Document Type

Article

Publication Date

2-1-2017

Identifier

PMCID: PMC5167629 DOI: 10.1016/j.jcrc.2016.09.022

Abstract

PURPOSE: To investigate the decision making underlying transfer of children with respiratory failure from level II to level I pediatric intensive care unit care.

METHODS: Interviews with 19 eligible level II pediatric intensive care unit physicians about a hypothetical scenario of a 2-year-old girl in respiratory failure: RESULTS: At baseline, indices critical to management were as follows: OI (53%), partial pressure of oxygen in arterial blood (Pao

CONCLUSION: Interhospital transfer of children in respiratory failure is triggered by poor response to escalation of locally available care modalities. This finding provides new insight into decision making underlying interhospital transfer of children with respiratory failure.

Journal Title

Journal of critical care

Volume

37

First Page

162

Last Page

172

MeSH Keywords

Adult; Attitude of Health Personnel; Child; Child Health Services; Critical Care; Decision Making; Female; High-Frequency Ventilation; Humans; Intensive Care Units, Pediatric; Interprofessional Relations; Interviews as Topic; Michigan; Patient Transfer; Practice Patterns, Physicians'; Respiratory Insufficiency

Keywords

Critical illness; Intensive care units; Interview; Patient transfer; Therapeutics

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