Developmental Care in the Early Years in Pediatric Intensive Care Patients as a Strategy to Mitigate Pediatric Post-Intensive-Care Syndrome: A Narrative Review DOI
Ari R. Joffe, Charlene M.T. Robertson

Journal of Intensive Care Medicine, Journal Year: 2025, Volume and Issue: unknown

Published: May 13, 2025

Survivors after pediatric critical care often have adverse sequelae in domains of cognition, executive function, attention, memory, visual-spatial skills, language, motor behavior, and emotional functioning, the post-intensive-care syndrome (PICS-p). The time from birth to approximately age 2 years is a period rapid structural functional brain development. fundamental architecture place by second year life. This narrative review focuses on how we, intensive unit (PICU), can work towards maximizing each patient's full potential despite experiences during hospitalization. In part I, concepts relevant understanding effects hospitalization PICU development are clarified, including toxic stress trauma, sensitive periods cascades, experience-expectant neural plasticity early years, resilience buffering adversity focused relational care. II, evidence presented that these important because they describe childhood pervasive physical health, cognitive, outcomes throughout lifespan. Evidence show intervention improve be effective. III, synthesized focusing opportunity before us, what we must do better while patients PICU, order their long-term lifelong outcomes. We present argue take public-health approach address key environmental conditions necessary for optimal hence facilitate children's ability thrive. Future research aim determine works best does not PICU. Early investments great help reduce growing burden healthcare costs.

Language: Английский

Developmental Care in the Early Years in Pediatric Intensive Care Patients as a Strategy to Mitigate Pediatric Post-Intensive-Care Syndrome: A Narrative Review DOI
Ari R. Joffe, Charlene M.T. Robertson

Journal of Intensive Care Medicine, Journal Year: 2025, Volume and Issue: unknown

Published: May 13, 2025

Survivors after pediatric critical care often have adverse sequelae in domains of cognition, executive function, attention, memory, visual-spatial skills, language, motor behavior, and emotional functioning, the post-intensive-care syndrome (PICS-p). The time from birth to approximately age 2 years is a period rapid structural functional brain development. fundamental architecture place by second year life. This narrative review focuses on how we, intensive unit (PICU), can work towards maximizing each patient's full potential despite experiences during hospitalization. In part I, concepts relevant understanding effects hospitalization PICU development are clarified, including toxic stress trauma, sensitive periods cascades, experience-expectant neural plasticity early years, resilience buffering adversity focused relational care. II, evidence presented that these important because they describe childhood pervasive physical health, cognitive, outcomes throughout lifespan. Evidence show intervention improve be effective. III, synthesized focusing opportunity before us, what we must do better while patients PICU, order their long-term lifelong outcomes. We present argue take public-health approach address key environmental conditions necessary for optimal hence facilitate children's ability thrive. Future research aim determine works best does not PICU. Early investments great help reduce growing burden healthcare costs.

Language: Английский

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