Related Experiment Video
Updated: Oct 8, 2025
Author Spotlight: Simulating Pediatric Cardiac Surgery Using a Neonatal Piglet Model
Published on: May 26, 2023
[Post-intensive care syndrome in pediatrics]
1Hospital de Pediatria S.A.M.I.C Prof. Dr. Juan P. Garrahan. toobemarina@gmail.com.
Insights
Post-intensive care syndrome (PICS) affects physical, cognitive, and mental health after critical illness. While management tools exist, more pediatric-specific research is needed for long-term outcomes.
Area of Science:
- Critical care medicine
- Neuroscience
- Psychiatry
Background:
- Post-intensive care syndrome (PICS) encompasses new impairments in physical, cognitive, or mental health following critical illness.
- These conditions persist after acute care hospitalization, impacting survivors' quality of life.
- Family members of critically ill patients may also experience psychological distress.
Purpose of the Study:
- To review emerging evidence on PICS in adult and pediatric survivors.
- To identify current prevention and management strategies for PICS.
- To highlight gaps in knowledge, particularly concerning pediatric PICS.
Main Methods:
- A bibliographic search of the Medline database was conducted.
- The search covered literature published between 2012 and 2020.
- Keywords were utilized to identify relevant studies.
Main Results:
- Significant and persistent physical, cognitive, and psychiatric morbidities are observed in adult and pediatric critical illness survivors.
- PICS can also affect survivors' social health, and families often exhibit psychological symptoms.
- Various management tools are available, including the "ABCDEFGH" bundle, early mobilization, rehabilitation, nutritional support, environmental management, ICU diaries, and peer support.
Conclusions:
- Patient situations are unique, necessitating tailored interventions.
- Further research is crucial to increase evidence for pediatric PICS.
- A specific monitoring instrument for pediatric PICS and data on long-term sequelae in children are currently lacking.
Introduction:
The term “Post-intensive care syndrome” describe new impairments after critical illness, that worsen physical, cognitive, or mental health, and persist after acute care hospitalization.
Methods:
a bibliographic search was carried out using the Medline database. The search period was from 2012 to 2020 using keywords.
Results:
Emerging evidence suggests that there are significant and persistent physical, cognitive, and psychiatric morbidities among adult and pediatric survivors of critical illness. In this population it can also affect the “social health” sphere. The families of hospitalized patients often manifest psychological symptoms. For prevention and management there are various tools, the package of measures "ABCDEFGH", the conformation and organization of the health team, early mobilization and physical rehabilitation, nutritional contribution, environmental management, intensive care unit diaries and support between pairs.
Conclusion:
Each patient´s situation is unique and the challenges they face may require different interventions. These should be studied to increase the available evidence in the pediatric population. We still do not have a specific instrument to monitor the syndrome in pediatrics or information on long-term sequelae in children.
More Related Videos
07:36Modeling Encephalopathy of Prematurity Using Prenatal Hypoxia-ischemia with Intra-amniotic Lipopolysaccharide in Rats
Published on: November 20, 2015
11:27A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn
Published on: April 7, 2023
Related Concept Videos
01:30Pneumonia I: Introduction
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
01:30Pneumonia III: Complications and Assessment
01:28Acute Coronary Syndrome IV: Interprofessional Care
01:28Pneumonia IV: Management
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
01:28Cardiomyopathy VII: Pre and Post Operative Nursing Management
01:30Acute Respiratory Failure-III