De-escalation of Care Through Pediatric Intensive Care Unit Liberation Rounds and a Daily Checklist

Introduction: Pediatric intensive care unit (PICU) Liberation Bundle 1 was implemented to standardize weaning of ICU support after clinical stabilization and to prevent iatrogenicity by timely assessment of pain, extubation readiness, sedation, delirium, withdrawal, early mobilization, and family engagement. By implementing a PICU Liberation bedside rounding process and a de-escalation daily rounding checklist, we hypothesized that the PICU...