Minimum requirements for pediatric cardiac procedures in the Indian scenario

Ramakrishnan, Sivasubramanian; Sen, Supratim

doi:10.4103/apc.apc_12_23

Cited by 7 publications

(8 citation statements)

References 3 publications

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“…[ 25 - 30 ] Almost all the editorials in the last few years were India-centric. We tried to address some of the pertinent Indian problems, including the impact of COVID-19 on Indian pediatric cardiology,[ 31 ] minimum requirements for pediatric cardiac interventions,[ 32 ] fetal cardiology in India,[ 33 ] interventional cardiology,[ 34 ] research and key publications from India,[ 35 ] and Indian pediatric cardiology conference. [ 36 ]…”

Section: Annals Of Pediatric Cardiology: a New Outlookmentioning

confidence: 99%

Annals of Pediatric Cardiology: A new look and a new outlook

Ramakrishnan¹

2023

Annals of Pediatric Cardiology

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Section: Annals Of Pediatric Cardiology: a New Outlookmentioning

confidence: 99%

Annals of Pediatric Cardiology: A new look and a new outlook

Ramakrishnan¹

2023

Annals of Pediatric Cardiology

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“…Another disturbing trend is the frequent outsourcing of pediatric cardiac interventions. [ 6 7 ] The so-called “technical experts” who visit all the cath laboratories in all the states and motivate cardiologists (centers with no surgical backup) to perform pediatric cardiac interventions. This may lead to disastrous outcomes.…”

Section: Jay Relanmentioning

confidence: 99%

“…I think such practices are also bound to reduce the need for a trained pediatric cardiologist. Hence, I strongly agree that there is a need for precise regulation on who can perform a pediatric cardiac intervention and in what setup these can be performed to reduce these preventable complications, which has been eluded in a recent editorial[ 7 ] of APC.…”

Section: Jay Relanmentioning

confidence: 99%

Pediatric cardiology in India – In search of a holistic solution

Tharakan,

Sharma,

Subramanyan

et al. 2023

Annals of Pediatric Cardiology

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“… 18 The available guidelines developed in HICs are only partially accountable for the pervasive service and ongoing quality challenges in resource-limited settings, 19–22 while limited data are available from LMICs describing a road-map of creating PCHD services. 23 The goal of the recommendations is not to create a new vertical system but to incorporate the minimum services needed in the health system. We believe it will allow for a smoother transition and better collaboration between departments focused on newborn and child health and non-communicable diseases (NCDs), which typically do not plan for services for childhood-onset heart diseases.…”

Section: Introductionmentioning

confidence: 99%

Recommendations for developing effective and safe paediatric and congenital heart disease services in low-income and middle-income countries: a public health framework

et al. 2023

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The globalburdenof paediatric and congenital heart disease (PCHD) is substantial. We propose a novel public health framework with recommendations for developing effective and safe PCHD services in low-income and middle-income countries (LMICs). This framework was created by the Global Initiative for Children’s Surgery Cardiac Surgery working group in collaboration with a group of international rexperts in providing paediatric and congenital cardiac care to patients with CHD and rheumatic heart disease (RHD) in LMICs. Effective and safe PCHD care is inaccessible to many, and there is no consensus on the best approaches to provide meaningful access in resource-limited settings, where it is often needed the most. Considering the high inequity in access to care for CHD and RHD, we aimed to create an actionable framework for health practitioners, policy makers and patients that supports treatment and prevention. It was formulated based on rigorous evaluation of available guidelines and standards of care and builds on a consensus process about the competencies needed at each step of the care continuum. We recommend a tier-based framework for PCHD care integrated within existing health systems. Each level of care is expected to meet minimum benchmarks and ensure high-quality and family centred care. We propose that cardiac surgery capabilities should only be developed at the more advanced levels on hospitals that have an established foundation of cardiology and cardiac surgery services, including screening, diagnostics, inpatient and outpatient care, postoperative care and cardiac catheterisation. This approach requires a quality control system and close collaboration between the different levels of care to facilitate the journey and care of every child with heart disease. This effort was designed to guide readers and leaders in taking action, strengthening capacity, evaluating impact, advancing policy and engaging in partnerships to guide facilities providing PCHD care in LMICs.

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Minimum requirements for pediatric cardiac procedures in the Indian scenario

Cited by 7 publications

References 3 publications

Annals of Pediatric Cardiology: A new look and a new outlook

Annals of Pediatric Cardiology: A new look and a new outlook

Pediatric cardiology in India – In search of a holistic solution

Recommendations for developing effective and safe paediatric and congenital heart disease services in low-income and middle-income countries: a public health framework

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