A Family-Centred Paediatric Delirium Bundle: A Feasibility Study.

This was a single-centre feasibility study of 31 parents of children having elective cardiac surgery, so it says little about other PICU children or hospitals. The study did not test whether the bundle prevented or treated delirium; it only checked acceptability, implementation and practicality. Parents reported whether staff delivered the bundle, and the questionnaire was not tested before use. Most participating children were younger than 2 years, so older children's experiences are underrepresented. Both units already used family-centred care, so results may not apply to units without that background. Double rooms, competing hospital schedules, inconsistent hygiene rules and lack of blackout curtains limited delivery, and these barriers may differ elsewhere.

The authors declared no conflicts of interest. The study was funded by Novo Nordisk Fonden and Rigshospitalet.

Do not read this as proof that the bundle prevents or treats paediatric delirium. It tested feasibility only, and the 11 interventions were delivered together, so the study cannot separate which parts matter. Parents also reported that only 6 of the 11 interventions were delivered in more than 80% of cases.