Abstract
Pediatric critical care has continued to advance since our last article, “Pediatric Critical Care in Resource-Limited Settings—Overview and Lessons Learned” was written just 3 years ago. In that article, we reviewed the history, current state, and gaps in level of care between low- and middle-income countries (LMICs) and high-income countries (HICs). In this article, we have highlighted recent advancements in pediatric critical care in LMICs in the areas of research, training and education, and technology. We acknowledge how the COVID-19 pandemic has contributed to increasing the speed of some developments. We discuss the advancements, some lessons learned, as well as the ongoing gaps that need to be addressed in the coming decade. Continued understanding of the importance of equitable sustainable partnerships in the bidirectional exchange of knowledge and collaboration in all advancement efforts (research, technology, etc.) remains essential to guide all of us to new frontiers in pediatric critical care.
Highlights
Three years have passed since our article “Pediatric Critical Care in Resource-Limited Settings— Overview and Lessons Learned” was published [1]
Since its’ publication, the field of pediatric critical care (PCC) medicine has continued to advance rapidly through the use of quality improvement initiatives, advanced training programs with an emphasis on readiness and simulation, clinical research, and ongoing advanced technology development and big data. In this current update article, we discuss selected areas in which PCC has continued to advance in low- and middle-income countries (LMICs) with aim of highlighting important advancements that have been made while emphasizing areas amendable to future growth
It is important to point out that the authors’ experiences are mixed this review is written from the mixed perspective of researchers/clinicians who have worked in LMIC-high-income countries (HICs) partnerships over the past several decades
Summary
Three years have passed since our article “Pediatric Critical Care in Resource-Limited Settings— Overview and Lessons Learned” was published [1]. Since its’ publication, the field of PCC medicine has continued to advance rapidly through the use of quality improvement initiatives, advanced training programs with an emphasis on readiness and simulation, clinical research, and ongoing advanced technology development (i.e., non-invasive monitoring devices, extracorporeal support) and big data In this current update article, we discuss selected areas in which PCC has continued to advance in LMICs with aim of highlighting important advancements that have been made while emphasizing areas amendable to future growth. The possibility of HICs having a shortage of oxygen and lifesaving equipment, such as ventilators, sparked an interest in and support for bioengineers and medical device developers in HICs to focus energy inventing alternative low-cost options for costly technology This is not mentioned to lessen the distressing impact of the pandemic, but rather to emphasize that with focused, motivated, supported effort, seemingly impossible hurdles can be overcome, and disparities lessened
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