Refractory Septic Shock in Children: A European Society of Paediatric and Neonatal Intensive Care Definition

Although overall paediatric septic shock mortality is decreasing, refractory septic shock (RSS) is still associated with high mortality. A definition for RSS is urgently needed to facilitate earlier identification and treatment. We aim to establish a European Society of Paediatric and Neonatal Intensive Care (ESPNIC) experts' definition of paediatric RSS.


ESPNIC Standards for End of Life Care

European Society for Paediatric & Neonatal Intensive Care Society Standards for End of Life Care including Organ/Tissue Donation.


ESPNIC Rights of the Child for Critically Ill Children and Adaption for ICU

European Society of Paediatric and Neonatal Intensive Care Statement regarding recognition about the relevance of the UN Convention on the Rights of the Child for critically ill children and its adaptation for ICU. 

  Position Statement on Pain, Sedation, Withdrawal and Delirium Assessment 

Clinical recommendations for pain, sedation, withdrawal and delirium assessment in critically ill infants and children: an ESPNIC position statement for healthcare professionals Position Statement on visiting in adult critical care units in the UK

Position Statement of the British Association of Critical Care Nurses on Visiting Adult Critical Care Units in the UK

The British Association of Critical Care Nurses has published a Position Statement on Visiting in Adult Critical Care Units in the United Kingdom. This position statement sets out the standards patients and visitors should expect when visiting an adult critical care unit in the 21st century in the UK.

application/pdf BACCNVisiting.pdf 579.69 kB

Position Statement of the American Society for Pain Management Nursing

Recommendations provided are based on the best evidence available at the time of preparation.

Click to read the position statement of the American Society for Pain Management Nursing.


ESPNIC signed the Vienna Declaration on Patient Safety in the ICU


You may download the signed Declarations from the ESICM Press page.

Joint Position Statement on Family presence during CPR

The presence of family members during cardiopulmonary resuscitation: joint position statement of the European Federation of Critical Care Nursing Associations (EfCCNa), the European Society of Paediatric and Neonatal Intensive Care (ESPNIC), the European Society of Cardiology (ESC) and the Council on Cardiovascular Nursing and Allied Professions


European Resuscitation Council - ERC

The European Resuscitation Council Guidelines for Resuscitation 2010 has announced that new European Resuscitation Guidelines will be released on 15th October 2015. For more information, please visit the ERC website:


The use of the Berlin definition for acute respiratory distress syndrome during infancy and early childhood: multicenter evaluation and expert consensus. De Luca D, Piastra M, Chidini G, Tissieres P, Calderini E, Essouri S, Medina Villanueva A, Vivanco Allende A, Pons-Odena M, Perez-Baena L, Hermon M, Tridente A, Conti G, Antonelli M, Kneyber M; Respiratory Section of the European Society for Pediatric Neonatal Intensive Care (ESPNIC). Intensive Care Med. 2013 Dec;39(12):2083-91

An electronic delphi study to establish pediatric intensive care nursing research priorities in twenty European countries. Tume LN, van den Hoogen A, Wielenga JM, Latour JM. Pediatr Crit Care Med. 2014 Jun;15(5):e206-13

A randomized trial of hyperglycemic control in pediatric intensive care. Macrae D, Grieve R, Allen E, Sadique Z, Morris K, Pappachan J, Parslow R, Tasker RC, Elbourne D; CHiP Investigators. N Engl J Med. 2014 Jan 9;370(2):107-18

Characteristics and outcome of children admitted to adult intensive care units in England, Wales and Northern Ireland (1996-2011). Ramnarayan P, Patel K, Pappachan J, Purday J, Davis P, Harrison D, Rowan K. Intensive Care Med. 2013 Nov;39(11):2020-7

The shortened Empowerment of Parents in The Intensive Care 30 questionnaire adequately measured parent satisfaction in pediatric intensive care units. Latour JM, Duivenvoorden HJ, Tibboel D, Hazelzet JA; EMPATHIC Study Group. J Clin Epidemiol. 2013 Sep;66(9):1045-50