What Is Paediatric Intensive Care (PICU)?
Paediatric Intensive Care, often referred to as the PICU, is highly specialised and is dedicated to caring for critically ill infants and children. Especially those who need close monitoring and advanced medical support.
A paediatric intensive care unit is designed to support children through some of the most serious moments of illness or recovery. This covers children whose conditions may change quickly, require constant observation or involve vital organs such as the lungs, heart or brain. Breathing difficulties, severe infections, neurological emergencies, shock or the period following major surgery are all situations covered by PICU departments. While many children recover well with standard paediatric care, some need the additional safety, equipment and expertise that only a PICU unit can provide.
Parents can often arrive at the PICU unexpectedly, usually at the emergency department, following surgery or after a sudden deterioration in a child’s condition. In other cases, children are transferred from another ward or hospital once it becomes clear they need closer monitoring. The role of the paediatric intensive care doctor is critical and goes beyond treatment acute symptoms and illness. Stabilising is one key role, however they also support and guide both the child and their family through a time that can feel overwhelming.
At NMC, all our paediatric intensive care is delivered with precision, preparedness no matter the case. Across our hospitals in Abu Dhabi, Dubai, Sharjah, Ajman, Ras Al Khaimah and Al Ain, our PICU services are built to support children with complex and life-threatening conditions, around the clock.
Our paediatric intensive care units are fully equipped with advanced monitoring systems that allow our doctors to constantly observe heart rates, breathing, blood pressure and oxygen levels. This precise level of monitoring means even small changes are detected early, giving teams the ability to respond quickly and adjust care as and when needed.
Because PICU care often involves advanced interventions that cannot be delivered safely in a standard ward setting, our paediatric intensive care units at NMC are structured to provide both invasive and non-invasive respiratory support, depending on a child’s needs. This is delivered via mechanical ventilation, non-invasive ventilation and high-flow oxygen therapy with careful monitoring and regular reassessment. For children with unstable circulation or shock, haemodynamic monitoring allows teams to manage fluids, medications and organ support precisely. We also offer procedural sedation, allowing for certain procedures to be carried out safely while minimising distress.
Our PICUs also have the ability to support children during the post-operative period, particularly after complex or high-risk surgeries. Close monitoring during this time can make a significant difference to recovery and comfort which if why from the moment a child is admitted, care is individualised, adjusted continuously and guided by the child’s response. Additional services include PICC line insertion for long-term intravenous access, nutritional support planning and careful infection control measures. Every element of care is designed to reduce risk while supporting recovery.
The care provided across PICU units is rarely one-dimensional where most children need a combination of medical, nursing and supportive care that evolves hour by hour. What defines PICU care at NMC is the way these layers come together. Our teams understand that intensive care is not just about machines and protocols. It’s about judgement, timing and communication. Our teams are experienced in managing pain, anxiety and comfort, particularly for children who may need repeated interventions. We keep our patients and their families informed throughout the process, no matter the emergency, with clear explanations, regular updates and honest conversations about what is happening and why certain decisions are being made.