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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
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