Amanda B Levin, Meghan L Bernier, Becky J Riggs, Stephanie D Zero, Emily D Johnson, Katelyn N Brant, Joe G Dwyer, Caroline J Potter, Aliaksei Pustavoitau, Thomas A Lentz, Emily H Warren, Aaron M Milstone, Jamie McElrath Schwartz
We describe the process converting half of our 40-bed PICU into a negative-pressure biocontainment ICU dedicated to adult coronavirus disease 2019 patients within a 1,003-bed academic quaternary hospital. We outline the construction, logistics, supplies, provider education, staffing, and operations. We share lessons learned of working with a predominantly pediatric staff blended with adult expertise staff while maintaining elements of family-centered care typical of pediatric critical care medicine. Critically ill coronavirus disease 2019 adult patients may be cared for in a PICU and care may be augmented by implementing elements of holistic, family-centered PICU practice...
September 2020: Critical care explorations