Iyer Parvathi Unninayar, Iyer Krishna Subramony
Department of Pediatric & Congenital Heart Surgery, Fortis Escorts Heart Institute, Okhla Road, New Delhi, 110025 India.
Indian J Thorac Cardiovasc Surg. 2025 Jun;41(6):697-703. doi: 10.1007/s12055-025-01928-5. Epub 2025 Feb 28.
Pediatric cardiac intensive care (PCIC) is now a well-recognized specialty in the well-resourced developed world, and its need and utilization in optimal delivery of care for congenital heart disease (CHD) especially congenital heart surgery (CHS) is well established. The delivery of CHD care in low- and middle-income countries (LMICs) continues to face numerous challenges, not the least of which is the availability of resources to develop and maintain PCIC units and the pediatric intensivists to man them. This article explores the question as to whether reliable PCIC is feasible in LMICs and remains a necessity, or if it is dispensable. The article also looks at the current status and challenges of PCIC in resource-limited environs.
小儿心脏重症监护（PCIC）在资源丰富的发达国家现已成为一个得到广泛认可的专业领域，其在先天性心脏病（CHD）尤其是先天性心脏手术（CHS）的最佳护理提供中的必要性和应用已得到充分确立。低收入和中等收入国家（LMICs）在先天性心脏病护理方面仍面临诸多挑战，其中最主要的挑战之一是缺乏资源来建立和维持小儿心脏重症监护病房以及配备管理这些病房的小儿重症监护医生。本文探讨了在低收入和中等收入国家建立可靠的小儿心脏重症监护是否可行且仍然必要，还是可以省去这一问题。本文还审视了资源有限环境下小儿心脏重症监护的现状和挑战。
