AVANÇOS NO SUPORTE E MONITORAMENTO DE CRIANÇAS EM ESTADO CRÍTICO NA UTI PEDIÁTRICA

Abstract

Recent advances in the support and monitoring of critically ill children in the Pediatric Intensive Care Unit (PICU) have led to substantial improvements in clinical outcomes. This study discusses innovations in key areas of intensive care, including modern ventilatory support, hemodynamic and neurological monitoring, enteral and parenteral nutrition, and advanced support technologies. Protective ventilatory approaches, combined with noninvasive strategies and devices such as extracorporeal membrane oxygenation (ECMO), have improved survival rates in severe cases. Continuous monitoring through minimally invasive tools and the integration of artificial intelligence have allowed earlier and more precise interventions. Additionally, enteral nutrition enriched with immunonutrients and optimization of parenteral therapy have played fundamental roles in metabolic recovery. Despite challenges related to standardization of protocols and professional training, technological and therapeutic advances stand out as essential elements.