Pediatric intensive care unit follow-up: Thinking before acting

It is now well established that post-intensive care syndrome is frequent in critically ill children after discharge from the pediatric intensive care unit (PICU). Nevertheless, post-intensive care follow-up is highly heterogenous worldwide and is not considered routine care in many countries. The pu...

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Published in:Anaesthesia critical care & pain medicine 2024-08, Vol.43 (4), p.101401, Article 101401
Main Authors: Mortamet, Guillaume, Birsan, Sandrine, Zini, Justine, Morin, Luc, Kolev, Karine, Pelluau, Sonia, Pouletty, Marie, Thiberghien, Denis, Beldjilali, Sophie, Brissaud, Olivier, Milési, Christophe, Brotelande, Camille, Dupont, Audrey, Giraud, Marion, Hassid, Sophie Ariane, Tsapis, Michael, Essid, Aben, Villemain, Clélia, De Sampaio, Sandrine, Troff, Sarah, Micaelli, Delphine, Levy, Michael
Format: Article
Language:English
Subjects:
Aftercare - methods
Child
Child, Preschool
Critical Care - methods
Critical Illness
Follow-up
Follow-Up Studies
France
Humans
Intensive Care Units, Pediatric
Patient Discharge
Pediatric
Pediatric intensive care unit
Post-intensive care syndrome
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Summary:It is now well established that post-intensive care syndrome is frequent in critically ill children after discharge from the pediatric intensive care unit (PICU). Nevertheless, post-intensive care follow-up is highly heterogenous worldwide and is not considered routine care in many countries. The purpose of this viewpoint was to report the reflections of the French PICU society working group on how to implement post-PICU follow-up. A working group was set up within the Groupe Francophone de Reanimation et d’Urgences Pédiatriques (GFRUP) to provide conceptual and practical guidance for developing post-PICU follow-up. The working group included psychologists, PICU physicians, physiotherapists, and nurses, from different French PICUs. Five virtual meetings have been held. First, we described in this work the objectives of the follow-up program and the population to be targeted. We also provided a framework to implement post-PICU follow-up in clinical practice. Finally, we detailed the potential obstacles and challenges to consider. Although implementing a post-PICU follow-up program is a challenge, the benefits could be significant for both patient and relatives, as well as for the health care professionals involved.
ISSN:2352-5568
2352-5568
DOI:10.1016/j.accpm.2024.101401