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The care of critically ill infants and toddlers in neonatal intensive care units across Italy and Europe: our proposal for healthcare organization
- Source :
- European Journal of Pediatrics
- Publication Year :
- 2022
- Publisher :
- Springer Berlin Heidelberg, 2022.
-
Abstract
- Numerous studies have shown that critically ill infants and toddlers admitted to paediatric intensive care units (PICUs) have a lower mortality than those admitted to adult ICUs. In 2014, there were only 23 registered PICUs in Italy, most of which were located in the north. For this reason, in Italy and elsewhere in Europe, some neonatal ICUs (NICUs) have begun managing critically ill infants and toddlers. Our proposal for healthcare organization is to establish “extended NICUs” in areas where paediatric intensive care beds are lacking. While some countries have opted for a strict division between neonatal and paediatric intensive care units, the model of “extended NICUs” has already been set up in Italy and in Europe. In this instance, the management of critically ill infants and toddlers undoubtedly falls upon neonatologists, who, however, must gain specific knowledge and technical skills in paediatric critical care medicine (PCCM). Postgraduate residencies in paediatrics need to include periods of specific training in neonatology and PCCM. The Italian Society of Neonatology’s Early Childhood Intensive Care Study Group is supporting certified training courses for its members involving both theory and practice.Conclusion: Scientific societies should promote awareness of the issues involved in the intensive management of infants and toddlers in NICUs and the training of all health workers involved. These societies include the Italian Society of Neonatology, the European Society of Paediatric and Neonatal Intensive Care, and the Union of European Neonatal and Perinatal Societies. They should also act in concert with the governmental institutional bodies to establish the standards for the “extended NICUs.” What is Known:• The mortality of critically ill infants and toddlers admitted to PICUs is lower than that for those admitted to adult ICUs.• In Italy, there are only a handful of PICUs, located mainly in the north. What is New:• Critically ill infants and small toddlers can be managed in “extended NICUs” in areas with a lack of paediatric intensive care beds.• “Extended NICUs” is our proposal for healthcare organization to compensate for the paucity of paediatric intensive care beds, but neonatologists must be trained to provide them with specific knowledge and technical skills in PCCM.
- Subjects :
- Adult
Early childhood intensive care units (ECICUs)
Management of critically ill infants and toddlers
Neonatal intensive care units (NICUs)
Neonatologists
Paediatric critical care medicine (PCCM)
Paediatric intensive care units (PICUs)
Critical Illness
health care facilities, manpower, and services
Infant, Newborn
Infant
Review
Europe
Italy
Child, Preschool
Intensive Care Units, Neonatal
Pediatrics, Perinatology and Child Health
Humans
Child
Delivery of Health Care
Subjects
Details
- Language :
- English
- ISSN :
- 14321076 and 03406199
- Database :
- OpenAIRE
- Journal :
- European Journal of Pediatrics
- Accession number :
- edsair.doi.dedup.....1997983e1fe5942a7d5f985e266dad0c