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Updated: Aug 2, 2025

Guidelines for Elective Pediatric Fiberoptic Intubation
Published on: January 17, 2011
[Children visiting intensive care units and emergency departments : Kids are welcome!]
Maria Brauchle1, Teresa Deffner2, Alexander Brinkmann3
1Klinik für Anästhesie und Intensivmedizin, Landeskrankenhaus Feldkirch, Feldkirch, Österreich.
Insights
Children
Area of Science:
- Pediatric critical care
- Family-centered care
Context:
- Visiting policies for children in intensive care units (ICUs) and emergency departments (EDs) vary widely in German-speaking countries.
- Current policies range from unrestricted access to age and time limitations for child visitors.
- Staff reactions to children's visitation requests are inconsistent, highlighting a need for standardized approaches.
Purpose:
- To present key recommendations for child visitation in pediatric and adult intensive care units (ICUs), intermediate care units, and emergency departments (EDs).
- To encourage management and staff to develop a family-centered care culture regarding child visitation.
- To address the heterogeneous visiting policies and staff attitudes in German-speaking countries.
Summary:
- The white paper outlines recommendations for child visitation in critical care and emergency settings.
- Despite limited evidence, advantages of child visits often outweigh disadvantages across hygienic, psychosocial, ethical, religious, and cultural domains.
- Decisions regarding child visitation are complex and necessitate careful, individualized consideration.
Impact:
- Promotes a more consistent and supportive approach to child visitation in healthcare settings.
- Encourages the development of family-centered care practices.
- Aims to improve the psychosocial well-being of patients and families through informed visitation policies.
Abstract:
In this white paper, key recommendations for visitation by children in intensive care units (ICU; both pediatric and adult), intermediate care units and emergency departments (ED) are presented. In ICUs and EDs in German-speaking countries, the visiting policies for children and adolescents are regulated very heterogeneously: sometimes they are allowed to visit patients without restrictions in age and time duration, sometimes this is only possible from the age of teenager on, and only for a short duration. A request from children to visit often triggers different, sometimes restrictive reactions among the staff. Management is encouraged to reflect on this attitude together with their employees and to develop a culture of family-centered care. Despite limited evidence, there are more advantages for than against a visit, also in hygienic, psychosocial, ethical, religious, and cultural aspects. No general recommendation can be made for or against visits. The decisions for a visit are complex and require careful consideration.
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