AIM

The Paediatric department at Centre for Child Health, Sir Ganga Ram Hospital is committed to provide best of comprehensive medical care to children below 16 years. The department of Paediatrics strives to be the leader, in the field of childcare through development of its paediatric super-specialties, research, community services and quality professional education.

The department provides specialised care in sub-specialties apart from excellent general Paediatrics and primary care. Currently, the Department is structured around the following sub-specialties of Paediatrics: -Adolescent Medicine, Clinical Psychology, Developmental Paediatrics, Emergency Medicine, Endocrinology, Gastroenterology, Genetics, Haematology and Oncology, Intensive Care, Infectious Diseases and HIV, Neonatology, Neurology, Orthopaedics, Pulmonology, Rheumatology and Thalassaemia

ORGANISATION
OF
DEPARTMENT OF PAEDIATRICS

The department of Paediatrics is one of the three departments under Centre for Child Health. It is the biggest amongst the three departments. A chairperson heads the department. The Director, Centre of Child Health provides guidance and suggestions to the department of Paediatrics wherever needed.

ORGANISATION OF THE DEPARMENT OF PAEDIATRICS INTO PAEDIATRIC UNITS

PAEDIATRIC SPECIALTIES

The department provides specialized care in sub-specialties apart from excellent general Paediatrics and primary care. Currently, the Department is structured around the following sub-specialties of Paediatrics:-

Adolescent clinic run by team of professionals works with adolescents in the age group of 10-18 years with psychological problems and psychiatric disorders such as depression, anxiety problems, low self esteem, oppositional defiant behavior, drugs use, psychosis etc. Our DNB students attend the clinics to get an understanding of this relatively new specialty. As extension of our services outreach lectures and sessions at school levels for teachers and students are conducted from time to time.

In-charge of Services: Dr. Shikha Mahajan

CARDIOLOGY

Following facilities are available:

• Tilt Table Testing

• Fetal echocardiography and Doppler studies

• Holter monitoring (Ambulatory ECG).

• Exercise Stress testing.

• Electrophysiological testing

CLINICAL PSYCHOLOGY

Child & Adolescent Psychiatric services are delivered through outpatient and inpatient services. Outpatient services include Child Guidance Clinic and Adolescent Clinic. Child Guidance clinic has a team of professionals comprising of child psychiatrist, clinical psychologist and special educator. Team of professionals comprising of adolescent psychiatrist, clinical psychologists and adolescent health specialists runs adolescent clinic.

Child guidance clinic specializes in working with children with emotional, behavioral and neuro-developmental disorders such as learning disability, attention deficit hyperactivity disorder (ADHD), separation anxiety disorder, autistic spectrum disorders, conduct disorders etc. Self-help groups and awareness programs for parents and caretakers of children with autism, mental retardation, ADHD and learning disability are also organized at regular intervals to help and support

In-charge of Services: Ms Roma Kumar

CHILD PSYCHIATRY

A paediatric psychiatrist runs these services. The facilities are available to treat and guide all kind of Paediatric psychiatric illnesses ranging from anxiety, schizophrenia, depression, mania etc.

In-charge of Services: Dr. Deepak Gupta

DEVELOPMENTAL PAEDIATRICS

In child development clinic comprehensive evaluation & management of these children is done by a multidiscplinary team under one roof . The team includes developmental Paediatrician, Paediatric neurologist, Paediatric psychiatrist, child psychologist, speech therapist, special educator & occupational therapist.

We have formed a parent support group to provide emotional & psychiological support to the parents of developmental disabilities. We have published & presented number of papers various prestigious national & International conferences including AAP (American Academy of Paediatrics)

In-charge of Services: Dr. Praveen Suman

EMERGENCY MEDICINE

Round the clock on all days (24x7) services are provided for Paediatric emergencies by department of Paediatrics. The senior resident sees all paediatric patients on duty. Those having non-urgent problem are advised home treatment and follow in outpatient department. Those who need hospitalization are admitted in Paediatric ward, daycare or paediatric intensive care unit according to clinical condition and care needed for the child. A consultant specially trained in emergency paediatrics supervises these services. In case the child is critically sick and bed is not available in the department of Paediatrics, child is transferred to other health care facilities by medical ambulance. A doctor accompanies the patient.

Paediatric procedural sedation and analgesia services are also provided by the Paediatric emergency medicine professional. These include facilities for minimal to deep sedation.

In-charge of Services: Dr. Suresh Gupta

ENDOCRINOLOGY

A trained and experienced paediatric endocrinologist runs these services. Facilities are available to investigate and manage all kind of Paediatric endocrinal problems. There are special clinic for growth, diabetes and obesity management.

In-charge of Services: Dr. Archana D Arya

GASTROENTEROLOGY AND HEPATOLOGY

It is a well-developed facility in the Department of Paediatrics of our Hospital.

Services provided are

• Gastroenterology & Hepatology clinic once a week

• Diagnostic facilities

• Therapeutic facilities

• Endoscopy

• PEG

• Liver transplant

The department has performed 10 liver transplants in past 4 years with success rate is 80%. Our unit is credited with the first cadaveric reduced liver graft in India, first successful liver transplant in a fulminant liver failure in a child and the first bloodless liver transplant in the country. We perform >350 Paediatric GI endoscopic procedures/year. Facilities for endoscopy in newborn period are also available. The various facilities available include UGI Endoscopy, diagnostic and therapeutic (as in sclerotherapy or band ligation for osophageal varices, injection for bleeding ulcers etc.) sigmoidoscopy, colonoscopy, polypectomy for polyps, foreign body removal, stricture dilation, ERCP, pH monitoring for Gastro oesophageal reflux (including for preterms), breath analysis for H. pylori, capsule endoscopy and percutaneous endoscopic gastronomy (PEG) or jejunostomy (PEJ) for enteral feeding. In fact, our centre is the first in India to perform PEG in a neonate weighing (2.8 kgs. ) Procedures like liver biopsy (including in neonates) and cyst/abscess aspirations are routinely performed.
Recent advances in the management of patients with GI and liver condition are incorporated. Latest facilities for management of hepatitis (hepatitis B and hepatitis C), fulminant hepatic failure are available . Basic knowledge and hands on experience to the extent possible is imparted to the post graduate students. GI manometry and Motility machine has been recently added.

In-charge of Services: Dr. Neelam Mohan

GENETICS

Genetics is the new frontier in medicine. To bring the benefits of the Human Genome Project to patients, the department of Genetic Medicine was established in 1997. The department has developed into the leading genetic centre in India. Samples are received for testing from all over India, as well as from Bangladesh, Pakistan, Sri Lanka and UAE.

A wide variety of facilities are available ranging from Genetic counseling, cytogenetic tests, molecular tests, HLA, immunohistochemical and biochemical testing. Prenatal diagnosis is also performed using the above-mentioned technologies for various chromosomal and genetic disorders

In-charge of Services: Dr. I.C. Verma

HAEMATOLOGY AND ONCOLOGY

Paediatric haemato-oncology sub specialty has developed since 1990. Since then we have been getting referrals for new patients and second opinion from all over north India. Dr Satya Prakash Yadav has joined department of Paediatrics as a consultant since Feb 2005. We get around 50 new patients with Paediatric malignancies (leukemia + Solid tumors) each year and many non-malignant Paediatric hematology patients as well. We have been doing autologous stem cell transplant for solid tumors and we are in the process of starting allogenic bone marrow transplantation. We have facilities for diagnosis and treatment of all kinds of childhood cancers and blood disorders. We have daycare admission facility to give short chemotherapy on outpatient basis and give blood /platelet transfusions and also do procedures like Bone marrow/LP under sedation. We have separate specialty clinics for hemophilia and thalassemia.

In-charge of Services: Dr. Anupam Sachdev

INTENSIVE CARE

The Paediatric Intensive Care Unit (PICU) is one of the finest state-of-the-art PICUs in the state. It's an 8-bedded unit with 8 ventilators with multi-monitors on each ventilated bed. The children who are very sick are managed in paediatric intensive care unit. The patients in PICU are admitted through emergency department, referred and transferred from other hospitals, referred from department consultant’s clinics and from Paediatric wards.

In-charge of Services: Dr. K. Chugh

Equipment:

• Ventilators: 8

  • Seimens 300 4

  • Seimens 900 2

  • Evita dura - Drager 2

• Infusion pumps 75

• Multiple parameter bedside monitors – 8

• (Spo2, EtcO2, EKG, Invasive BP & CVP, ICP)

• One central monitor

INFECTIOUS DISEASES AND HIV

Paediatric infectious diseases specialist is available to guide for the management of difficult infections and paediatric HIV and AIDS cases. All the amenities are available to diagnose and treat other immunodeficiency and immune disorders.

In-charge of Services: Dr. Dinesh Kaul

NEONATOLOGY

Neonatology services are run by a separate department of Neonatology, which comes under Centre for Child Health. The department of Neonatology takes care of all the sick newborns upto first 28 days of life. The department of paediatrics provides the well baby clinic and immunization services.

In-charge of Services: Dr. Neelam Kler

NEUROLOGY

Specialised services of child neurology and epilepsy at the Centre for Child Health have been in existence since the past 10 years. SGRH is fully equipped with neuro radiology services including CT, MRI and Angiography. Neurophysiology lab services include EEG, nerve conduction and EMG facilities and evoked potentials.

We receive referrals from in state and out state hospitals for both indoor and outdoor management of complex cases. A Paediatric neurology OPD is run on a regular basis and has the largest attendance amongst the specialties. The department has gained prominence because of our expertise in behavioral neurology and epilepsy; with particular reference to Autistic spectrum Disorders and ADHD. We have used Botox injections in over 75 children with cerebral palsy. The availability of an excellent genetics department has helped us to diagnose a variety of chromosomal, genetic and neurometabolic disorders. An important aspect of this has been an exposure of residents to these disorders.

Regular teaching of DNB students is done with special emphasis on history taking, clinical examination and pragmatic approach to neurological disorders. One DNB candidate had a neurology thesis in 2003.

In-charge of Services: Dr. R.K. Sabharwal

OFFICE PAEDIATRICS

The office paediatrics has been recognized has separate specialty of paediatrics by the department of paediatrics. This division will focus on research and training into ambulatory Paediatrics. The areas of interest include parenting, vaccinations, growth-development, common childhood problems and illnesses faced by paediatricians in office practice.

In-charge of Services: Dr. S.C. Arya

PULMONOLOGY

The Pulmonary Division strives to provide a stimulating and well-rounded educational experience for junior and senior medical students as well as paediatric residents. Division has many years of experience in providing care to children with all forms and severity of chronic respiratory disease. Expertise has been developed to perform flexible bronchoscopy (diagnostic as well as therapeutic) in preterm infant to adolescents. There is free Asthma clinic once a week.

In-charge of Services: Dr. Krishan Chugh

RHEUMATOLOGY

The rheumotology service in the Paediatric department is a specialist service to assist in diagnosis of children with rheumatological disorders. It formulates a comprehensive management plan with assistance of therapists, psychologists and orthopaedic surgeon when needed. Teach/conduct bedside clinics for poor graduate residents. They Interact with other specialist consultants including pathologist/ radiologist/other specialist when required

In-charge of Services: Dr. Sujata Sawhany

NEPHROLOGY

The division of paediatric nephrology looks after all the kidney problems of children from birth to 16 years of age. All related emergency services are provided whether in the ward, casualty or ICU e.g management of acuterenal failure, hypertensive crisis or fluid and electrolyte unbalance or acidosis. All relevant procedures e.g kidney biopsy, peritoneal dialysis (acute and chronic), haemodialysis, plasmopheresis are done to help the patients. Peritoneal dialysis (acute and chronic) has been done in very small low birth infants for renal failure. Kidney transplant services are being provided with the help of adult nephrologist and transplant surgeon. A special clinic is held every week to look after the Paediatric nephrology patients.

In-charge of Services: Dr. P.K. Pruthi

THALASSAEMIA

The “Preeti Tuli Thalassaemia Unit” of the department of Paediatrics, was inaugurated in the year 1986. Till now, 240 patients suffering from Thalassaemia have been enrolled, who receive comprehensive medical care, which consists of blood transfusion, chelation therapy, regular medical check up and treatment of complications, if any.

The Unit is equipped with 5 beds and dedicated medical staff, who works round the clock. It runs three shifts, morning, afternoon and evening, thus catering to 15 Thalassaemia patients everyday. Each patient is regularly followed up and is given light refreshment during the transfusion.
For proper and thorough medical examination, the Unit runs a “Thalassaemia Clinic” every Wednesday, where a Hepatologist, Endocrinologist, Cardiologist, Pulmonologist, Child Psychologist and a Paediatrician review thalassaemic patients. Necessary investigations are done at reduced rates here. The aim of this clinic is to monitor each patient meticulously and diagnose and treat the complications when they arise, early, so as to decrease morbidity and mortality and give the patients a good quality of life within the available resources.

The Unit also participates actively in various academic activities, both nationally and internationally. It also organizes various public awareness programmes in schools and other public places to create public awareness about this disease.

In-charge of Services: Dr. V.K. Khanna

PATIENT CARE SERVICES
PROVIDED BY DEPARTMENT OF PAEDIATRICS

The department of paediatrics provides patient care through following service areas.

OUT-PATIENT DEPARTMENT (OPDs)

Out patient consultation services are provided through various general (free) OPDs and private (paying) OPDs

General / Free OPDs:

These outpatient services provide free consultation for general paediatrics, daily (except Sunday) from 9am-11am. In addition to general Paediatrics free consultations, different paediatric subspecialty clinics are held once every week. Registration fee of Rs.10/- is charged. Investigations are done at subsidised cost.

General (Free) Paediatric Clinics

 

Daily 9-11 am, Room No.1, 8

Mon-Thur : Paediatric Unit I Tue-Fri : Paediatric Unit II Wed-Sat: Paediatric Unit III

General (Free) Paediatric Clinics (Specialty Clinics)

Private Paying OPDs:

These services are available from 8am to 8pm daily. Different paediatric consultants are available at different timings.

PRIVATE PAEDIATRIC OPD SERVICES

PAEDIATRIC EMERGENCY SERVICES

Round the clock on all days (24x7) services are provided for Paediatric emergencies by department of Paediatrics. The senior resident sees all paediatric patients on duty. Those having non-urgent problem are advised home treatment and follow in outpatient department. Those who need hospitalization are admitted in Paediatric ward, daycare or paediatric intensive care unit according to clinical condition and care needed for the child. A consultant specially trained in emergency paediatrics supervises these services. In case the child is critically sick and bed is not available in the department of Paediatrics, child is transferred to other health care facilities by medical ambulance. A doctor accompanies the patient.

PAEDIATRIC DAY CARE SERVICES

The patient who need short stay either for some investigation, treatment or procedure are admitted in day care and then discharged after doing the needed intervention. There is procedure room to conduct the paediatric procedures. Facilities for procedural sedation and analgesia are also available in procedure room.

PAEDIATRIC INDOOR SERVICES

The children needing hospitalszation for diagnostic or therapeutic interventions are admitted to either Paediatric wards or paediatric intensive care unit depending on underlying disease and its severity.

Paediatric Wards

Children who don’t need intensive care are admitted on Paediatric floor for diagnostic or therapeutic services. There are three categories of beds in paediatric ward. These categories include Nursing Home (NH), Semi Paying (SP) and General Ward Beds (GW).

PAEDIATRIC INTENSIVE CARE

The Paediatric Intensive Care Unit (PICU) is one of the finest state-of-the-art PICUs in the state. It's an 8-bedded unit with 8 ventilators with multi-monitors on each ventilated bed. The children who are very sick are managed in paediatric intensive care unit. The patients in PICU are admitted through emergency department, referred and transferred from other hospitals, referred from department consultant’s clinics and from paediatric wards.

Equipment:

• Ventilators: 8

  • Siemens 300 4

  • Siemens 900 2

  • Evita dura -Drager 2

• Infusion pumps 75

• Multiple parameter bedside monitors – 8

• (Spo2, EtcO2, EKG, Invasive BP & CVP, ICP)

• One central monitor

TRAINING PROGRAMMES

Fellowship in Paediatric Intensive Care

This is the first time that a formal training programme has started in Paediatric Intensive Care in India, Sir Ganga Ram Hospital being one of the first ones to have started it. This is a one-year training, in affiliation with the Indian Academy of Paediatrics & Indian Society of Critical Care Medicine.

DNB Programmes

Department already had DNB program running. In last decade more DNB seats have been created and fellowship has been started in Paediatric super-specialties.

Post Graduate

• DNB Paediatrics

• DNB Neonatology (First Centre in India)

• Fellowship in Paediatrics Hematology-Oncology Recognized by IAP-PHO for

• Fellowship in Paediatric Critical Care

• Short Term Observer-ship in Subspecialties

Internship Training

For Health Care Workers

• Paediatric Emergency-Resuscitation for Nurses

• First-Aid Training for School Teachers

• Newborn Resuscitation for Nurses

• Paediatric Haemato-Oncology for Nurses

Nursing Students Training: School of Nursing

REGULAR CME / WORKSHOPS / CONFERENCES

Following new regular training programme has been started by CCH in last one decade

• Workshop on Paediatric Intensive Care: This is a 7-day workshop, which includes all aspects of Intensive Care. Applicants can directly email to Dr. K. Chugh / Dr. Anil Sachdev / Dr. Dhiren Gupta

• Emergency Paediatric Medicine Course (APLS): This is a 2-days course, which is held every year. Please contact Dr. Suresh Gupta (9811426628) or email for further information.

• Paediatric Procedural Sedation and Analgesia Course (PPSA): This is one-day workshop on providing sedation during Paediatric procedures. Please contact Dr. Suresh Gupta (9811426628) or email for further information

• Paediatric Advanced Life Support Course (PALS): This is also a 2-days course, which is held every year. Please contact Dr. Suresh Gupta (9811426628) or email for further information.

• Ambulatory Paediatrics: Please contact Dr. Dinesh Kaul (9811211205) for more details.

• Workshop on Practical Paediatric Hematology and Oncology: Contact Dr Anupam Sachdev or Dr S.P. Yadav or email for further information

• Other specialty conferences: Periodic Specialty Conferences in Neonatology/ Haematology/ Rheumatology/ Endocrinology / Thalassaemia/ Gastroenterology etc.

Forthcoming conferences 

COMMUNITY OUTREACH PROGRAM

• The CCH has stretched its role from only therapeutics to social paediatrics and advocacy.

• It conducts regular community outreach programs in various part of the country.

• Regular Rural Health Camps

• Urban Health Centres Shadipur, Patel Nagar

• Thalassaemia/Asthma/ADHD/Learning Disabilities Detection Camps

• School Health Camps

• Paediatric Super Specialties Camps

• Pulse Polio Program

ADVOCACY ON CHILD HEALTH ISSUES

The CCH has been playing an important role on advocating following issues concerning children

Childhood Environmental Health - We have collaborated with the WHO, Indian Academy of Paediatrics, Ministry of Environment & Forests and the Medical Council of India to raise the awareness of Paediatricians on childhood environmental health, which is now a pilot project for the whole of the SEARO region.

Consumer Complaints - Head of the Department, Dr. Subhash C. Arya, is currently the Chairman of the Committee for Protection of Child Consumer (Indian Academy of Paediatrics). The Department is currently involved with user-friendly marketing and labelling of drugs.

School Health - The department of paediatrics is actively promoting concepts of health education and health screening at the levels of schools.

Injury and Poison Prevention Education - The department of paediatrics actively promote prevention strategies for injury and poison prevention in children.

RESEARCH

The past decade witnessed a boost in research activities at Centre for Child Health. In addition to training the DNBs in research, the CCH is now opted for many multicentric trials and studies. Some of these ongoing trials are given below.

Multicentric Studies

• Comparative Study of DPT + Heptatitis B (Chioron) vs DPT+ Hepatitis B (SKB)

• Role of long term Monteleukast in bronchiolitis

• Role of IV Monteleukast in Acute Asthma

• Comparative Study of efficacy of various cough syrup

Research project at Department of Paediatrics

• Safety and Efficacy of Nitrous Oxide during Paediatric procedures

• Factors contributing to drug resistant infections in PICU

Completed Research Projects

• Predicting outcomes in Paediatric Intensive Care Unit using severity of illness scores.

• Retrospective audit and prospective analysis of blood and blood component therapy in NICU.

• Utility of invasive and non-invasive tracheobronchial techniques in the settings of “ventilator associated pneumonia”.

• Umbilical cord insulin and co-relation with metabolic status of large for gestational age infants and infants of diabetic mother.

• The use of deprynl in attention deficit hyperactivity disorder in children.

• Pulmonary dysfunction in beta-thalassemia and its relation with serum iron overload.

• Midazolam as an adjunct to phenbarbitone in management of neonatal seizures.

• Short taken outcomes after acute treatment of Paediatric asthma.

• Study of risk factors for under diagnosis of asthma in school children.

• Assessment of quality of life in children with nephrotic syndrome.

• Genotype and phenotype co-relation in thalassaemia syndrome and their co-relation with XMNI polymorphism.

• Bone densitometry analysis in patients of thalasemmia and its co-relation with chronic anaemia, degree of siderosis and other biochemical markers.

• Role of serial enzyme measurements CPK/SGOT/LDH/HBDH and serum lactate in predicting hypoxic ischaemic encephalopathy in term neonates.

PUBLICATIONS

With expansion of CCH, the publication has become one of the major shove areas to get the status of centre of excellence.

Journals: 

• Journal of Neonatology

• Bulletin of Paediatric Haemato-oncology

Books:

• Handbook of Paediatric Intensive Care

• Practical Paediatric Critical Care Medicine

• IJP special supplement on Paediatric Emergency Medicine

• Haemoglobinopathies

• Neonatal Hematology

• Advances in Paediatrics

• Paediatric Emergency Medicine published by IJP publication

• Paediatric and Adolescent Environment Health

• Practical Paediatric Oncology

• Infant and Child Care

Chapters in Books by Other Authors:

Articles in National / International Journals:

Papers at National / International Conferences:

REPRESENTATION OF CCH IN ACADEMIC BODIES AND NGOs

In last one decade the Centre for Child Health has created a name for itself in whole of India. The CCH has made its presence felt in almost all the academic bodies and NGOs concerning children. The CCH has represented itself as a Centre for excellence in all the Paediatric forums, CME, National and International Conferences and Editorial Boards of various Paediatric Journals

• IAP-Committee on Protection of Child Consumer

• Thalassaemia India

• IAP Respiratory Chapter

• Emergency Cell-IAP Intensive Care

• IAP-PHO Chapter

• Editorial Board of Indian Journal of Paediatrics

• Editorial Board of Journal of Neonatology

• Centre for Science and Environment

• World Health Organization

• IAP Chapter on Child Environment Health

AWARDS AND APPRECIATION'S (IN LAST ONE YEAR)

The efforts done by CCH in field of Child Health been acknowledged in the forms of awards which have been time-honored to the CCH in last few years.

• Dr. B.C. Roy Award

• PICU Accredited as Level III Unit

• NICU Accredited as Level III Unit

• Best Poster Award at Pedicon 2006

• First Prize in NNF Delhi Quiz

• Best Poster at NNF 2005, Indore

FUTURE PLANS OF CENTRE FOR CHILD HEALTH

• To start stem cell and bone marrow transplant program

• Further expansion of block of Centre for Child Health and to increase a paediatric surgical floor (for all kind of Paediatric surgeries), create a dedicated paediatric emergency, expansion of development clinic.

• Addition of remaining Paediatric specialties like Paediatric Ophthalmology, Paediatric ENT etc.

• Add fellowship program in Paediatric specialties

• Start a Poison Control Centre

• Further strengthen the Postgraduate teaching program

HISTORY OF DEPARTMENT OF PAEDIATRICS
(A DECADE OF GROWTH AND EXPANSION)

In the year 2002, the status of department of paediatrics was raised to Centre for Child Health (CCH) to accommodate the expanding stature and to provide comprehensive health care from birth to 16 year. The CCH touches all the aspects related to children during illness as well as health. CCH has expanded its concerns from therapeutic to preventive, social and education in the field of child health. The CCH provides best of the care to children from birth to 16 year through co-coordinated effort of its three department, which includes department of Paediatrics, department of neonatology and department of Paediatric surgery.

The Centre started expanding itself 20 year backs when the process of adding Paediatric specialties was started. Neonatology, Nephrology, Pulmonology, Paediatric Intensive Care and Thalassemia Unit at Sir Gang Ram Hospital have already made their presence felt 15 years back. This process of expansions and the goal to achieve excellence is continued in the present decade.

During last decade the CCH has grown tremendously to become one the most sought after centre for excellence in the field to postgraduate education, therapeutics, research and social health.

Expansion of the Faculty: The department of Paediatrics has included 10, department of neonatology has included 2 and department of paediatric surgery has included 2 more consultants in the last 10 years.

Upgradation of Existing Services: The Division of Neonatology has been promoted to Department of Neonatology. Neonatal Intensive Care Unit has been upgraded with state of art medical gadgets. The Paediatric Intensive Care Unit has been expanded to 8-bedded unit with most modern and sophisticated equipment. Thalassaemia unit has been modernized and evening shift for transfusion services started so that children don’t have to miss their school.

New Specialties Added:

Following new specialties have been added in last decade to CCH.

• Paediatric Emergency Medicine

• Paediatric

• Infectious Diseases

• Paediatrics Neurology

• Paediatrics

• Gasteroenterology

• Paediatrics Endocrinology

• Paediatrics

• Rheumatology

• Developmental Paediatrics

• Paediatrics Psychiatry

• Adolescent Medicine

• Paediatrics Orthopaedics

New Services Added:

Following new services have been added in last decade to CCH.

• Organ Transplants: Liver/Bone Marrow/Kidney

• Paediatric Emergency Care

• Paediatric and Neonatal Transport Services

• Sedation and Analgesia Services

• Paediatric Day Care Services and Procedure Room

• Paediatric Laproscopic Surgeries and Paediatric Urology

• Bronchoscopy/Gastrointestinal Endoscopies

• Comprehensive Care for Haemophiliacs

• Parentral Nutrition

• ROP Screening of Newborns

• Newborn screening of genetic and metabolic diseases

New Paediatrics Speciality Clinics Started:

Following new specialty clinics have been started in last decade.

• Adolescent Clinic

• Paediatric Development Clinic

• Paediatric Endocrinology Clinic

• Paediatric Gastroenterology Clinic

• Genetic Medicine Clinic

• Paediatric Neurology Clinic

• Paediatric Psychology Clinic

• Paediatric Psychiatric Clinic

• Paediatric Orthopedic Clinic

• Paediatric Rheumatology Clinic

• Paediatric Thalassemia Clinic

• Paediatric Hemophilia Clinic