[Intensive care in pediatrics (author's transl)]

Area of Science:

• Pediatrics
• Critical Care Medicine

Context:

• Centralized treatment of critically ill pediatric patients is crucial.
• Pediatric intensive care bridges organ dysfunction and treats underlying diseases.
• Efficient care relies on continuous medical attention and specialized training.

Purpose:

• To present the organization and function of pediatric intensive care units (PICUs).
• To discuss essential elements for effective pediatric critical care.
• To document outcomes and regionalization strategies.

Summary:

• PICUs manage organ failure in critically ill children, requiring specialized equipment and trained staff.
• Key aspects include continuous care, clear responsibility, and coordinated specialist input.
• The study details design, staffing, high-risk neonatal transport, and training programs.

Impact:

• Highlights the importance of specialized pediatric intensive care for severe pediatric illnesses.
• Provides a framework for organizing and operating effective PICUs.
• Discusses regionalization of neonatal care based on specific regional data.