematology and Oncology Problems in the Intensive Care Unit
  • Transfusion Medicine
  • Critical Illness Involving Children Undergoing Hematopoietic Stem Cell

Transplantation

  • Hemoglobinopathies
  • Gastrointestinal Structure and Function
  • Disorders and Diseases of the Gastrointestinal Tract and Liver
  • Gastrointestinal Pharmacology
  • Acute Liver Failure, Liver Transplantation, and Extracorporeal Liver Support
  • Acute Abdomen
  • The Innate Immune System
  • Infection and Host Response
  • Congenital Immunodeficiencies
  • Acquired Immune Dysfunction
  • Antibiotic-Resistant Organisms in the Pediatric Intensive Care Unit
  • Life-Threatening Viral Diseases and Their Treatment
  • Infectious Syndromes in the PICU
  • Healthcare Associated Infection in the PICU:
  • Epidemiology and Control – Keeping Patients Safe
  • Autoimmune Diseases: Diagnosis, Treatment, and life threatening Complications
  • Genomic and Proteomic Medicine in Critical Care
  • Molecular Foundations of Cellular Injury: Necrosis, Apoptosis and Autophagy
  • Endotheliopathy
  • Neuroendocrine Immune Mediator Coordination and Disarray in Critical Illness
  • Sepsis
  • Inflammation and Immunity: Systemic Inflammatory Response Syndrome,
  • Sepsis, Acute lung Injury and Multiple Organ Failure
  • Principles of Toxin Screening, Assessment and Detoxification
  • Toxidromes and Their Treatment
  • Bites and Stings
  • Heat Injury
  • Accidental Hypothermia
  • Drowning
  • Burn and Inhalation Injuries
  • Evaluation, Stabilization and Initial Management After Multiple Trauma
  • Child Abuse and Neglect
  • Thoracic Injuries in Children
  • Abdominal Trauma in Pediatric Critical Care
  • Principles of Drug Disposition in the Critically Ill Child
  • Molecular Aspects of Drug Actions: from Receptors to Effectors
  • Adverse Drug Reactions and Drug–Drug Interactions
  • Pediatric Airway Management
  • Organ System Considerations That Affect Anesthetic Management
  • Anesthesia Principles and Operating Room Anesthesia Regimens
  • Neuromuscular Blocking Agents
  • Sedation and Analgesia

Contact

Interested candidates may contact below mentioned phone numbers / email IDs:

Phone: +91 484 4008131
Phone: +91 484 2801234
Phone: +91 484 4341234

international@amrita.edu
acipkochi@aims.amrita.edu
paediatricpulmo@aims.amrita.edu
sajithkesavan@aims.amrita.edu

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