Invasive Procedures in Children Receiving Intensive Care
Southall, David P.
Cronin, Bernadette C.
Samuels, Martin P.
BMJ (British Medical Journal). 1993 Jun 5; 306(6891): 1512-1513.
Infants and children receiving intensive care are inevitably subjected to invasive procedures. The youngest of these children -- the largest group receiving intensive care -- may be less able than adults to limit the number of procedures performed or ensure adequate analgesia. With unresolving illness, parents may be unable to make objective decisions about continuing intensive care and carers may focus on system failure and lose sight of the child as a whole person. It is our impression that children having prolonged intensive care are more likely to die, survive with serious neurological problems, or behave as if they have suffered non-accidental injury. This pilot study attempted to audit invasive procedures and their management in a sample of children receiving intensive care.
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