What does it take to get some peace and quiet in the pediatric intensive care unit?

摘要

Morning drags on in the pediatric intensive care unit (PICU) as you try to get through bedside rounds, a hungry baby who remains npo screams, and his alarms continue to blare; unfortunately, his nurse seems oblivious. One of the rounding physicians mutters,"Why doesn't someone intubate that baby?" and another nods in agreement. Can the stress of excessive noise cause this kind of attitude toward an event (the cry of a healthy baby) that should be "music to the ears" of the physicians who worked to get that baby back to health?