Basic Pediatric Intensive Care

It is pleasure to come out with fourth edition of Basic Pediatric Intensive Care which continues to find favor withyoung residents and general pediatricians. In the period since the last edition in 2009 several advances have takenplace in knowledge and practice and that is the rationale for this edition. The book continues to maintain simplifiedformat and covers all the basic critical care issues relevant to our children.In this edition all the topics have been thoroughly revised and updated. New topics have been added andredundant material has been deleted. The new chapters include Raised Intracranial Pressure Fluid and ElectrolyteTherapy and Infection Control in PICU. Major changes have been made in the chapters on CardiopulmonaryResuscitation to incorporate new CPR guidelines Management of Septic Shock in accordance with consensusguidelines for resource limited countries and Acute Renal Failure to incorporate new advances and approach. Thechapter on Severe Infections now has updated choice of antibiotics and a whole section on Approach to TropicalFevers. The chapter on Metabolic Changes and Nutrition has been revised to include recommendations on nutritionmanagement of critically ill children with underlying malnutrition. The chapter on Sedation and Analgesia has beenexpanded to include assessment of pain and grading of sedation risk. Advances in understanding new definition andcurrent approach to ventilatory and other managements are included in the chapter on Acute Respiratory DistressSyndrome. Revised Brain Death Criteria are included in the chapter on Management of Death. The appendices onnew guidelines on HIV prophylaxis after accidental exposure brain death checklist central line bundles and dailychecklist have been added. All of these are in keeping with the basic philosophy of the book to provide practicalguidelines on management of critically ill children.I would also take this opportunity to acknowledge contribution of all the former and current DM PediatricCritical Care fellows (Drs Sasidaran Govindappa Ramesh Kumar Karthi Karthik Saptrishi and Baalaaji throughtheir suggestions on appropriateness of contents helping with literature search checking the contents and proofreading.It is hoped that new revised edition will continue to help pediatric trainees as well as pediatricians in practice todevelop their skills in managing critically ill children.