BMJ 1996;312:1476 (8 June)

Letters

Centralised paediatric intensive care beds are blocked

EDITOR,--While I echo D W Ryan's call for more resources for intensive care, I take issue with Ryan's choice of words when referring to paediatric intensive care.1 The inability of major paediatric centres to accept all referrals for intensive care may undermine but in no way negates the British Paediatric Association's recommendation that sick children be provided with specialist nursing and medical care.2 The recommendation is sound.

Centralisation of paediatric intensive care is the way forward, as Shann3 and others have urged. But there are other reasons, apart from a lack of resources, for the shortage of acute paediatric intensive care beds. More children are surviving previously fatal illnesses but remain dependent on a ventilator. At present there is no facility for caring for these long stay patients who no longer need the full resources available in intensive care units. Altogether 42% of our acute paediatric intensive care beds are . . . [Full text of this article]


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Relevant Article

Providing intensive care
D W Ryan
BMJ 1996 312: 654. [Extract] [Full Text]




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