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Transforming a paediatric ICU to an adult ICU for severe Covid-19: lessons learned

2021; Springer Science+Business Media; Volume: 180; Issue: 7 Linguagem: Inglês

10.1007/s00431-021-03992-6

1432-1076

Maryline Chomton, Lucile Marsac, Anna Dehò, A. Maroni, Guillaume Geslain, Karine Frannais-Haverland, Laetitia Abdallah, Hélène Armier, Rita Assaker, Laura Atger, Tristan Avril, Olivia Baylet-Fernandes, Chérine Benzouid, Elise Bernard, Ségolène Bernheim, Chloé Berthaud, Constance Beyler, Sylvain Bidaud, Valeska Bidault, Philippe Bidet, Melanie Bilger, André Birgy, Matthieu Blanc, Stéphane Bonacorsi, Arnaud Bonnard, Marc Bouchet, Oliver Bourdon, Charlotte Calvo, Marion Caséris, Laure Castre Saint Martin, Said Chehidi, Clara Choquet, David Clavequin, Ines Da Costa, Souhayl Dahmani, Stéphane Dauger, Jean‐Hugues Dalle, Isabelle David, Anne-Charlotte Moronvalle, Nicolás de Roux, Camille Ducroc, Mathilde Egraz, Charlotte Fait, Albert Faye, Camille Feltesse, Claire Ferrua, Jennifer Feugueur, Cécile Flusin, Sophie Forceau, Anne Galland, Alexis Gavi, Mathieu Genuini, Clarisse Gins, Angelique Girre, Bruno Greff, Emma Guêtre, Ariane Haggège-Bonnefont, Sandrine Haghiri, Aurélie Hayotte, Véronique Houdouin, Mylène Houdre, Maha Houri, Marie-Françoise Hurtaud, Salim Idelcadi, Thérèsa Kwon, Boris Lacarra, Fleur Le Bourgeois, Constance Leduc, Sandy Le Moing, Lucie Lefèvre, Cecilia Martos, Benedicte Marchina-Anduran, Patricia Mariani, Laure Maurice, Delphine Micaëlli, Christelle Moreau, Antoine Mouche, J. Naudin, Bellaure Ndoudi-Likoho, Hanna Paktoris, Marie Perinnet, Luca Pio, Géraldine Poncelet, Marie Pouletti, Sonia Prot‐Labarthe, Jonathan Rosenblatt, Thomas Schmitz, Romain Sonneville, Emilie Soulier, Caroline Storey, Jean-François Timsit, Nathalie Tri, Magali Truchi, Elodie Vauclair, Armelle Nicolas-Robin, Michaël Levy,

Intensive Care Unit Cognitive Disorders

During the first Covid-19 wave, our paediatric intensive care unit (PICU), like many others across the globe, was transformed into an adult ICU for patients with severe Covid-19, due to a shortage of adult ICU beds. Here, we provide a comprehensive description of all the conditions that must be fulfilled to successfully accomplish this transformation. Strong support from all hospital departments was crucial, as their activity was modified by the change. Healthcare workers from various units, notably the paediatric anaesthesiology department, worked in the adult ICU to ensure sufficient staffing. The number of physiotherapists and psychologists was increased. A support system for both healthcare workers and patients' relatives was set up with the help of the mobile paediatric palliative care and support team. Supplies suitable for adults were ordered. Protocols for numerous procedures were written within a few days. Video tutorials, checklists, and simulation sessions were circulated to the entire staff. The head nurses guided and supported the new staff and usual PICU staff. The transformation was achieved within a week. The main difficulties were healthcare worker stress, changes in recommendations over time, absence of visits from relatives, and specific adult issues that paediatricians are unfamiliar with. Conclusion: For the staff, caring for adult patients was made easier by working in their familiar unit instead of being moved to an adult hospital with unfamiliar staff members and equipment. Strong support from the hospital and the assistance of consultants from adult hospital departments were crucial.