Pediatric Rehabilitation and Critical Care: a Therapeutic Partnership
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Purpose of review
The number of children in intensive care units (ICU) who survive critical illness or injury is increasing. Reduction of complications and improvement in outcome may be facilitated by early rehabilitation-oriented interventions and transition to an intensive pediatric rehabilitation unit when medically appropriate.
Early mobilization in the adult ICU has been identified as a contributing factor to improving outcomes. This intervention is being introduced in pediatric ICUs and practice guidelines for implementation are being developed. Timely and coordinated transfers to a pediatric intensive rehabilitation unit to continue functional recovery and to prepare for community reintegration are also important to providing optimal care.
Introducing rehabilitation input and practices into the pediatric ICU environment is feasible and safe. A coordinated process for moving patients from the pediatric ICU to an intensive rehabilitation unit requires clear communication with families about expected goals and expectations.
KeywordsChildren Critical care Intensive care Rehabilitation Early mobilization Transition
Compliance with ethical standards
Conflict of interest
Frank Pidcock declares no conflicts of interest relevant to this manuscript.
Human and animal rights and informed consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
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