Hematologic and Oncologic Emergencies in the Pediatric Intensive Care Unit: What Nurses Should Know

Crit Care Nurs Clin North Am. 2023 Sep;35(3):303-314. doi: 10.1016/j.cnc.2023.04.005. Epub 2023 Jun 4.

Abstract

Most children admitted to the pediatric intensive care unit with a new or reoccurring hematology or oncology diagnosis are at high risk for developing a hematologic or oncologic emergency. Although these children represent a low percentage of pediatric critical care admissions, their acuity is high, and their care is complicated and challenging. Nurses are an essential part of the interprofessional team of providers who care for these critically ill patients. Experience recognizing acute decompensation and excellent assessment and communication skills significantly improve patient outcomes.

Keywords: Hem/onc nursing; PICU nursing; Pediatric acute chest syndrome; Pediatric brain tumors; Pediatric oncologic emergency; Pediatric stroke.

Publication types

  • Review

MeSH terms

  • Child
  • Critical Care
  • Emergencies
  • Hematology*
  • Humans
  • Infant
  • Intensive Care Units, Pediatric
  • Nurses*