Protecting children from iatrogenic harm during COVID19 pandemic.
J Paediatr Child Health
; 56(7): 1010-1012, 2020 07.
Article
in English
| MEDLINE | ID: covidwho-627212
ABSTRACT
Critical care management of patients with COVID-19 has been influenced by a mixture of public, media and societal pressure, as well as clinical and anecdotal observations from many prominent researchers and key opinion leaders. These factors may have affected the principles of evidence-based medicine and encouraged the widespread use of non-tested pharmacological and aggressive respiratory support therapies, even in intensive care units (ICUs). The COVID-19 pandemic has predominantly affected adult populations, while children appear to be relatively spared of severe disease. Notwithstanding, paediatric intensive care (PICU) clinicians may already have been influenced by changes in practices of adult ICUs, and these changes may pose unintended consequences to the vulnerable population in the PICU. In this article, we analyse several potential iatrogenic causes of the detrimental effects of the current pandemic to children and highlight the risks underlying a sudden change of clinical practice.
Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Pneumonia, Viral
/
Critical Illness
/
Coronavirus Infections
/
Evidence-Based Medicine
/
Betacoronavirus
/
Iatrogenic Disease
Type of study:
Observational study
/
Prognostic study
Limits:
Child
/
Humans
Language:
English
Journal:
J Paediatr Child Health
Journal subject:
Pediatrics
Year:
2020
Document Type:
Article
Affiliation country:
Jpc.14989
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