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Critical pediatric patient. Pediatric intensive cares, Hospital Infantil la Paz

Publicado en:Revista Espanola de Pediatria. 69 (1): 13-19 - 2013-01-01 69(1), DOI:

Autores: Alvarado Ortega F; Delgado Domínguez M; Dorao Martínez-Romillo P; Goded Rambaud F; Oliva Senovilla P; Calderón Llopis B; Gómez Zamora A; Menéndez Suso J; Schuffelman Gutiérrez C; Verdú Sánchez C

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The Pediatric Intensive Care Unit of La Paz Universitary Hospital, was founded in 1974. It is now a polyvalent medical-surgical tertiary unit, equipped with 4 intermediate care beds, 8 intensive care beds and 4 isolation beds with airlock and HEPA filters for the treatment of transplanted and immunocompromised patients. In the last 6 years, 3674 patients have been treated (mean 612 patients/year), with a mean occupancy rate of 83,4% and a mortality rate of 4,9%. As the polyvalent unit it is, PICU staff maintains close and daily contact and cooperation with almost all the rest of the medical and surgical departments of the hospital. In this regard, critically ill cardiac patients are admitted in the PICU for the treatment with ECMO and ventricular assist devices (EXCOR Berlin Heart), as well as post-operative patients after cardiac, liver, renal, intestinal and multivisceral transplantation. Of all the achievements and current lines of work of the department, it can be highlighted the intracoronary treatment with autologous bone marrow-derived progenitor cells in patients with dilated cardiomyopathy, the implantation and development of a pediatric ventricular assist program, the echo-guided cannulation of peripherally inserted central venous catheter by a especially trained intravenous therapy team, the registration of a European patent for a ultrarapid shutoff respirator valve, the incorporation of NAVA mode for mechanically ventilated patients and the PiCCO2 monitor for the hemodynamic monitorization of patient with cardiovascular dysfunction, and the promotion of medical education based on high-fidelity simulation.

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