Pediatrics

Department of Pediatrics

Department of Pediatrics and Pediatric services were initiated with the commencement of Nepal Medical college teaching hospital.  Currently, a 75 bedded dedicated Pediatric Ward with cubicles and isolation unit, a 10 bedded Pediatric Intensive care Unit and a 15 bedded Neonatal Intensive care unit, provides a comprehensive health care from birth to 16 years. The department has expanded its role from just therapeutic to preventive, social and educational aspects of child health.

Realizing the need of super-specialty care in pediatrics in Nepal, our department has encouraged the faculty doctors into developing dedicated teams and obtaining fellowship training for the better care of the patients.

Pediatric services

General pediatrics: Out-patient and in-patient services

Immunization Clinic

Well baby and High risk baby Clinic

Pediatric Intensive care unit (PICU)

Neonatal Intensive Care unit (NICU)

Specialty services

Pediatrics Pulmonology Clinic

Children suffering from chronic problems of the lungs and airways are enrolled in this clinic. Persistent or recurrent wheeze, pulmonary tuberculosis, restrictive lung disease, assessment of airway problems and comprehensive management with detailed clinical and radiological evaluation is done in this clinic.

Available Services

  • Spirometry
  • Bronchoscopy
  • Nasopharyngolaryngoscopy
  • Intercostal drainage tube insertion

Counseling and follow up service

Pediatrics Gastroenterology Clinic

It is one of the few units in Nepal which is geared with endoscopic facilities of Pediatric Gastroenterology. It has both in patient and out-patient services of Pediatric Gastroenterology. 

Services include

  1. Esophagogastrodudenoscopy (EGD) with biopsies (Pediatric and neonatal scopes are available)
  2. Sigmoidoscopy
  3. Colonoscopy
  4. Polypectomy for colonic polyps
  5. Percutaneous endoscopic gastrostomy PEG for long term feeding
  6. Esophageal stricture dilatation
  7. Endoscopic variceal band Ligation (EVL)


Pediatric Intensive Care Unit

Services like central line insertion, arterial line insertion, and peritoneal dialysis are available in the unit. Children undergoing complex pediatric and neurosurgical procedures are provided intensive care in this unit.

 

Neonatal Intensive Care and High Risk Follow up    

We being one of the most prominent units have about 300-400 admissions per annum. This unit has 3 separate rooms – consisting of two ICUs separate for in-born and out-born neonates, a step down Intermediate care unit  and a step down block in Pediatric ward. Our NICU is 15 bedded level III unit, equipped with 4 ventilated beds each with wall mounted new generation multi-parameter monitors, CPAP machines and Phototherapy units. All babies are nursed in thermo-neutral environment under radiant warmer/incubator. NICU services are covered by consultants, specially trained and dedicated in Neonatology, along with resident doctors. We have well trained and experienced nursing staffs that are professional in handling sick babies.

Services:

 

  • Mechanical ventilation and Non-invasive ventilation
  • Preterm care
  • Surfactant therapy
  • Phototherapy and Exchange Transfusion
  • Central lines and Nutritional management
  • Neuroimaging: Cranial USG, MRI, CT Scan
  • Eye Examination: ROP screening, funds evaluation
  • Lactation Support
  • Developmental supportive Care
  • Neonatal surgical care with support of Pediatric surgery unit/Neurosurgery unit

 

Babies requiring special care after discharge are followed up in High risk clinic.