Pediatric anesthesia & critical care

Diagnosis and management of Children with Post-Intensive Care Syndrome in Paediatrics: Clinical Practice Guidelines by the French National Authority for Health (HAS)

Ann Intensive CarePublished Clinical practice guideline

Methodological detailssystematic literature review, multidisciplinary expert elaboration, formal external review, AGREE II reporting, Developed per HAS standardized methodology: systematic literature review (Embase, EmCare, Medline, Cochrane Library), multidisciplinary expert elaboration, formal external review, HAS board approval; reporting per AGREE II, 18-member multidisciplinary working group; 52-member external review panel voted on agreement for each recommendation, Fourty recommendations issued: 5 grade B (moderate evidence), 8 grade C (low), 27 expert opinion (very low); strong agreement for all except one (moderate)
  • Systematic literature review
  • Multidisciplinary expert elaboration
  • Formal external review
  • AGREE II reporting
  • Developed per HAS standardized methodology: systematic literature review (Embase, EmCare, Medline, Cochrane Library), multidisciplinary expert elaboration, formal external review, HAS board approval; reporting per AGREE II
  • 18-member multidisciplinary working group; 52-member external review panel voted on agreement for each recommendation
  • Fourty recommendations issued: 5 grade B (moderate evidence), 8 grade C (low), 27 expert opinion (very low); strong agreement for all except one (moderate)

Recommendations

As issued by the authors

  1. PICS-p is a prevalent, multidimensional condition

  2. Systematic, repeated screening of children and families from paediatric intensive care unit (PICU) admission through the first year after discharge

  3. Prevention: ABCDEFGH bundle, early mobilization, optimized analgesia and sedation, delirium prevention, family-centred psychological support

  4. Structured care pathways and pragmatic screening tools to ensure continuity of care

Original publication

Diagnosis and management of Children with Post-Intensive Care Syndrome in Paediatrics: Clinical Practice Guidelines by the French National Authority for Health (HAS). Ann Intensive Care. Published 2 June 2026. doi:10.1016/j.aicoj.2026.100097

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