• Elisabeth Esteban Torné

    Pediatric intensivist Chef of the pediatric and neonatal Transport Team Hospital Sant Joan de Déu, Barcelona

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    Email —  ******@***sjd.es
    Physician Paediatric Intensive Care Unit
    Chief of the Paediatric and Neonatal Transport Team Hospital Sant Joan de Déu —  Barcelona, Spain

Featured in HealthManagement.org

  • Decision-Making in the PICU: Ethical Aspects in Paediatric Critical Pa

    • 19/04/2024

      This article highlights some particularities to be considered when making decisions in paediatric ICUs and the role of parents (or legal guardians) and the physician in the dilemma involved in paediatric decision-making.   In these times, an ill individual is believed to be an autonomous moral agent to make decisions regarding their health. Decision-making inevitably requires

  • Long-Term Home Ventilation in Children: Facing the Challenge

    • 30/11/2023

    Discharging ventilated children home is a difficult challenge in which the training of families is essential. We present our hospital's transition programme for ventilated children going home, which is based on a family-centred model.     Introduction The progressive improvement of neonatal intensive care (NICU) and paediatric intensive care (PICU) over the last two decades, a

  • Transforming a PICU in the Digital Age

    • 13/10/2023

    Digitalisation is ultimately the driving force behind digital transformation. It will take us from a reactive healthcare system to a proactive one that focuses on prediction and prevention.     Introduction The digital transformation has left a few things untouched in recent years, radically changing healthcare management for citizens, professionals, and public health departments.

  • The Role of the Paediatrician in the Coordination Centre

    • 13/03/2023

    Since 2017, the Medical Emergency System of Catalonia has included a paediatrician specialised in critical care at its coordination centre. Their duties are to manage the coordination of interhospital transfers and provide telephone support for paediatric and neonatal emergencies. Here we present our experience and the challenges that we have encountered. Introduction Catalonia is one of...

  • Pain Management in Paediatric Critical Care

    • 25/05/2022

    An overview of the main treatment options currently available in paediatric critical care setting. Critically ill paediatric patients often suffer from pain secondary to trauma, complex medical procedures, invasive testing monitoring devices and illness-induced discomfort. Although the gold standard for assessing patient comfort is self-report, in paediatrics it may be quite difficult...

  • The Role of a Mortality Review Committee in a Paediatric and Maternity

    • 17/02/2022

    There is little information in the current literature on the organisation of mortality review committees in paediatric and maternity hospitals. This article aims to explain the objectives and function of the mortality review committee of our hospital, an articulated tool to improve the quality of patient care based on reviews of deaths in our centre. Paediatric and maternity hospitals report...

  • Microbiome and Pneumonia in Children

    • 30/09/2021

    A significant research gap exists in the field of the lung microbiome and pneumonia development in paediatric population. Its study may improve nosocomial pneumonia prevention and help to achieve zero pneumonia rates. M ost frequent hospital acquired infections (HAI) in Paediatric Intensive Care Units (PICU), are ventilator associated pneumonia (VAP), catheter-related urinary tract...

  • Using Realistic Simulation to Design a New PICU - Building Before Buil

    • 24/11/2020

    Designing the Dream PICU Hospital Sant Joan de Déu (HSJD) is a paediatric and maternity hospital located in Barcelona. In 2018 the new 24-bed Pediatric Intensive Care Unit (PICU) was inaugurated, featuring modern facilities and the latest technology. We moved from an area with open spaces to a unit structured into individual rooms, in order to facilitate 24-hour access for parents. This represented...

  • Caring for children in the PICU

    • 30/05/2019

    From novel technology to family-centred care: new challenges for old needs Challenges and opportunities to improve care and practice in the PICU. “Martin, 2 years old. Sepsis and pneumoniae. High monitoring systems and modern therapies. A nurse is talking to his parents. A smile and a kind gesture help them in this overwhelming experience. Fear and hope.” This is only...

  • What’s new in sepsis in children?

    • 16/10/2018

    The latest in diagnosis and treatment. Sepsis is a life-threatening condition in children. Current paediatric definitions are based on systemic inflammatory response syndrome. Since the publication of the third international consensus definitions for sepsis and septic shock for adults, efforts in paediatrics are focused on finding a definition that involves a premature diagnosis with prognostic...

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