2019 Marian Barrett Lecture - Surviving paediatric critical illness

Over the past several decades, advances in pediatric critical care have saved many lives. As such, contemporary care has broadened its focus to include minimizing post PICU morbidity. Post-Intensive Care Syndrome, also known as PICS, is a group of cognitive, physical and mental health impairments that commonly occur in patients after intensive care unit discharge. In children, organ system maturation, psychosocial development, the interdependence of family also impact outcomes post critical illness. This session will review the recently articulated PICS-p framework that was designed to help illuminate the phenomena of surviving childhood critical illness and guide outcomes measurement in the field. Mapping out potential recoveries after pediatric critical illness is an important first step in designing interventional research to help improve patient outcomes.

Professor Martha Curley is the Ellen and Robert Kapito Professor in Nursing Science at the University of Pennsylvania School of Nursing. She also holds a joint appointment in Anesthesia and Critical Care Medicine at the University’s Perelman School of Medicine and is a nurse scientist at Boston Children’s Hospital. Her research, funded by NHLB (National Heart, Lung and Blood Institute), NINR (National Institute of Nursing Research) and NICHD (National Institute of Child Health and Human Development, has specifically focused on nurse-implemented interventions. Over several decades, her studies have illuminated relationship-based care when partnering with parents-of-critically ill children, supported parent presence during invasive procedures and resuscitation, and informed the practice of caring for critically ill pediatric patients with acute respiratory failure. Dr. Curley has also led the development and dissemination of core metrics in the field of pediatrics; for example, the State Behavioral Scale (SBS), the Withdrawal Assessment Tool (WAT-1), individualized numeric rating scale (INRS) and the Braden QD scale.

Professor Curley is a member of the National Academy of Medicine and a fellow in the American Academy of Nursing. She received a diploma in nursing from Springfield Hospital School of Nursing in Massachusetts, a Bachelor of Science from the University of Massachusetts at Amherst, an MSN in acute care pediatrics from Yale School of Nursing and a PhD from Boston College.