PICU in the MICU: How Adult ICUs Can Support Pediatric Care in Public Health Emergencies
Initial waves of the COVID-19 pandemic have largely spared children. With the advent of vaccination in many older age groups and the spread of the highly contagious Delta variant, however, children now represent a growing percentage of COVID-19 cases. PICU capacity is far less than that of adult ICU...
Gespeichert in:
| Veröffentlicht in: | Chest 2022-05, Vol.161 (5), p.1297-1305 |
|---|---|
| Hauptverfasser: | , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 1305 |
|---|---|
| container_issue | 5 |
| container_start_page | 1297 |
| container_title | Chest |
| container_volume | 161 |
| creator | King, Mary A Matos, Renee I Hamele, Mitchell T Borgman, Matthew A Zabrocki, Luke A Gadepalli, Samir K Maves, Ryan C |
| description | Initial waves of the COVID-19 pandemic have largely spared children. With the advent of vaccination in many older age groups and the spread of the highly contagious Delta variant, however, children now represent a growing percentage of COVID-19 cases. PICU capacity is far less than that of adult ICUs. Adult ICUs may need to support pediatric care, much as PICUs provided adult care earlier in the pandemic. Critically ill children selected for care in adult settings should be at least 12 years of age and ideally have conditions common in children and adults alike (eg, community-acquired sepsis, trauma). Children with complex, pediatric-specific disorders are best served in PICUs and are not recommended for transfer. The goal of such transfers is to maintain critical capacity for those children in greatest need of the PICU's unique abilities, therefore preserving systems of care for all children. |
| doi_str_mv | 10.1016/j.chest.2021.12.648 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8739819</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2618907852</sourcerecordid><originalsourceid>FETCH-LOGICAL-p266t-bbf4d2e5b2f19715a047a928c9ecf161a21236d0a6b1c6e67b4a740542e81843</originalsourceid><addsrcrecordid>eNpVkFtLw0AQhRdRbK3-AkH20ZfEnd1ks_FBKKFaoWLBCr6FTTJpUnIzu1H890asok8z31zOgUPIOTAXGMirnZsWaKzLGQcXuCs9dUCmEApwhO-JQzJlDLgjZMgn5MSYHRsZQnlMJsJnLPB9MSUv6_vomZYNtQXSh7G_psv2nc6zobJ0REMj3dCnoeva3tI1ZqW2fZmO0x6_3tZDUo24RF3Zgi5q7LfYpCWaU3KU68rg2b7OyOZ2sYmWzurx7j6ar5yOS2mdJMm9jKOf8BzCAHzNvECHXKUhpjlI0By4kBnTMoFUogwSTwce8z2OCpQnZuTmW7YbkhqzFBvb6yru-rLW_Ufc6jL-v2nKIt62b7EKRKjGsGbkci_Qt6_DmGdclybFqtINtoOJuQQVskD5fDy9-Ov1a_KTpvgEqZ93IA</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2618907852</pqid></control><display><type>article</type><title>PICU in the MICU: How Adult ICUs Can Support Pediatric Care in Public Health Emergencies</title><source>MEDLINE</source><source>Alma/SFX Local Collection</source><creator>King, Mary A ; Matos, Renee I ; Hamele, Mitchell T ; Borgman, Matthew A ; Zabrocki, Luke A ; Gadepalli, Samir K ; Maves, Ryan C</creator><creatorcontrib>King, Mary A ; Matos, Renee I ; Hamele, Mitchell T ; Borgman, Matthew A ; Zabrocki, Luke A ; Gadepalli, Samir K ; Maves, Ryan C</creatorcontrib><description>Initial waves of the COVID-19 pandemic have largely spared children. With the advent of vaccination in many older age groups and the spread of the highly contagious Delta variant, however, children now represent a growing percentage of COVID-19 cases. PICU capacity is far less than that of adult ICUs. Adult ICUs may need to support pediatric care, much as PICUs provided adult care earlier in the pandemic. Critically ill children selected for care in adult settings should be at least 12 years of age and ideally have conditions common in children and adults alike (eg, community-acquired sepsis, trauma). Children with complex, pediatric-specific disorders are best served in PICUs and are not recommended for transfer. The goal of such transfers is to maintain critical capacity for those children in greatest need of the PICU's unique abilities, therefore preserving systems of care for all children.</description><identifier>ISSN: 0012-3692</identifier><identifier>EISSN: 1931-3543</identifier><identifier>DOI: 10.1016/j.chest.2021.12.648</identifier><identifier>PMID: 35007553</identifier><language>eng</language><publisher>United States: American College of Chest Physicians. Published by Elsevier Inc</publisher><subject>Adult ; Aged ; Child ; COVID-19 ; Emergencies ; Humans ; Infant ; Intensive Care Units, Pediatric ; Pandemics ; Public Health ; SARS-CoV-2</subject><ispartof>Chest, 2022-05, Vol.161 (5), p.1297-1305</ispartof><rights>Copyright © 2022 American College of Chest Physicians. All rights reserved.</rights><rights>2022 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved. 2022 American College of Chest Physicians</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35007553$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>King, Mary A</creatorcontrib><creatorcontrib>Matos, Renee I</creatorcontrib><creatorcontrib>Hamele, Mitchell T</creatorcontrib><creatorcontrib>Borgman, Matthew A</creatorcontrib><creatorcontrib>Zabrocki, Luke A</creatorcontrib><creatorcontrib>Gadepalli, Samir K</creatorcontrib><creatorcontrib>Maves, Ryan C</creatorcontrib><title>PICU in the MICU: How Adult ICUs Can Support Pediatric Care in Public Health Emergencies</title><title>Chest</title><addtitle>Chest</addtitle><description>Initial waves of the COVID-19 pandemic have largely spared children. With the advent of vaccination in many older age groups and the spread of the highly contagious Delta variant, however, children now represent a growing percentage of COVID-19 cases. PICU capacity is far less than that of adult ICUs. Adult ICUs may need to support pediatric care, much as PICUs provided adult care earlier in the pandemic. Critically ill children selected for care in adult settings should be at least 12 years of age and ideally have conditions common in children and adults alike (eg, community-acquired sepsis, trauma). Children with complex, pediatric-specific disorders are best served in PICUs and are not recommended for transfer. The goal of such transfers is to maintain critical capacity for those children in greatest need of the PICU's unique abilities, therefore preserving systems of care for all children.</description><subject>Adult</subject><subject>Aged</subject><subject>Child</subject><subject>COVID-19</subject><subject>Emergencies</subject><subject>Humans</subject><subject>Infant</subject><subject>Intensive Care Units, Pediatric</subject><subject>Pandemics</subject><subject>Public Health</subject><subject>SARS-CoV-2</subject><issn>0012-3692</issn><issn>1931-3543</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkFtLw0AQhRdRbK3-AkH20ZfEnd1ks_FBKKFaoWLBCr6FTTJpUnIzu1H890asok8z31zOgUPIOTAXGMirnZsWaKzLGQcXuCs9dUCmEApwhO-JQzJlDLgjZMgn5MSYHRsZQnlMJsJnLPB9MSUv6_vomZYNtQXSh7G_psv2nc6zobJ0REMj3dCnoeva3tI1ZqW2fZmO0x6_3tZDUo24RF3Zgi5q7LfYpCWaU3KU68rg2b7OyOZ2sYmWzurx7j6ar5yOS2mdJMm9jKOf8BzCAHzNvECHXKUhpjlI0By4kBnTMoFUogwSTwce8z2OCpQnZuTmW7YbkhqzFBvb6yru-rLW_Ufc6jL-v2nKIt62b7EKRKjGsGbkci_Qt6_DmGdclybFqtINtoOJuQQVskD5fDy9-Ov1a_KTpvgEqZ93IA</recordid><startdate>20220501</startdate><enddate>20220501</enddate><creator>King, Mary A</creator><creator>Matos, Renee I</creator><creator>Hamele, Mitchell T</creator><creator>Borgman, Matthew A</creator><creator>Zabrocki, Luke A</creator><creator>Gadepalli, Samir K</creator><creator>Maves, Ryan C</creator><general>American College of Chest Physicians. Published by Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20220501</creationdate><title>PICU in the MICU: How Adult ICUs Can Support Pediatric Care in Public Health Emergencies</title><author>King, Mary A ; Matos, Renee I ; Hamele, Mitchell T ; Borgman, Matthew A ; Zabrocki, Luke A ; Gadepalli, Samir K ; Maves, Ryan C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p266t-bbf4d2e5b2f19715a047a928c9ecf161a21236d0a6b1c6e67b4a740542e81843</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Child</topic><topic>COVID-19</topic><topic>Emergencies</topic><topic>Humans</topic><topic>Infant</topic><topic>Intensive Care Units, Pediatric</topic><topic>Pandemics</topic><topic>Public Health</topic><topic>SARS-CoV-2</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>King, Mary A</creatorcontrib><creatorcontrib>Matos, Renee I</creatorcontrib><creatorcontrib>Hamele, Mitchell T</creatorcontrib><creatorcontrib>Borgman, Matthew A</creatorcontrib><creatorcontrib>Zabrocki, Luke A</creatorcontrib><creatorcontrib>Gadepalli, Samir K</creatorcontrib><creatorcontrib>Maves, Ryan C</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Chest</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>King, Mary A</au><au>Matos, Renee I</au><au>Hamele, Mitchell T</au><au>Borgman, Matthew A</au><au>Zabrocki, Luke A</au><au>Gadepalli, Samir K</au><au>Maves, Ryan C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>PICU in the MICU: How Adult ICUs Can Support Pediatric Care in Public Health Emergencies</atitle><jtitle>Chest</jtitle><addtitle>Chest</addtitle><date>2022-05-01</date><risdate>2022</risdate><volume>161</volume><issue>5</issue><spage>1297</spage><epage>1305</epage><pages>1297-1305</pages><issn>0012-3692</issn><eissn>1931-3543</eissn><abstract>Initial waves of the COVID-19 pandemic have largely spared children. With the advent of vaccination in many older age groups and the spread of the highly contagious Delta variant, however, children now represent a growing percentage of COVID-19 cases. PICU capacity is far less than that of adult ICUs. Adult ICUs may need to support pediatric care, much as PICUs provided adult care earlier in the pandemic. Critically ill children selected for care in adult settings should be at least 12 years of age and ideally have conditions common in children and adults alike (eg, community-acquired sepsis, trauma). Children with complex, pediatric-specific disorders are best served in PICUs and are not recommended for transfer. The goal of such transfers is to maintain critical capacity for those children in greatest need of the PICU's unique abilities, therefore preserving systems of care for all children.</abstract><cop>United States</cop><pub>American College of Chest Physicians. Published by Elsevier Inc</pub><pmid>35007553</pmid><doi>10.1016/j.chest.2021.12.648</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0012-3692 |
| ispartof | Chest, 2022-05, Vol.161 (5), p.1297-1305 |
| issn | 0012-3692 1931-3543 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8739819 |
| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Adult Aged Child COVID-19 Emergencies Humans Infant Intensive Care Units, Pediatric Pandemics Public Health SARS-CoV-2 |
| title | PICU in the MICU: How Adult ICUs Can Support Pediatric Care in Public Health Emergencies |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-07T05%3A44%3A46IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=PICU%20in%20the%20MICU:%20How%20Adult%20ICUs%20Can%20Support%20Pediatric%20Care%20in%20Public%20Health%20Emergencies&rft.jtitle=Chest&rft.au=King,%20Mary%20A&rft.date=2022-05-01&rft.volume=161&rft.issue=5&rft.spage=1297&rft.epage=1305&rft.pages=1297-1305&rft.issn=0012-3692&rft.eissn=1931-3543&rft_id=info:doi/10.1016/j.chest.2021.12.648&rft_dat=%3Cproquest_pubme%3E2618907852%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2618907852&rft_id=info:pmid/35007553&rfr_iscdi=true |