Pediatric Rehabilitation and Critical Care: a Therapeutic Partnership

Purpose of review: The number of children in intensive care units (ICU) who survive critical illness or injury is increasing. Reduction of complications and improvement in outcome may be facilitated by early rehabilitation-oriented interventions and transition to an intensive pediatric rehabilitation unit when medically appropriate. Recent findings: Early mobilization in the adult ICU has been identified as a contributing factor to improving outcomes. This intervention is being introduced in pediatric ICUs and practice guidelines for implementation are being developed. Timely and coordinated transfers to a pediatric intensive rehabilitation unit to continue functional recovery and to prepare for community reintegration are also important to providing optimal care. Summary: Introducing rehabilitation input and practices into the pediatric ICU environment is feasible and safe. A coordinated process for moving patients from the pediatric ICU to an intensive rehabilitation unit requires clear communication with families about expected goals and expectations.