J Pediatr Intensive Care 2021; 10(04): 276-281
DOI: 10.1055/s-0040-1716831
Original Article

Family Presence and Visitation Practices in Latin American PICUs: An International Survey

1   Red Colaborativa Pediátrica de Latinoamérica, Montevideo, Uruguay
2   Unidad de Cuidados Intensivos Pediátricos Especializados, Casa de Galicia, Montevideo, Uruguay
,
Cecilia Mislej
1   Red Colaborativa Pediátrica de Latinoamérica, Montevideo, Uruguay
3   Unidad de Cuidados Intensivos Pediatricos, Hospital Evangélico, Montevideo, Uruguay
,
1   Red Colaborativa Pediátrica de Latinoamérica, Montevideo, Uruguay
4   Departamento de Pediatría, Universidad Nacional de Colombia, Bogotá, Colombia
5   Departamento de Pediatría, Fundación Universitaria de Ciencias de la Salud, Bogotá, Colombia
6   Unidad de Cuidado intensivo Pediátrico, Sociedad de Cirugía Hospital de San José, Bogotá, Colombia
,
7   Department of Pediatrics, Division of Pediatric Critical Care Medicine, Duke University Medical Center, Durham, North Carolina, United States
› Author Affiliations
Funding None.

Abstract

Over the last two decades, there has been a worldwide cultural shift toward family-centered intensive care. In this article, we conducted a survey of 47 pediatric intensive care units (PICUs) across 11 Latin American countries to assess visitation practices and bedside family presence (with a 97.9% response rate). All PICUs had at least some form of parental visitation. The prevalence of unrestricted (24 hours/day) parental visitation was 63%. Sibling visitation was permitted in 23% of PICUs, while 35% allowed family presence during procedures, and 46% during resuscitation. Only 1 PICU allowed pet visitation. Family visitation and bedside presence are still restrictive in Latin American PICUs, with wide practice variation among the various intensive care units.

Authors' Contributions

S.G.-D. and A.T.R. performed conceptualization and design of the study, secured administrative support, and took part in building of survey data; S.G.-D., P.V.-H., A.T.R. contributed in data analysis and interpretation; provision of study materials or patients were performed by all authors, along with collection and assembly of data; all authors contributed in manuscript writing and the final version of the manuscript is approved by all authors.




Publication History

Received: 10 June 2020

Accepted: 12 August 2020

Article published online:
14 September 2020

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