Overcoming barriers to pediatric intensive care in low-resource settings: an institutional experience from Northeast India

Developing pediatric intensive care units (PICUs) in resource-limited regions presents several challenges, including significant resource constraints, a shortage of trained personnel, and a lack of standardized care protocols. Prioritizing skills and knowledge development for healthcare professionals, selecting effective yet affordable equipment, and strong leadership have been identified as essential for establishing sustainable pediatric critical care services in low- and middle-income countries (LMICs). In this article, we describe the practical, phased approach undertaken in a charitable hospital setting in Northeast India to establish a PICU, highlighting adaptability, institutional commitment, patient team building, and systematic record-keeping in overcoming these challenges. The lessons drawn from this experience can offer valuable insights for similar healthcare settings in LMICs, demonstrating that high-quality pediatric critical care can be achieved even in resource-constrained environments.