This #ICUrehab season has focussed on preventing PICU morbidities & improving recovery.

Our successes in #pedsICU mean that most kids survive & we increasingly see survivors with chronic complex conditions, either in ICU or frequently readmitted. They are still a relatively small population but use a huge proportion of our bed days and are a population with unique risks & needs.

Dr Rob Graham runs the home ventilation program at Boston Children’s Hospital and has an incredibly thoughtful and thorough approach to these patients.

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Selected references

1.Kanthimathinathan, H. K., Plunkett, A., Scholefield, B. R., Pearson, G. A. & Morris, K. P. Trends in long-stay admissions to a UK paediatric intensive care unit. Archives of Disease in Childhood archdischild-2019-317797-5 (2019) doi:10.1136/archdischild-2019-317797.
2.Mancebo, J. G. et al. A comparative two-cohort study of pediatric patients with long term stay in ICUs. Scientific Reports 1–9 (2021) doi:10.1038/s41598-021-84248-z.
3.Miura, S., Fukushima, M., Kurosawa, H. & Kimura, S. Epidemiology of long-stay patients in the pediatric intensive care unit: prevalence, characteristics, resource consumption and complications. J Public Health 30, 111–119 (2022).
4.Garcia, X. et al. Improved Care to Chronic Patients in CICU. Congenit Heart Dis 7, 403–409 (2012).
5.Pollack, M. M., Wilkinson, J. D. & Glass, N. L. Long-Stay Pediatric Intensive Care Unit Patients: Outcome and Resource Utilization. Pediatrics 80, 855–860 (2006).
6.Zorko, D. et al. Pediatric Chronic Critical Illness: Protocol for a Scoping Review. Jmir Res Protoc 10, e30582 (2021).

 

Season 3, Episode 6
Published: August 10, 2022
Run time: 1.12


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Post Intensive Care Syndrome in #pedsICU (PICS-p) with nurse researcher Joseph Manning

There is a growing awareness of the broad range of problems that patients and their families can face after a stay in the #pedsICU which…

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