{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T06:59:55Z","timestamp":1790060395982,"version":"4.0.1"},"reference-count":13,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T00:00:00Z","timestamp":1785456000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T00:00:00Z","timestamp":1785456000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing in Critical Care"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>The Paediatric Intensive Care Unit (PICU) of a Swiss university hospital routinely performs surgical interventions directly in patient rooms due to certain patients' inability to be transferred to the operating room. Given the variability in practice, organizational delays and increased stress among healthcare professionals stemming from oral transmission of procedural knowledge, an institutional protocol was developed. This protocol aims to enhance care safety, improve interdisciplinary coordination and systematically anticipate material human, and environmental needs. Developed through structured methodology including semi\u2010structured interviews with key stakeholders, it specifically addresses complex procedures such as Extracorporeal Membrane Oxygenation (ECMO) management, thoracic surgeries and postoperative cardiac revisions within intensive care settings. Its implementation is expected to significantly reduce perioperative complications, optimize ergonomics and logistics and improve overall care quality.<\/jats:p>","DOI":"10.1111\/nicc.70601","type":"journal-article","created":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T08:51:31Z","timestamp":1785487891000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Development and Implementation of a Protocol for In\u2010Room Surgical Procedures in Paediatric Intensive Care"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-9330-3581","authenticated-orcid":false,"given":"Lucile","family":"Revel","sequence":"first","affiliation":[{"name":"Department of Neonatology and Pediatric Intensive Care, Department of Women, Children and Adolescents Geneva University Hospitals  Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3252-9657","authenticated-orcid":false,"given":"Filipa","family":"Baptista Peixoto Befecadu","sequence":"additional","affiliation":[{"name":"Research and Implementation Care Lab, Care Directorate Geneva University Hospitals  Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,31]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAT.0000000000001431"},{"issue":"7","key":"e_1_2_11_3_1","first-page":"E166","article-title":"Extra Corporeal Membrane Oxygenation (ECMO) Review of a Lifesaving Technology","volume":"7","author":"Makdisi G.","year":"2015","journal-title":"Journal of Thoracic Disease"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/17476348.2025.2536887"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2019.11.010"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa0810119"},{"key":"e_1_2_11_7_1","first-page":"468","volume-title":"Medicare: A Strategy for Quality Assurance, Volume I","author":"Medicine Io","year":"1990"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-154-10-201105170-00011"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.4097\/kja.24033"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-021-01165-5"},{"key":"e_1_2_11_11_1","volume-title":"Protocoles de soins: m\u00e9thodes et strat\u00e9gies","author":"Gaba C.","year":"1998"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.3917\/rsi.093.0028"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.resplu.2024.100763"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-018-0726-9"}],"container-title":["Nursing in Critical Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/nicc.70601","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/nicc.70601","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/nicc.70601","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T06:02:39Z","timestamp":1790056959000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/nicc.70601"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,31]]},"references-count":13,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1111\/nicc.70601"],"URL":"https:\/\/doi.org\/10.1111\/nicc.70601","archive":["Portico"],"relation":{},"ISSN":["1362-1017","1478-5153"],"issn-type":[{"value":"1362-1017","type":"print"},{"value":"1478-5153","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,31]]},"assertion":[{"value":"2025-10-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-11","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-31","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70601"}}