Development of a non-pharmacologic delirium management bundle in paediatric intensive care units.

This is expert consensus, not patient data. No children were studied and no delirium outcome was measured, so nothing here shows the bundle works. The authors note that high agreement may reflect a positively worded questionnaire based on already evidence-based interventions, which can bias experts toward agreeing. The panel was predominantly European and North American, with no participants from Asia or Africa, so it may not fit other settings. Some experts said certain interventions were context-specific and not feasible in their own units, such as the physical layout of the intensive care unit. The age groupings were broad, and experts found it difficult to rank interventions across a wide span, particularly for children aged 6 to 18 years.

Funded by the Novo Nordisk Foundation, Denmark. The text does not report any author conflicts of interest.

Do not read the high expert agreement as evidence that this bundle reduces paediatric delirium. No patients were treated and no outcomes were measured, so this is a list of consensus recommendations that still needs efficacy testing.