Provision of intensive care for children

BMJ 1998;316:1547-1548 ( 23 May )

Editorials

Provision of intensive care for children

A geographically integrated service may now be achieved

The first 150 words of the full text of this article appear below.

Paediatric intensive care is a low volume, high cost specialty which depends on the training and skill of staff and availabilityof specialist equipment. Critically ill children have a changingrange of illness and pathophysiology from early infancy to adolescencewhich is different from that of critically ill adults. In Britainpaediatric intensive care has developed in an ad hoc and fragmentedway. Now, however, after two decades of effort, Britain may bemoving towards a more integrated service.

The Paediatric Intensive Care Society and the British Paediatric Association voiced concerns about paediatric intensive carein the early 1980s. The Paediatric Intensive Care Society hasdefined standards for paediatric intensive care,¹ and thesehave been an important reference source that has informed manyof the subsequent developments. This document defines two levelsof paediatric intensive care. Level 2 refers to stable intubatedchildren or unstable non-intubated children with airway problemsrequiring . . . [Full text of this article]

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Relevant Article

Provision of intensive care for children: Andrew Berry, David R Goldhill, P Stuart Withington, Jon Nicholl, Jane Ratcliffe, Gale Pearson, and F Shann
BMJ 1998 317: 1320. [Extract] [Full Text]

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Jones, S., Rantell, K., Stevens, K., Colwell, B., Ratcliffe, J. R., Holland, P., Rowan, K., Parry, G. J., on behalf of the United Kingdom Pediatric Intensiv, (2006). Outcome at 6 Months After Admission for Pediatric Intensive Care: A Report of a National Study of Pediatric Intensive Care Units in the United Kingdom. Pediatrics 118: 2101-2108 [Abstract] [Full text]
Doyle, Y G, Orr, F E (2002). Interhospital transport to paediatric intensive care by specialised staff: experience of the South Thames combined transport service, 1998-2000. Arch. Dis. Child. 87: 245-247 [Abstract] [Full text]
WALIA, R., HOSKYNS, W. (2000). Interhospital transfer of sick children: proposal for a unified approach. Arch. Dis. Child. 82: 88a-88 [Full text]
Rashid, A., Bhuta, T., Berry, A. (1999). A regionalised transport service, the way ahead?. Arch. Dis. Child. 80: 488-492 [Full text]
Berry, A., Goldhill, D. R, Withington, P S., Nicholl, J., Ratcliffe, J., Pearson, G., Shann, F (1998). Provision of intensive care for children. BMJ 317: 1320-1320 [Full text]

Rapid Responses:

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Effective medical retrieval a pre-requisite to centralised p�diatric intensive care.: Andrew Berry
bmj.com, 24 May 1998 [Full text]
Provision of intensive care for children in Trent: P W Barry
bmj.com, 1 Jun 1998 [Full text]
Provision of intensive care for children: Jon Nicholl
bmj.com, 16 Jun 1998 [Full text]
Paediatric Intensive Care: D R Goldhill
bmj.com, 17 Jun 1998 [Full text]
Its time to stop making excuses about paediatric intensive care: G A Pearson, et al.
bmj.com, 28 Jul 1998 [Full text]