Intensive Care and Neonatal Intensive Care Unit (PICU/NICU)

A critical care nurse caring for a patient in ICU
A critical care nurse caring for a patient in ICU

Overview

Great Ormond Street Hospital (GOSH) provides the largest paediatric critical care service in Europe, with more ICU beds than any other hospital.

We admit children from all over the world. Each year our ICUs treat critically ill children from over 20 countries, including the UAE, Kuwait, Saudi Arabia and Qatar.

We have three dedicated ICUs covering neonates, children and cardiac cases. Together, these teams treat over 2,000 patients each year.

We also offer support and services for a range of specialities including general surgery, neurosurgery, oncology, neurology, cardiology and cardiothoracic surgery, metabolic medicine, renal/nephrology, spinal surgery, ENT, respiratory and endocrinology, as well as children with head injury and trauma.

Unparalleled clinical care

Regular multi-speciality team meetings ensure that each patient is reviewed by a range of specialists, allowing us to provide comprehensive and personalised care for each individual child. The range of paediatric specialists available at GOSH cannot be found elsewhere, meaning our ICU patients receive a unique and unmatched level of care.

Our ICU patients are cared for by nursing staff on a 1:1 basis at all times. There are also 7 junior doctors and 4 consultants on hand during the working week with 5 junior doctors and 2 consultants available out of hours. There are twice daily consultant ward rounds, dedicated pharmacists, dietitians, physiotherapists and psychologists.

State-of-the-art equipment

Our state-of-the-art equipment mean we can provide a full range of therapies including tracheostomy management, invasive and non-invasive ventilation, advanced haemodynamic monitoring and renal replacement therapies. We also offer extra-corporeal membrane oxygenation (ECMO), airway and tracheal surgery within our cardiac intensive care unit (CICU).

Pioneering research

Our ICU teams undertake cutting-edge research to find new and better ways to treat children with critical illnesses. Professor Mark Peters, Consultant in Paediatric Intensive Care at GOSH, and The Intensive Care National Audit and Research Centre are set to launch a UK-wide clinical trial looking at the best level of oxygen for more than 2,000 children who are on ventilation in intensive care.

Getting the correct levels of oxygen could allow critically ill children to receive less intensive treatment and help them recover faster. The new trial, known as Oxy-PICU, has received over £1.5 million funding from the National Institute for Health Research.

A supportive environment

We understand it can be difficult for families with a child in ICU. Our aim is to provide excellent care to critically ill children in an environment that is sensitive to the needs of the child and their family.

Our staff are acutely aware of the stress suffered by parents and relatives and have developed a large support network. We have a team of family liaison nurses, play specialists, interpreters, social workers and religious and psychological support.

Education and training

We also offer ICU education and training programmes to medical professionals around the world via our fellowship and observership programmes.

Meet the team

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