ICU sedation, delirium & recovery
The care of critically ill adults with COVID-19 in Ontario pediatric intensive care units
Authors' conclusion
Though challenging, the experience has provided opportunity to enhance collaboration with partner institutions and improve the care of older children and adolescents in the PICU.
Study context
- Population
- Critically ill adults with COVID-19 pneumonia cared for in two pediatric intensive care units (PICUs) in Ontario, Canada, during the COVID-19 pandemicadmitted over 12 weeks
- Participants
- 41 adults
- Outcome
- Organ support and PICU mortality among adults with COVID-19 admitted to the two PICUs
- Follow-up
- 12-week period
Methodological detailstwo-centre, Rapid planning of care pathways and patient selection; staff communication, knowledge translation, skill consolidation; iterative adaptation of staffing, specialist consultation and pharmacy, in collaboration with adult intensive care unit (ICU) teams
- Two-centre
- Rapid planning of care pathways and patient selection; staff communication, knowledge translation, skill consolidation; iterative adaptation of staffing, specialist consultation and pharmacy, in collaboration with adult ICU teams
Main finding
As reported in the abstract
Received invasive ventilation
36
88%
Supported with venovenous ECMO
8
20%
Received CRRT
6
15%
Died in the PICU
4
Observational data: associations, not effects.
Further findings
Staff feedback
- Anxiety around reorienting practice to adult care, physical exhaustion, psychological distress; also a renewed sense of purpose
Original publication
The care of critically ill adults with COVID-19 in Ontario pediatric intensive care units. Can J Anaesth. Published 3 August 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →