Family Support and ICU Survivorship: Lessons Learned from the Pediatric Critical Care Experience
摘要
After the establishment of the first pediatric intensive care unit (PICU) in 1955, the field of pediatric critical care has achieved remarkable progress. Advances in pediatric medicine and technology have fueled tremendous growth of this subspecialty [1]. The centralization of care into PICUs with dedicated pediatric intensivists and development of fellowship training programs was accompanied by a decreased likelihood of mortality [1–3]. Notably, PICU mortality decreased from 11% in the 1980s to 4.8% in the mid-2000s [4]. The mortality rate among critically ill children has continued to decrease to a historic low during the last decade [4, 5]. This progress remains one of the most significant accomplishments in contemporary pediatrics.