Critical care of severe bronchiolitis during shortage of ICU resources
Summary: Large seasonal outbreaks of bronchiolitis put pressure on healthcare systems and particularly on intensive care units (ICUs). ICU admission is necessary to provide respiratory support to the severest cases, otherwise bronchiolitis can result in substantial mortality. ICU resources are often...
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| Materiálatiipa: | Artihkal |
| Giella: | English |
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Elsevier
2024-03-01
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| Ráidu: | EClinicalMedicine |
| Fáttát: | |
| Liŋkkat: | http://www.sciencedirect.com/science/article/pii/S2589537024000294 |
| _version_ | 1827360808501248000 |
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| author | Daniele De Luca Lucilla Pezza Laura Vivalda Matteo Di Nardo Margaux Lepainteur Eugenio Baraldi Marco Piastra Walter Ricciardi Giorgio Conti Maria Rosaria Gualano |
| author_facet | Daniele De Luca Lucilla Pezza Laura Vivalda Matteo Di Nardo Margaux Lepainteur Eugenio Baraldi Marco Piastra Walter Ricciardi Giorgio Conti Maria Rosaria Gualano |
| author_sort | Daniele De Luca |
| collection | DOAJ |
| description | Summary: Large seasonal outbreaks of bronchiolitis put pressure on healthcare systems and particularly on intensive care units (ICUs). ICU admission is necessary to provide respiratory support to the severest cases, otherwise bronchiolitis can result in substantial mortality. ICU resources are often insufficient and there is scant evidence to guide the ICU clinical management. Most available studies do not cover the ICU-admitted cases and do not consider the associated public health issues. We review this topic through a multidisciplinary approach from both the clinical and public health perspectives, with an analysis based on pathophysiology and cost-effectiveness. We suggest ways to optimise respiratory care, minimise ICU stay, “protect” ICU beds and, whenever possible, make them available for other critically ill children. We also provide guidance on how to prepare ICUs to work under stressful conditions due to outbreaks and to reduce the risk of nosocomial cross-contamination, particularly in ICUs caring for high-risk children. Funding: None. |
| first_indexed | 2024-03-08T06:53:46Z |
| format | Article |
| id | doaj.art-36203660df41454694dfe7fed34f73af |
| institution | Directory Open Access Journal |
| issn | 2589-5370 |
| language | English |
| last_indexed | 2024-03-08T06:53:46Z |
| publishDate | 2024-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | EClinicalMedicine |
| spelling | doaj.art-36203660df41454694dfe7fed34f73af2024-02-03T06:39:11ZengElsevierEClinicalMedicine2589-53702024-03-0169102450Critical care of severe bronchiolitis during shortage of ICU resourcesDaniele De Luca0Lucilla Pezza1Laura Vivalda2Matteo Di Nardo3Margaux Lepainteur4Eugenio Baraldi5Marco Piastra6Walter Ricciardi7Giorgio Conti8Maria Rosaria Gualano9Division of Paediatrics and Neonatal Critical Care, “A. Béclère” Hospital, APHP-Paris Saclay University, Paris, France; Physiopathology and Therapeutic Innovation Unit-INSERM U999, Paris Saclay University, Paris, France; Corresponding author. Service de Pédiatrie et Réanimation Néonatale, Hôpital Antoine Béclère – APHP Université Paris Saclay, 157 rue de la Porte de Trivaux, 92140, Clamart, France.Division of Paediatrics and Neonatal Critical Care, “A. Béclère” Hospital, APHP-Paris Saclay University, Paris, FranceDivision of Paediatrics and Neonatal Critical Care, “A. Béclère” Hospital, APHP-Paris Saclay University, Paris, FrancePaediatric Intensive Care Unit, “Bambino Gesù” Children's Hospital-IRCCS, Rome, ItalyDivision of Bacteriology-Hygiene, “A. Béclère” Hospital, APHP-Paris Saclay University, Paris, FranceNeonatal Intensive Care Unit, Department of Woman's and Child's Health, University Hospital of Padova, Padua, Italy; Respiratory Syncytial Virus Network (RESVINET) Foundation, Zeist, the NetherlandsPaediatric Intensive Care Unit, “A. Gemelli” University Hospital Foundation-IRCCS, Rome, Italy; Department of Biotechnological Sciences, Intensive and Perioperative Medicine, Catholic University of Sacred Heart, Rome, ItalyLeadership Research Centre, Catholic University of Sacred Heart, Rome, ItalyPaediatric Intensive Care Unit, “A. Gemelli” University Hospital Foundation-IRCCS, Rome, Italy; Department of Biotechnological Sciences, Intensive and Perioperative Medicine, Catholic University of Sacred Heart, Rome, ItalyUniCamillus - Saint Camillus International University of Health and Medical Sciences, Rome, ItalySummary: Large seasonal outbreaks of bronchiolitis put pressure on healthcare systems and particularly on intensive care units (ICUs). ICU admission is necessary to provide respiratory support to the severest cases, otherwise bronchiolitis can result in substantial mortality. ICU resources are often insufficient and there is scant evidence to guide the ICU clinical management. Most available studies do not cover the ICU-admitted cases and do not consider the associated public health issues. We review this topic through a multidisciplinary approach from both the clinical and public health perspectives, with an analysis based on pathophysiology and cost-effectiveness. We suggest ways to optimise respiratory care, minimise ICU stay, “protect” ICU beds and, whenever possible, make them available for other critically ill children. We also provide guidance on how to prepare ICUs to work under stressful conditions due to outbreaks and to reduce the risk of nosocomial cross-contamination, particularly in ICUs caring for high-risk children. Funding: None.http://www.sciencedirect.com/science/article/pii/S2589537024000294RSVNICUPICURespiratory failureOutbreakInfant |
| spellingShingle | Daniele De Luca Lucilla Pezza Laura Vivalda Matteo Di Nardo Margaux Lepainteur Eugenio Baraldi Marco Piastra Walter Ricciardi Giorgio Conti Maria Rosaria Gualano Critical care of severe bronchiolitis during shortage of ICU resources EClinicalMedicine RSV NICU PICU Respiratory failure Outbreak Infant |
| title | Critical care of severe bronchiolitis during shortage of ICU resources |
| title_full | Critical care of severe bronchiolitis during shortage of ICU resources |
| title_fullStr | Critical care of severe bronchiolitis during shortage of ICU resources |
| title_full_unstemmed | Critical care of severe bronchiolitis during shortage of ICU resources |
| title_short | Critical care of severe bronchiolitis during shortage of ICU resources |
| title_sort | critical care of severe bronchiolitis during shortage of icu resources |
| topic | RSV NICU PICU Respiratory failure Outbreak Infant |
| url | http://www.sciencedirect.com/science/article/pii/S2589537024000294 |
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