Pediatric Intensive Care Unit, Grenoble-Alpes University Hospital, La Tronche, France; Univ. Grenoble Alpes, Grenoble, France.
Pediatric Intensive Care Unit, Bordeaux University Hospital, Bordeaux, France.
Anaesth Crit Care Pain Med. 2024 Aug;43(4):101401. doi: 10.1016/j.accpm.2024.101401. Epub 2024 May 31.
It is now well established that post-intensive care syndrome is frequent in critically ill children after discharge from the pediatric intensive care unit (PICU). Nevertheless, post-intensive care follow-up is highly heterogenous worldwide and is not considered routine care in many countries. The purpose of this viewpoint was to report the reflections of the French PICU society working group on how to implement post-PICU follow-up.
A working group was set up within the Groupe Francophone de Reanimation et d'Urgences Pédiatriques (GFRUP) to provide conceptual and practical guidance for developing post-PICU follow-up. The working group included psychologists, PICU physicians, physiotherapists, and nurses, from different French PICUs. Five virtual meetings have been held.
First, we described in this work the objectives of the follow-up program and the population to be targeted. We also provided a framework to implement post-PICU follow-up in clinical practice. Finally, we detailed the potential obstacles and challenges to consider.
Although implementing a post-PICU follow-up program is a challenge, the benefits could be significant for both patient and relatives, as well as for the health care professionals involved.
现在已经明确，儿童重症监护病房（PICU）出院后的危重病儿童经常出现 ICU 后综合征。然而，世界各地的 PICU 后随访高度多样化，在许多国家并未被视为常规护理。本文的目的是报告法国 PICU 学会工作组对如何实施 PICU 后随访的思考。
在 Groupe Francophone de Reanimation et d'Urgences Pédiatriques（GFRUP）内成立了一个工作组，为制定 PICU 后随访提供概念和实践指导。工作组包括来自不同法国 PICU 的心理学家、PICU 医生、物理治疗师和护士。已经举行了五次虚拟会议。
首先，我们在这项工作中描述了随访计划的目标和目标人群。我们还提供了在临床实践中实施 PICU 后随访的框架。最后，我们详细说明了需要考虑的潜在障碍和挑战。
尽管实施 PICU 后随访计划是一个挑战，但对患者和家属以及相关医疗保健专业人员来说，其益处可能是巨大的。
