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Let the pediatric intensive care unit's door open: But not to all winds!

机译:让儿科重症监护室的门打开:但不要一帆风顺!

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摘要

It's easy to say "let the door of the pediatric intensive care unit (PICU) open 24 hours a day." It's easier to say than to do. In this issue of Pediatric Critical Care Medicine, Giannini and Miccinesi (1) report that 88% of Italian PICUs have restrictive visiting policies and limit parents' presence during procedures and cardiopulmonary resuscitation. These data do not follow the wide consensus recognizing that the presence of parents during their child's hospitalization is of crucial importance (2, 3). They also disagree with recommendations from many scientific societies (2, 3). For instance, the American College of Critical Care Medicine recommends "Visitation in the PICU and NICU [neonatal intensive care unit] is open to parents and guardians 24 hrs a day (Grade of recommendation = Q," and "After participation in a previsit education process, visitation by siblings in the PICU and NICU is allowed with parental approval (Grade of recommendation = C)" (2). There is no scientific basis for limiting visitors' access to PICUs (4).
机译:这很容易说:“让小儿重症监护病房(PICU)一天24小时开放。”说起来比做起来容易。 Giannini和Miccinesi(1)在本期《儿科重症监护医学》中报告说,有88%的意大利PICU实施限制性访视政策,并在手术和心肺复苏期间限制了父母的出诊。这些数据并没有遵循广泛的共识,即认识到父母在孩子住院期间的存在是至关重要的(2、3)。他们也不同意许多科学协会的建议(2、3)。例如,美国重症监护学院建议“家长和监护人每天24小时开放PICU和NICU(新生儿重症监护病房)的探视(推荐等级= Q”,以及“参加预先教育后在此过程中,如果获得父母的允许,PICU和NICU中的兄弟姐妹可以进行探视(推荐等级= C)”(2)。没有任何科学依据限制访客对PICU的访问(4)。

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