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Transforming a PICU Into an Adult ICU During the Coronavirus Disease 2019 Pandemic: Meeting Multiple Needs

Authors
  • Schwartz, Jamie McElrath
Type
Published Article
Journal
Critical Care Explorations
Publisher
Lippincott Williams & Wilkins
Publication Date
Sep 15, 2020
Volume
2
Issue
9
Identifiers
DOI: 10.1097/CCE.0000000000000201
PMID: 32984831
PMCID: PMC7498134
Source
PubMed Central
Keywords
License
Green

Abstract

We describe the process converting half of our 40-bed PICU into a negative-pressure biocontainment ICU dedicated to adult coronavirus disease 2019 patients within a 1,003-bed academic quaternary hospital. We outline the construction, logistics, supplies, provider education, staffing, and operations. We share lessons learned of working with a predominantly pediatric staff blended with adult expertise staff while maintaining elements of family-centered care typical of pediatric critical care medicine. Critically ill coronavirus disease 2019 adult patients may be cared for in a PICU and care may be augmented by implementing elements of holistic, family-centered PICU practice.

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