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Brain-Directed Care: Why Neuroscience Principles Direct PICU Management beyond the ABCs

Major advances in pediatric intensive care (PICU) have led to increased child survival. However, the long-term outcomes among these children following PICU discharge are a concern. Most children admitted to PICU are under five years of age, and the stressors of critical illness and necessary interve...

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Autores principales: Long, Debbie A., Waak, Michaela, Doherty, Nicola N., Dow, Belinda L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9776953/
https://www.ncbi.nlm.nih.gov/pubmed/36553381
http://dx.doi.org/10.3390/children9121938
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author Long, Debbie A.
Waak, Michaela
Doherty, Nicola N.
Dow, Belinda L.
author_facet Long, Debbie A.
Waak, Michaela
Doherty, Nicola N.
Dow, Belinda L.
author_sort Long, Debbie A.
collection PubMed
description Major advances in pediatric intensive care (PICU) have led to increased child survival. However, the long-term outcomes among these children following PICU discharge are a concern. Most children admitted to PICU are under five years of age, and the stressors of critical illness and necessary interventions can affect their ability to meet crucial developmental milestones. Understanding the neuroscience of brain development and vulnerability can inform PICU clinicians of new ways to enhance and support the care of these most vulnerable children and families. This review paper first explores the evidence-based neuroscience principles of brain development and vulnerability and the impact of illness and care on children’s brains and ultimately wellbeing. Implications for clinical practice and training are further discussed to help optimize brain health in children who are experiencing and surviving a critical illness or injury.
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spelling pubmed-97769532022-12-23 Brain-Directed Care: Why Neuroscience Principles Direct PICU Management beyond the ABCs Long, Debbie A. Waak, Michaela Doherty, Nicola N. Dow, Belinda L. Children (Basel) Review Major advances in pediatric intensive care (PICU) have led to increased child survival. However, the long-term outcomes among these children following PICU discharge are a concern. Most children admitted to PICU are under five years of age, and the stressors of critical illness and necessary interventions can affect their ability to meet crucial developmental milestones. Understanding the neuroscience of brain development and vulnerability can inform PICU clinicians of new ways to enhance and support the care of these most vulnerable children and families. This review paper first explores the evidence-based neuroscience principles of brain development and vulnerability and the impact of illness and care on children’s brains and ultimately wellbeing. Implications for clinical practice and training are further discussed to help optimize brain health in children who are experiencing and surviving a critical illness or injury. MDPI 2022-12-09 /pmc/articles/PMC9776953/ /pubmed/36553381 http://dx.doi.org/10.3390/children9121938 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Long, Debbie A.
Waak, Michaela
Doherty, Nicola N.
Dow, Belinda L.
Brain-Directed Care: Why Neuroscience Principles Direct PICU Management beyond the ABCs
title Brain-Directed Care: Why Neuroscience Principles Direct PICU Management beyond the ABCs
title_full Brain-Directed Care: Why Neuroscience Principles Direct PICU Management beyond the ABCs
title_fullStr Brain-Directed Care: Why Neuroscience Principles Direct PICU Management beyond the ABCs
title_full_unstemmed Brain-Directed Care: Why Neuroscience Principles Direct PICU Management beyond the ABCs
title_short Brain-Directed Care: Why Neuroscience Principles Direct PICU Management beyond the ABCs
title_sort brain-directed care: why neuroscience principles direct picu management beyond the abcs
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9776953/
https://www.ncbi.nlm.nih.gov/pubmed/36553381
http://dx.doi.org/10.3390/children9121938
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