tetano
Editor, Senior Moderator
Chest
. 2022 Jan 7;S0012-3692(22)00005-8.
doi: 10.1016/j.chest.2021.12.648. Online ahead of print.
PICU in the MICU: how adult intensive care units can support pediatric care in public health emergencies
Mary A King[SUP] 1 [/SUP], Renee I Matos[SUP] 2 [/SUP], Mitchell T Hamele[SUP] 3 [/SUP], Matthew A Borgman[SUP] 2 [/SUP], Luke A Zabrocki[SUP] 4 [/SUP], Samir K Gadepalli[SUP] 5 [/SUP], Ryan C Maves[SUP] 6 [/SUP]
Affiliations
Abstract
Initial waves of the 2019 coronavirus disease (COVID-19) pandemic have largely spared children. With the advent of vaccination in many older age groups and the spread of the highly-contagious Delta variant, however, children now represent a growing percentage of COVID-19 cases. Pediatric intensive care unit (PICU) capacity is far less than that of adult ICUs. Adult ICUs may need to support pediatric care, much as PICUs provided adult care earlier in the pandemic. Critically-ill children selected for care in adult settings should be at least 12 years of age and ideally have conditions common in children and adults alike, such as community-acquired sepsis or trauma. Children with complex, pediatric-specific disorders are best served in PICUs and are not recommended for transfer. The goal of such transfers is to maintain critical capacity for those children in greatest need of the PICU's unique abilities, thus preserving systems of care for all children.
. 2022 Jan 7;S0012-3692(22)00005-8.
doi: 10.1016/j.chest.2021.12.648. Online ahead of print.
PICU in the MICU: how adult intensive care units can support pediatric care in public health emergencies
Mary A King[SUP] 1 [/SUP], Renee I Matos[SUP] 2 [/SUP], Mitchell T Hamele[SUP] 3 [/SUP], Matthew A Borgman[SUP] 2 [/SUP], Luke A Zabrocki[SUP] 4 [/SUP], Samir K Gadepalli[SUP] 5 [/SUP], Ryan C Maves[SUP] 6 [/SUP]
Affiliations
- PMID: 35007553
- DOI: 10.1016/j.chest.2021.12.648
Abstract
Initial waves of the 2019 coronavirus disease (COVID-19) pandemic have largely spared children. With the advent of vaccination in many older age groups and the spread of the highly-contagious Delta variant, however, children now represent a growing percentage of COVID-19 cases. Pediatric intensive care unit (PICU) capacity is far less than that of adult ICUs. Adult ICUs may need to support pediatric care, much as PICUs provided adult care earlier in the pandemic. Critically-ill children selected for care in adult settings should be at least 12 years of age and ideally have conditions common in children and adults alike, such as community-acquired sepsis or trauma. Children with complex, pediatric-specific disorders are best served in PICUs and are not recommended for transfer. The goal of such transfers is to maintain critical capacity for those children in greatest need of the PICU's unique abilities, thus preserving systems of care for all children.