Article
Recollection of children following intensive care
S Playfora, D Thomasb, I Choonarac
a Paediatric
Critical Care Unit, The Hospital for Sick Children, 555 University
Avenue, Toronto M5G 1X8, Canada, b Paediatric Intensive Care Unit, Queens Medical
Centre, Nottingham, UK, c Academic
Division of Child Health (University of Nottingham), Derbyshire
Children's Hospital, Uttoxeter Road, Derby, UK
Correspondence to: Dr Playfor playfor{at}sickkids.on.ca
Accepted 3 April 2000
BACKGROUND AND AIMS
The
recollections of critically ill children following discharge from the
paediatric intensive care unit (PICU) have not previously been
described. We have interviewed such children to establish the nature of
their recollections.
METHODSChildren aged 4 years and
above were interviewed following discharge from the PICU at the Queens
Medical Centre, Nottingham, either in hospital or at home, using a
semistructured interview. Their recollections were recorded and
interpreted by content analysis.
RESULTSA total of 38 interviews
were carried out; 44 specific recollections were reported, the majority
being neutral (60%) or positive (25%). Only 15% of recollections
were negative. Negative recollections related to aspects of medical
care and environmental factors. No child treated with neuromuscular
blocking agents remembered any period of therapeutic paralysis.
CONCLUSIONSChildren's
recollections of PICU are mainly neutral or positive. Mechanically
ventilated children sedated with midazolam and morphine remember little
of endotracheal intubation.
Keywords: recall; paediatric intensive care; midazolam
© 2000 by Archives of Disease in Childhood
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- HARVEY MARCOVITCH
Arch. Dis. Child. 2000 83: 0.[Extract] [Full Text] [PDF]
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