Jamil Syed Furrukh, Rajendram Rajkumar
Department of Pediatrics, King Abdullah Specialised Children's Hospital, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia.
Department of Medical Education, College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
Sudan J Paediatr. 2024;24(2):141-154. doi: 10.24911/SJP.106-1730016587.
Caring for critically ill children presents unique challenges due to their rapid deterioration and the need for immediate, complex interventions. The assessment, diagnosis and treatment of deteriorating paediatric patients require a comprehensive and holistic, systematic approach. However, the dynamic nature of critical illness and the need for stabilisation can often lead to missed opportunities for assessment and intervention. To improve the quality and timeliness of care for critically ill children, we developed standardised checklist proformas to guide focused and efficient assessments. These proformas, originally adapted from adult intensive care settings, have been refined over two decades through extensive clinical experience and collaboration with experts worldwide. The proformas provide a framework for diagnostic reasoning and ensure through predictive modelling that essential components of the assessment are not overlooked. By using these tools, healthcare professionals can effectively identify and address the needs of critically ill children, improving patient outcomes and enhancing the efficiency of care.
由于危重症患儿病情迅速恶化且需要立即进行复杂干预，护理这些患儿面临着独特的挑战。对病情恶化的儿科患者进行评估、诊断和治疗需要采用全面、整体、系统的方法。然而，危重症的动态性质以及稳定病情的需求常常导致评估和干预的机会错失。为提高对危重症患儿护理的质量和及时性，我们制定了标准化检查表模板，以指导有针对性且高效的评估。这些模板最初改编自成人重症监护环境，经过二十多年的广泛临床经验以及与全球专家的合作得到了完善。这些模板为诊断推理提供了一个框架，并通过预测模型确保评估的关键要素不被忽视。通过使用这些工具，医疗保健专业人员能够有效地识别并满足危重症患儿的需求，改善患者预后并提高护理效率。
