Centralisatie van pediatrische intensive care en interklinisch pediatrisch IC-transport

Centralization of pediatric intensive care (picu) in tertiary facility centers led to a reduction in mortality and morbidity of critically ill children. In the netherlands all eight university medical centers have picu facilities and will be able to cover national wide intensive care for children as soon as the necessary expansion of picu beds is achieved. This centralization demands a safe and well-organized interhospital pediatric intensive care transport facility accompanied by specialist retrieval teams from the picus. The time it takes to achieve this situation is mainly depending on the expansion of personal of the picu and ambulance services. Regionalization of pediatric intensive care and interhospital transport in these centers may provide rapid intervention on a continuous base for the whole country. Referring specialists are responsible for the emergency care from admission until the arrival of the retrieval team. In this way an optimalization of care for critically ill children in the netherlands can and will be achieved