Pediatric Intensive Care Unit (PICU)
Level IV Pediatric Intensive Care— Multiorgan Support and Veno-venous ECMOfor Critically Ill Children.
ECMO, CRRT, Advanced ventilation, and family-centered critical care 24 / 7.
The PICU delivers comprehensive critical care—from respiratory failure and septic shock to post-operative care of transplant, airway, spinal, limb reconstruction and neurosurgical patients. Therapies include advanced modes of ventilation such as high-frequency oscillatory ventilation and airway-pressure-release ventilation, inhaled nitric oxide therapy, veno-venous ECMO, continuous renal replacement therapy CRRT, plasma exchange, targeted temperature management, and advanced hemodynamic monitoring. Family presence and access 24/7 is encouraged to reduce anxiety and improve outcomes.
Dedicated beds
t-bed Level IV PICU with negative-pressure isolation rooms500+
admissions in 2024 with an overall survival rate of 99.5%.< 60 min
veno-venous ECMO initiation from decision in all eligible cases.18 months
with zero central-line infections.Common Conditions & Subspecialty Clinics.
- Severe pneumonia
- Bronchiolitis
- Aspiration pneumonia
- Acute respiratory distress syndrome
- Postoperative care for airway surgery (e.g. Slide tracheoplasty)
- Tracheomalacia/Airway obstruction
- Status asthmaticus
- Trachesotomy care
- Bacterial, viral, or fungal sepsis
- Hemodynamic instability despite fluids and vasopressors
- Stabilization of infants with critical congenital cardiac anomalies
- Myocarditis with heart failure
- Cardiogenic shock requiring inotropes or mechanical support
- Malignant arrhythmia
- Traumatic brain injury (TBI)
- Status epilepticus
- Hypoxic-ischemic encephalopathy (HIE) post-cardiac arrest
- Craniosynostosis surgery
- Tumor removal surgeries
- Scoliosis – Idiopathic /Neuromuscular
- Polytrauma stabilization
- Liver and splenic injuries
- Post-operative monitoring after major tumor resections
- Acute kidney injury requiring CRRT
- Inborn errors of metabolism needing dialysis or metabolic crisis management
- VV ECMO for respiratory failure
- Bridge to recovery or transplant
- Ground and air retrieval from regional hospitals
- Pre-arrival stabilization guidance and mobile PICU team
Procedures & Treatments.
Extracorporeal carbon-dioxide removal (ECCO₂R) for bridge therapy
Venoeno-venous ECMO—centrifugal pump technology
Inhaled nitric oxide and prostacyclin
Airway pressure-release ventilation (APRV)
High-frequency oscillatory ventilation (HFOV)
Near-infrared spectroscopy (NIRS) cerebral oximetry
Point-of-care ultrasound (POCUS) hemodynamic assessment
Invasive arterial and central venous pressure monitoring
Plasma exchange for metabolic and neuroimmunologic disorders
Continuous renal-replacement therapy (CRRT) with Prismaflex™
Optic nerve sheath diameter measurements
Transcranial Doppler
External ventricular drainage
Intracranial-pressure monitoring for severe TBI
Targeted temperature management (TTM) after cardiac arrest
Continuous EEG and amplitude-integrated EEG
Real-time antimicrobial stewardship with ID team
Ventilator-associated pneumonia (VAP) prevention protocol
Central-line–associated bloodstream infection (CLABSI) bundle
Rehabilitation-in-PICU: early mobility and speech/feeding therapy
Palliative-care integration for complex cases
Child-life guided coping and procedural preparation
Open to parental presence and family sleep pods
Care Pathway & Coordination.
Transport & Admission
Dedicated retrieval team stabilizes and transports; bedside handover.
Initial Stabilization & Diagnostics
Airway, breathing, circulation; imaging and labs within 60 min.
Multidisciplinary Rounds
Twice daily with nurses, pharmacy, RT, PT/OT, dietitian, family.
Therapy Optimization & Monitoring
Protocol-driven ventilation, hemodynamics, infection control.
Weaning & Step-Down
Criteria-based readiness for ward transfer; tracheostomy or chronic-vent plan.
Follow-Up & Rehabilitation
PICU clinic visit at 1 month; neurodevelopmental assessment for high-risk survivors.
