Pediatric Critical Care Medicine, Department of Pediatrics, Morgan Stanley Children's Hospital, Columbia University Medical Center, Columbia University College of Physicians and Surgeons, New York, NY 10032, USA.
Pediatr Clin North Am. 2013 Jun;60(3):709-24. doi: 10.1016/j.pcl.2013.02.008. Epub 2013 Mar 7.
Because pediatric intensive care units (PICUs) improve survival for a range of acute diseases, attention has turned toward ensuring the best possible functional outcomes after critical illness. The neurocritical care of children is of increasing interest. However, the pediatric population encompasses a heterogeneous set of neurologic conditions, with several possible models of how best to address them. This article reviews the special challenges faced by PICUs with regards to diseases, technologies, and skills and the progress that has been made in treatment, monitoring, and prognostication. Recent advances in translational research expected to modify the field in the near-term are described.
由于儿科重症监护病房(PICUs)改善了一系列急性疾病的存活率,因此人们开始关注如何在危重病后获得最佳的功能结果。儿童神经重症监护越来越受到关注。然而,儿科人群涵盖了一系列不同的神经系统疾病,有几种可能的最佳治疗模式。本文综述了 PICUs 在疾病、技术和技能方面面临的特殊挑战,以及在治疗、监测和预后方面取得的进展。还描述了近期预期会改变这一领域的转化研究进展。