Selected clinical situations (defined in accordance with the current national and/or international guidelines) where the decision to admit a patient to the anaesthesiology and intensive care unit is “DEBATABLE” – Expert compliance 25–75%

Clinical scenario

Chromosomal aberrations: Edwards’ syndrome (trisomy 18), Patau’ syndrome (trisomy 13), Down’s syndrome (trisomy 21 – with complex defects, especially of the heart)

Cancers depending on the stage and grade

Genetically determined metabolic diseases, disorders of metabolism of amino acids, lipids, purines, carbohydrates, and metals; peroxisomal,

lysosomal diseases; mucopolysaccharidoses

Acquired syndromes with end-stage multiple organ failure in children, accompanying other congenital defects

Malnutrition (cachexia)

Surgical complications beyond their treatment

Acute kidney injury eligible for renal replacement therapy

Infectious complications without a possibility of carrying out effective causal treatment

Chronic respiratory failure requiring non-invasive ventilation

Diseases of the peripheral nervous system eligible for therapeutic plasma exchange

Condition after at least two ineffective bone marrow transplants due to onco-haematological disease with advanced graft versus host disease

Stroke requiring management available only in anaesthesiology and intensive care units

Multiple trauma

Injury to the central nervous system in children resulting from perinatal trauma, intrauterine hypoxia, birth asphyxia, encephalopathy

Infections and their critical consequences without a possibility of effective causal treatment

Exacerbation of chronic liver failure

Cardiac arrest due to a cause other than that described in the rule “4Ts, 4Hs”

Acute respiratory distress syndrome (mild)

Acute respiratory distress syndrome (moderate)