Background: Advances in pediatric perioperative care have supported the safe provision of increasingly complex surgical care to patients with complicated diseases and abnormal physiology. This has led to the possible misalignment of the impact of potential surgical outcomes and goals of care. Methods / Objectives: We describe the development of a novel process that leverages the combination of longitudinal engagement of pediatric palliative care consultants and multidisciplinary care planning to ensure that perioperative care remains patient-centered and goal-directed for all children, especially children with complex baseline disease. Conclusions: Our novel process should be considered a solution to a crictial gap in pediatric perioperative care.
背景:小儿围手术期护理的进步使得为病情复杂及生理异常的患者提供日益复杂的外科手术护理成为可能,但这可能导致潜在手术效果与护理目标之间出现错位。 方法/目标:我们描述了一种新流程的开发过程,该流程结合了儿科姑息治疗顾问的长期参与和多学科护理规划,以确保围手术期护理对所有儿童,特别是患有复杂基础疾病的儿童,保持以患者为中心且目标明确。 结论:我们的新流程应被视为填补小儿围手术期护理关键空白的一种解决方案。