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Pediatric Rehabilitation and Critical Care: a Therapeutic Partnership

  • Frank S. PidcockEmail author
Pediatric Rehabilitation Medicine (A Houtrow and M Fuentes, Section Editors)
  • 4 Downloads
Part of the following topical collections:
  1. Topical Collection on Pediatric Rehabilitation Medicine

Abstract

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.

Recent findings

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.

Summary

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.

Keywords

Children Critical care Intensive care Rehabilitation Early mobilization Transition 

Notes

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.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Johns Hopkins University School of MedicineBaltimoreUSA
  2. 2.Kennedy Krieger InstituteBaltimoreUSA

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