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PICU PROTOCOLS OF AIIMS-8th Edition

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The first edition of Pediatric Intensive Care Protocols was published in 2011. The book was very well received by the postgraduates, intensivists, and practicing pediatricians. Ongoing research and experience have helped in better understanding of the pathophysiology of illnesses and improved management. It is important to update existing protocols with the new evidence to translate research from lab to improved patient care. We are happy to present the revised and enlarged eighth edition of the protocols’ book. The book has been extensively revised and updated; many new chapters have been added to for comprehensive care of critically sick children. We sincerely thank all the contributors–the faculty and residents of the department. We also express our appreciation for the team, Miss Nidhi Mehta and Mr Rajiv Dhir, and Ms Hema at the Indian Journal of Pediatrics for facilitating the timely publication of this book. For any details related to postage, delivery and dispatching , please call Mr. Vivek Sharma at 9810290145 or email at ijpsub@gmail.com

ISBN: 9788195056026

524 in stock

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                       8th Edition of PICU Protocols of AIIMS-2022

                                               Contents

“Medical knowledge is constantly changing. As new information becomes available, changes in treatment, procedure, equipment, and the use of drugs become necessary. The authors, editors, contributors, and publishers have, as far as possible taken care to ensure that the information given in this text is accurate and up to date. However, readers are strongly advised to confirm that the information, especially with regard to drugs, doses/usage, complies with current legislation and standards of practice. Please consult full prescribing information before issuing a prescription for any product mentioned in this publication.”

One of the most remarkable advances in the care of children in India has been the introduction of intensive care. Emergency rooms existed in all pediatric units where immediate care was provided to sick infants and children. However, it was realized that full-time in-ICU staffing and patient care will result in improved outcomes for critically ill pediatric patients. The first unit to be set up in this frontier area in India was at the All India Institute of Medical Sciences in Delhi in the 1980s. Initially, the pediatric staff had to learn intubation from the anesthesiologists, but the practice soon made them even more skillful in resuscitation procedures than their mentors. A review of the functioning of this intensive care unit a few months later effectively demonstrated that many more lives were saved which would otherwise have been lost.

Experts abroad have argued that countries with under-5 mortality rates above 40 or so should spend more money on primary care to reduce infant and child mortality rather than establish intensive care units which admittedly are costly. I have always believed this argument to be fallacious, simply because every child who is ill deserves the best care that can be provided according to the local resources. Moreover, in the cities in India, the infant mortality and under-5 mortality rates are sufficiently low that it is desirable to establish intensive care units.

It is well recognized that a protocol-based approach is of great help in improving the care of an acutely ill child. We at the Indian Journal of Pediatrics felt that it would be advantageous to present the protocols that had evolved through years of experience and research at the AIIMS. Professor Kabra and his colleagues have succeeded admirably in putting together the protocols used in Indian pediatric intensive care units. These have been designed to be used both as a source of readily accessible information and as a concise yet comprehensive summary of current knowledge and practice in intensive care. It is hoped that they will assist clinicians in their daily practice. The editors have made every effort to ensure that the protocols are clinically focused and evidence-based. We deeply appreciate their extraordinary efforts, their dedication, and their commitment to excellence. It is hoped that the readers would find these protocols useful. We would appreciate feedback from them so that future editions can be improved upon.

Protocol Based Treatment in Pediatric Intensive Care Units

Rakesh Lodha and S.K. Kabra                                                         1–3

Comatose Child: A Practical Approach

Shruthi N.M., Rahul Sinha and Sheffali Gulati                          4–27

Approach to Convulsive Status Epilepticus in Children

Priyanka Madaan, Juhi Gupta and Sheffali Gulati                  28–51

Management of Raised Intracranial Pressure

Vishal Sondhi and Sheffali Gulati                                               52–75

Arrhythmias in Children

Kana Ram Jat, Rakesh Lodha and S.K. Kabra                        76–89

Myocarditis

Krishna Mohan Gulla, S.K. Kabra and Rakesh Lodha           90–99

Management of Acute Heart Failure

Krishna Mohan Gulla, S.K. Kabra and Rakesh Lodha          100–112

Cardiopulmonary Resuscitation

Kana Ram Jat, Rakesh Lodha and S.K. Kabra                      113–120

Management of Acute Severe Asthma in Children

Arpita Chattopadhyay, Rakesh Lodha and S.K. Kabra        121–140

Management of Acute Respiratory Distress Syndrome

Arpita Chattopadhyay, S.K. Kabra and Rakesh Lodha         141–167

Diagnosis and Management of Upper Gastrointestinal Bleeding in Children

Rohan Malik                                                                                168–186

Intensive Care Management of Pediatric Acute Liver Failure

Rohan Malik                                                                              187–213

Hypertensive Emergencies in Children

Pankaj Hari and Aditi Sinha                                                 214–229

Management of Acute Kidney Injury

Menka Yadav and Arvind Bagga                                        230–250

Management of Common Oncologic Emergencies

Rachna Seth and Prasanth Srinivasan                             251–277

Hematological Emergencies in PICU

Samriti Gupta, Jhuma Sankar and Rakesh Lodha       278–299

Shock in Children

Jhuma Sankar and Rakesh Lodha                                 300–322

Management of Septic Shock

Jhuma Sankar, S.K. Kabra and Rakesh Lodha           323–349

Severe Dengue Infection and Management

Vijaya Kumar, Rakesh Lodha and S.K. Kabra            350–371

Severe Malaria

Samriti Gupta, Rakesh Lodha and S.K. Kabra           372–391

Invasive Fungal Infection in Critically Ill Children

Jagat Jeevan Ghimire and Kana Ram Jat               392–406

Management of Diabetic Ketoacidosis

Meenakshi Bothra Gupta and Vandana Jain          407–428

Other Endocrine Emergencies

Rajni Sharma and Smriti Rohatgi                              429–449

Hyperferritinemia in the PICU

Mohsin Raj Mantoo and Jhuma Sankar                 450–461

Acute Management of Sick Infants with Suspected Inborn Errors of Metabolism

Neerja Gupta and Madhulika Kabra                      462–476

Approach to Poisoning in a Child

Ramesh P. Menon                                                     477–499

Management of Snake Bite

Jhuma Sankar                                                               500–512

Scorpion Envenomation

Jhuma Sankar, Rakesh Lodha and S.K. Kabra     513–529

Supportive Care of a Critically Ill Child

Nitin Dhochak, Rakesh Lodha and S.K. Kabra     530–544

Sedation, Analgesia and Paralysis in Children in Critical Care Unit

Krishna Mohan Gulla and Rakesh Lodha                 545–555

Nutrition in Critically Ill Children

Vijaya Kumar and Rakesh Lodha                                     556–579

Therapeutics in Critically Ill Children

Nitin Dhochak and Rakesh Lodha                                     580–600

Transfusion of Blood and Components in Critically Ill Children

Banothu Kiran Kumar, Rakesh Lodha and S.K. Kabra         601–613

Ultrasonography and Echocardiography in Critically Ill Children

Arpita Chattopadhyay, Jagat Jeevan Ghimire and               614–652

Rakesh Lodha

Arterial Blood Gas Analysis and Interpretation

Samriti Gupta, S.K. Kabra and Rakesh Lodha                    653–669

Acid-Base Disorders

Samriti Gupta, S.K. Kabra and Rakesh Lodha                    670–682

Fluid and Electrolyte Disturbances

Krishna Mohan Gulla and Rakesh Lodha                           683–709

Mechanical Ventilation

Nitin Dhochak, S.K. Kabra and Rakesh Lodha                    710–757

High Frequency Ventilation

Arpita Chattopadhyay and Rakesh Lodha                          758–781

Non-Invasive Ventilation for Acute Respiratory Failure in Children

Krishna Mohan Gulla, S.K. Kabra and Rakesh Lodha          782–792

Home Respiratory Support

Arvind Kumar and Rakesh Lodha                                     793–811

Health Care Associated Infections in Pediatric Intensive Care Unit

Jhuma Sankar and Rakesh Lodha                                     812–850

Ventilator-Associated Pneumonia

Jhuma Sankar and Rakesh Lodha                                     851–864

Care of a Cardiac Baby

Ramesh P. Menon, Sandeep Chauhan and Ratnesh Kumar 865–895

Communicating with Families of Critically Ill Children

Lesa Dawman, Anju Unnikrishnan and Rakesh Lodha        896–905

Follow-up Care of Pediatric Intensive Care Unit Survivors

Arpita Chattopadhyay                                                     906–917

Severe COVID-19 and Multisystem Inflammatory Syndrome in Children

Hardeep Kaur, Rakesh Lodha and S.K. Kabra                    918–932

Subject Index                                                              933–936

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