Centre of Excellence in Child Health

Dept of Pediatrics at MIMS has expanded by leaps and bounds; we started off with a good Neonatal Intensive Unit and a general pediatric department in 2002. In the year 2004, in addition to existing clinics The department started different speciality clinics like pediatric Asthma Clinic, Pediatric Rheumatology Clinic and Child Development Clinic. The department has conducted state level CMEs in Pediatric Pulmonology and Pediatric Rheumatology. Our Pediatric Asthma Clinic is conducted with the support of Pulmonology department. Patient education regarding Inhaler Therapy and Prevention of Asthma are highlighted in these clinics. The Pediatric Rheumatology Clinic started with the help of Rheumatology department is the first of its kind in the state. The Child Development Clinic was started with the aim to follow up high risk babies and normal babies for detection of early developmental aberrations so that early help can be instituted. The clinic offers a package of multispecialities which includes ENT, Ophthalmology, Physical Medicine. In special circumstances services of Orthopaedic Surgeon, Child Psychologist, Speech Therapist, Physiotherapist and Occupational Therapists are sought. Pediatric ICU Pediatric Ventilation All Pediatric Procedures including Bone Marrow, Liver Biopsy, Bronchoscopy Pediatric Asthma Clinic Pediatric Developmental assessment IQ Testing Vaccination services Pediatric Neurology clinic Pediatric Rheumatology Clinic

Aster NICU Calicut is a state of the art 20 bedded Level III Unit designed to provide the highest level of focussed neonatal care. The facility is one of the main referral units for hospitals in Malabar, for all new borns with wide variety of complex, critical medical, cardiac and surgical problems. The unit is manned by a multidisciplinary team of experts including 4 Consultants and 4 residents, well supported by consultants from allied departments including Paediatric surgery, Paediatric cardiology, Paediatric Orthopaedics, Neurology, ophthalmology, Geneticist as well as a team of well trained neonatal nurses, dedicated to ensuring highest level of compassion and care of critically ill term and preterm babies. The Scope of NICU includes: 1. Management of all medical and surgical neonatal cases 2. Care of preterm babies ( from 24 weeks GA) and Extremely Low Birth Weight babies ( from 500 GM) 3. Perinatal Care Services - Attendance of all deliveries including high risk and potentially complicated deliveries - Prenatal family counselling of all high risk antenatal cases - Genetic counseling if indicated 4. Providing Advanced Neonatal Care including a) High Frequency Ventilation b) Conventional Mechanical Ventilation c) Non Invasive Ventilation d) Surfactant Replacement Therapy e) Parenteral Nutrition f) Therapeutic Hypothermia g)Intensive Phototherapy h) Neonatal Procedures including - Umbilical Catheterization and PICC insertion - Exchange Transfusion - ICD insertion - Lumbar Puncture - Pleural and Ascitic tapping - Peritoneal Dialysis 5. Newborn Screening Programme - Universal Hearing Screening - Universal screening for Critical CHD - Universal Metabolic Screening (TMS) for high risk cases - Preterm Screening Programme 6. Newborn Clinics - Daily Well baby & Immunisation Clinics - High Risk Follow up Clinics 7. Others - Dedicated team comprising doctors & Lactation counsellor for Lactation counselling, breast feeding support and Kangaroo Mother Care - Early intervention program for Neurorehabilitation of high risk cases, once stable

Critically ill children including those from Paediatric subspecialties are ably supported by state of the art 6 bedded PICU with 5 bedded Stepdown unit (HDU). It is manned by 2 paediatric intensivists with several years of experience. 24/7 care is provided by dedicated resident pediatric doctors and experienced nurses. It has facilities to provide support for very sick children including mechanical ventilation and ECMO.

• Dedicated modern operating theatres.

• Dedicated digital catheterization lab with ECHO Navigation

• Electrophysiology lab-3D mapping, RF ablation.

• Echocardiography lab – 2D and 3D ECHO, Trans-esophageal ECHO.

• Advanced Fetal Heart Unit

• Adult Congenital Heart Disease Unit

• Pulmonary Artery Hypertension clinic

• BMU 40-blood monitoring unit, to enhance safety of complex surgeries during cardiopulmonary bypass (second installation in India).

• NIRS- Near Infra-Red Spectroscopy for advanced intraoperative brain monitoring to provide superior neurological outcomes in complex surgeries.

• ICE (Intra cardiac echocardiography)

• Exclusive pediatric cardiac ICU

• ECMO

• Cardiac CT and MRI