Fulbrook P
Nurs Crit Care. 1996 Nov-Dec;1(6):265-7.
It is unlikely that in the short or medium term the PIC service can be restructured to such an extent that no children would need to be admitted to an adult ICU. Until this is the case the contribution of adult ICUs to the provision of PIC should be acknowledged and formally recognised as part of the service. Furthermore, there should be active support for these units from major/regional centres. There are clearly only a few adult ICUs which admit significant numbers of children. However, a more detailed analysis of adult ICUs is required to identify units which have available the full range of facilities, support services and appropriate staff to care for critically ill children. It is likely that only a few adult ICUs could meet the recommendations above, and it is in these units where efforts need to be concentrated. It is imperative that any nationally agreed standards or guidelines for PIC must apply equally to both adult ICU and paediatric ICU.
从中短期来看，不太可能对儿科重症监护（PIC）服务进行如此大规模的重组，以至于不再需要将儿童收治到成人重症监护病房（ICU）。在此情况出现之前，成人ICU对PIC服务的贡献应得到承认，并正式确认为该服务的一部分。此外，主要/区域中心应积极支持这些单位。显然，只有少数成人ICU收治大量儿童。然而，需要对成人ICU进行更详细的分析，以确定哪些单位具备照顾重症儿童所需的全套设施、支持服务和合适的工作人员。可能只有少数成人ICU能够满足上述建议，而这些单位正是需要集中精力的地方。至关重要的是，任何全国商定的PIC标准或指南必须同样适用于成人ICU和儿科ICU。
