Hamele Mitchell, Neumayer Katie, Sweney Jill, Poss W Bradley
Department of Pediatrics, Tripler Army Medical Center, Honolulu, HI, USA.
Division of Critical Care, Department of Pediatrics, University of Utah School of Medicine, Salt Lake City, UT, USA.
Transl Pediatr. 2018 Oct;7(4):344-355. doi: 10.21037/tp.2018.09.06.
A future global pandemic is likely to occur and planning for the care of critically ill children is less robust than that for adults. This review covers the current state of federal and regional resources for pediatric care in pandemics, a strategy for pandemic preparation in pediatric intensive care units and regions focusing on stuff, space, staff and systems, considerations in developing surge capacity and triage protocols, special circumstances such as highly infectious and highly lethal pandemics, and a discussion of ethics in the setting of pediatric critical care in a pandemic.
未来可能会发生全球大流行,而针对危重症儿童的护理规划不如针对成人的规划完善。本综述涵盖了大流行期间联邦和地区儿科护理资源的现状、儿科重症监护病房和地区针对物资、空间、人员和系统的大流行准备策略、发展应急能力和分诊方案的考量因素、高度传染性和高致死性大流行等特殊情况,以及关于大流行期间儿科重症护理背景下的伦理讨论。