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Published on: January 16, 2019
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Pediatric intensive care unit follow-up: Thinking before acting.
Guillaume Mortamet1, Sandrine Birsan2, Justine Zini3
1Pediatric Intensive Care Unit, Grenoble-Alpes University Hospital, La Tronche, France; Univ. Grenoble Alpes, Grenoble, France.
Anaesthesia, Critical Care & Pain Medicine
|June 1, 2024
Summary
Implementing post-intensive care follow-up for children is crucial for addressing post-intensive care syndrome. This viewpoint offers guidance on establishing effective follow-up programs after pediatric intensive care unit (PICU) discharge.
Area of Science:
- Pediatric critical care medicine
- Child health outcomes
- Healthcare systems implementation
Background:
- Post-intensive care syndrome (PICS) is a common and significant concern for children after discharge from the pediatric intensive care unit (PICU).
- Current post-intensive care follow-up practices are inconsistent globally, lacking standardization and routine implementation in many healthcare settings.
- The heterogeneity in follow-up care highlights a critical need for structured approaches to support pediatric patients post-PICU.
Purpose of the Study:
- To provide conceptual and practical recommendations for establishing post-PICU follow-up programs.
- To outline the reflections of a French working group on implementing standardized follow-up care for children exiting the PICU.
- To address the need for improved, consistent care pathways for pediatric patients recovering from critical illness.
Main Methods:
- Formation of a multidisciplinary working group under the Groupe Francophone de Reanimation et d'Urgences Pédiatriques (GFRUP).
- Inclusion of diverse healthcare professionals (psychologists, physicians, physiotherapists, nurses) with expertise in pediatric critical care.
- Conducting a series of virtual meetings to develop guidance and frameworks for post-PICU follow-up.
Main Results:
- Defined the objectives and target population for a structured post-PICU follow-up program.
- Established a practical framework for implementing post-PICU follow-up within clinical settings.
- Identified potential obstacles and challenges associated with program implementation, offering insights for mitigation.
Conclusions:
- Establishing a post-PICU follow-up program presents challenges but offers substantial benefits.
- Positive impacts extend to patients, their families, and healthcare professionals involved in pediatric critical care.
- Standardized follow-up care is essential for optimizing recovery and long-term well-being in children after PICU admission.
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