Advanced Pediatric Intensive Care Procedures

About the Pediatric Intensivist - Dr Sumita Mishra

Dr Sumita Mishra is a highly skilled paediatric intensivist in Siliguri, with years of experience in PICU. She has high-level expertise in managing life-threatening paediatric conditions, which makes her a top choice for seeking PICU support. Dr Sumita Mishra specialises in taruma, ventilatory support, organ failure, and shock management. Since ventilatory support is crucial in life-threatening conditions, her specialisation in this regard is immensely valuable.

In Manipal Hospitals, Dr Sumita Mishra provides holistic paediatric intensive care by working with a coordinated team of nurses, paediatric specialists, and respiratory therapists. This approach proves to be immensely beneficial in terms of delivering positive paediatric outcomes. Over the years, Dr Sumita Mishra has earned a tremendous reputation and trust among parents for delivering high-precision critical care for children, adolescents, and infants.

PICU Services Provided

Dr Sumita Mishra is a renowned PICU doctor in Siliguri. Her PICU services at Manipal Hospitals, Siliguri include:

• Continuous hemodynamic monitoring: This monitoring is based on gaining constant data on a patient’s blood pressure, heart rate, and other cardiovascular readings. Dr Sumita Mishra uses both invasive and non-invasive methods depending upon the criticality of a child’s health for hemodynamic monitoring.
• Advanced ventilatory support: This service includes the use of highly sophisticated ventilatory support modes, such as APRV, HFOV, and NAVA, for improving oxygenation. 
• Renal replacement therapies: This is a highly-sensitive therapy that is given to take over the kidney’s functions in terms of filtering wastes, toxins, and fluid from the blood.  RRT is given when a child suffers from chronic kidney disease or acute kidney failure. 
• Emergency stabilisation: This service is crucial for the rapid assessment and management of life-threatening issues in children. Dr Sumita Mishra specialises in emergency stabilisation based on providing advanced life support and oxygen.
• Paediatric trauma management: This service is based on addressing immediate life threats by using systematic approaches, such as xABCDE, which helps in focusing on every child’s immediate physiological needs. 
• Multi-disciplinary post-operative care: As a paediatric critical care specialist, Dr Sumita Mishra works collaboratively in a team to ensure that pain management, continuous monitoring, and addressing the specific needs of children take place effectively post-operation.

HFOV Treatment for Children

High-frequency oscillatory ventilation (HFOV) for children is a ventilation strategy used for lung protection based on using small breaths at extremely high rates during severe respiratory distress. HFOV treatment for children Siliguri, provided by Dr Sumita Mishra, includes the following benefits:

• Reduced chances of lung injury: This treatment uses low tidal volumes and continuous airway pressure, which conventional ventilation cannot do. Thus, the risk of lung-injury is reduced by preventing rapid inflation and deflation.
• Improved oxygenation: This treatment helps in keeping the lung open continuously by setting the mean airway pressure and delivering tidal volumes of breaths. 
• Effective in respiratory failure: HFOV proves to be highly effective for pneumonia or ARDS because it helps in improving oxygen levels in the blood.

Bronchoscopy for Children

Dr Sumita Mishra provides bronchoscopy for children Siliguri for diagnosis and treating airway problems. A thin bronchoscope is used to gain a clear view of the trachea, lungs, and throat, along with removing any foreign body obstructing the airways. Thus, the key benefits of bronchoscopy are:

• Proper evaluation of airways
• Clearance of secretion
• Foreign body removal
• Assessment of persistent cough
• Bronchoscopy is done using thin and safe bronchoscopes.

CRRT for Paedatrics

Continuous Renal Replacement Therapy (CRRT) is given to children suffering from multi-organ dysfunction or acute kidney failure. This therapy helps in the slow but continuous filtering of blood so that toxins and fluids can be eliminated. CRRT is highly effective for unstable patients. Some of the most prominent benefits of CRRT paediatric Siliguri  are:

• Effective clearance of toxins
• Gentle removal of fluids
• Stable blood pressure

SLED/HD Paediatric Dialysi

Sustained low-efficiency dialysis (SLED) is the process of providing a gentler but hybrid model of dialysis by using standard hemodialysis (HD) machines. This dialysis plays a vital role in terms of improving the stability of CRRT, which is crucial for critically ill children. The benefits of SLED HD paediatric dialysis Siliguri are:

• Reduced chances of complications
• Safe for low-weight and unstable patients
• Reduced chances of complications

Paediatric Trauma & Post-Operative Care

Dr Sumita Mishra specialises in providing paediatric trauma and post-operative care Siliguri, which helps in managing pain and symptoms, along with preventing chances of complications. The main objective behind providing this care is to ensure that proper monitoring and assessment of the patient’s health condition are done. Therefore, the benefits of paediatric trauma and post-operative care are:

• Emergency management of burns, injuries, or accidents through rapid assessment
• Ventilation support
• Rehabilitation assistance
• Post-surgical observation
• Monitoring of infections and pain

When to Consult a PICU Doctor?

A paediatric intensive care unit (PICU) is a dedicated support system for children suffering from or experiencing severe health complications. These are the prominent symptoms or situations that might need assistance from an experienced PICU doctor, such as Dr Sumita Mishra:

• Liver or Kidney failure, which are life-threatening conditions
• Major injuries or the need to undergo an operation
• Extreme dehydration or shock
• Severe breathing difficulties
• Neurological emergencies
• Infections that cause sepsis.