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Vol. 43. Issue 5.
Pages 290-298 (June - July 2019)
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Vol. 43. Issue 5.
Pages 290-298 (June - July 2019)
DOI: 10.1016/j.medine.2018.01.015
Narrative review of pediatric critical care humanization: Where we are?
Revisión narrativa sobre humanización en cuidados intensivos pediátricos: ¿dónde estamos?
A. García-Salidoa,
Corresponding author

Corresponding author.
, G. Heras la Calleb, A. Serrano Gonzáleza
a Servicio de Cuidados Intensivos Pediátricos, Hospital Infantil Universitario Niño Jesús, Madrid, Spain
b Servicio de Medicina Intensiva, Hospital Universitario de Torrejón, Madrid, Spain
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Figures (1)
Tables (3)
Table 1. Reasons and arguments for an open door intensive care unit.
Table 2. Measures aimed at preventing the post-intensive care syndrome.
Table 3. Areas for improving the architecture of intensive care units.
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The humanization of care emerges as a response to something that seems indisputable: the scientific and technological developments in Intensive Care Units. Such development has improved the care of the critically ill patient in quantitative terms, but has perhaps caused the emotional needs of patients, families and professionals to be regarded as secondary concerns. The humanization of healthcare should be discussed without confusing or discussing the humanity displayed by professionals. In this paper we review and describe the different strategic lines proposed in order to secure humanized care, and adopt a critical approach to their adaptation and current status in the field of pediatric critical care.

Pediatric intensive care
Humanization of healthcare
End-of-life care

La corriente humanizadora surge como respuesta a un hecho que parece indiscutible: el desarrollo científico y tecnológico de las Unidades de Cuidados Intensivos. Este ha mejorado el cuidado del paciente crítico en términos cuantitativos y ha relegado, quizá, las necesidades humanas y emocionales de pacientes, familias y profesionales a un segundo plano. La humanización debe ser objeto de debate, sin que esto se confunda con poner en duda la humanidad desplegada por los profesionales. Se analizan y describen en este trabajo las líneas estratégicas sobre las que pivota el cuidado humanizado del paciente crítico, adaptándolas al ámbito pediátrico.

Palabras clave:
Cuidados intensivos pediátricos
Cuidados al final de la vida


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