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The care of critically ill infants and toddlers in neonatal intensive care units across Italy and Europe: our proposal for healthcare organization

Numerous studies have shown that critically ill infants and toddlers admitted to paediatric intensive care units (PICUs) have a lower mortality than those admitted to adult ICUs. In 2014, there were only 23 registered PICUs in Italy, most of which were located in the north. For this reason, in Italy...

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Autores principales: Pozzi, Nicola, Cogo, Paola, Moretti, Corrado, Biban, Paolo, Fedeli, Tiziana, Orfeo, Luigi, Gitto, Eloisa, Mosca, Fabio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8794634/
https://www.ncbi.nlm.nih.gov/pubmed/35088115
http://dx.doi.org/10.1007/s00431-021-04349-9
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author Pozzi, Nicola
Cogo, Paola
Moretti, Corrado
Biban, Paolo
Fedeli, Tiziana
Orfeo, Luigi
Gitto, Eloisa
Mosca, Fabio
author_facet Pozzi, Nicola
Cogo, Paola
Moretti, Corrado
Biban, Paolo
Fedeli, Tiziana
Orfeo, Luigi
Gitto, Eloisa
Mosca, Fabio
author_sort Pozzi, Nicola
collection PubMed
description Numerous studies have shown that critically ill infants and toddlers admitted to paediatric intensive care units (PICUs) have a lower mortality than those admitted to adult ICUs. In 2014, there were only 23 registered PICUs in Italy, most of which were located in the north. For this reason, in Italy and elsewhere in Europe, some neonatal ICUs (NICUs) have begun managing critically ill infants and toddlers. Our proposal for healthcare organization is to establish “extended NICUs” in areas where paediatric intensive care beds are lacking. While some countries have opted for a strict division between neonatal and paediatric intensive care units, the model of “extended NICUs” has already been set up in Italy and in Europe. In this instance, the management of critically ill infants and toddlers undoubtedly falls upon neonatologists, who, however, must gain specific knowledge and technical skills in paediatric critical care medicine (PCCM). Postgraduate residencies in paediatrics need to include periods of specific training in neonatology and PCCM. The Italian Society of Neonatology’s Early Childhood Intensive Care Study Group is supporting certified training courses for its members involving both theory and practice. Conclusion: Scientific societies should promote awareness of the issues involved in the intensive management of infants and toddlers in NICUs and the training of all health workers involved. These societies include the Italian Society of Neonatology, the European Society of Paediatric and Neonatal Intensive Care, and the Union of European Neonatal and Perinatal Societies. They should also act in concert with the governmental institutional bodies to establish the standards for the “extended NICUs.”
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spelling pubmed-87946342022-01-28 The care of critically ill infants and toddlers in neonatal intensive care units across Italy and Europe: our proposal for healthcare organization Pozzi, Nicola Cogo, Paola Moretti, Corrado Biban, Paolo Fedeli, Tiziana Orfeo, Luigi Gitto, Eloisa Mosca, Fabio Eur J Pediatr Review Numerous studies have shown that critically ill infants and toddlers admitted to paediatric intensive care units (PICUs) have a lower mortality than those admitted to adult ICUs. In 2014, there were only 23 registered PICUs in Italy, most of which were located in the north. For this reason, in Italy and elsewhere in Europe, some neonatal ICUs (NICUs) have begun managing critically ill infants and toddlers. Our proposal for healthcare organization is to establish “extended NICUs” in areas where paediatric intensive care beds are lacking. While some countries have opted for a strict division between neonatal and paediatric intensive care units, the model of “extended NICUs” has already been set up in Italy and in Europe. In this instance, the management of critically ill infants and toddlers undoubtedly falls upon neonatologists, who, however, must gain specific knowledge and technical skills in paediatric critical care medicine (PCCM). Postgraduate residencies in paediatrics need to include periods of specific training in neonatology and PCCM. The Italian Society of Neonatology’s Early Childhood Intensive Care Study Group is supporting certified training courses for its members involving both theory and practice. Conclusion: Scientific societies should promote awareness of the issues involved in the intensive management of infants and toddlers in NICUs and the training of all health workers involved. These societies include the Italian Society of Neonatology, the European Society of Paediatric and Neonatal Intensive Care, and the Union of European Neonatal and Perinatal Societies. They should also act in concert with the governmental institutional bodies to establish the standards for the “extended NICUs.” Springer Berlin Heidelberg 2022-01-28 2022 /pmc/articles/PMC8794634/ /pubmed/35088115 http://dx.doi.org/10.1007/s00431-021-04349-9 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Review
Pozzi, Nicola
Cogo, Paola
Moretti, Corrado
Biban, Paolo
Fedeli, Tiziana
Orfeo, Luigi
Gitto, Eloisa
Mosca, Fabio
The care of critically ill infants and toddlers in neonatal intensive care units across Italy and Europe: our proposal for healthcare organization
title The care of critically ill infants and toddlers in neonatal intensive care units across Italy and Europe: our proposal for healthcare organization
title_full The care of critically ill infants and toddlers in neonatal intensive care units across Italy and Europe: our proposal for healthcare organization
title_fullStr The care of critically ill infants and toddlers in neonatal intensive care units across Italy and Europe: our proposal for healthcare organization
title_full_unstemmed The care of critically ill infants and toddlers in neonatal intensive care units across Italy and Europe: our proposal for healthcare organization
title_short The care of critically ill infants and toddlers in neonatal intensive care units across Italy and Europe: our proposal for healthcare organization
title_sort care of critically ill infants and toddlers in neonatal intensive care units across italy and europe: our proposal for healthcare organization
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8794634/
https://www.ncbi.nlm.nih.gov/pubmed/35088115
http://dx.doi.org/10.1007/s00431-021-04349-9
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