LAUSR

Opinion statementThis review highlights current efforts to expand telemedicine in pediatric critical care in the United States (U.S.), including the evolution of the underlying technology, and evaluates studies supporting its use. The important and growing role of telemedicine in resource-limited settings (RLS) is further outlined. Pediatric telecritical care is a rapidly growing field, with data emerging to assess its feasibility, cost-effectiveness, and clinical utility. Telemedicine is increasingly applied in RLS for both clinical and educational purposes—embraced as a means of overcoming longstanding barriers of distance, training, and technology. The use of telemedicine is increasing in the U.S. and around the world, with a growing body of evidence to support its use. More research is needed on the clinical impact of such programs. However, given its potential to save lives, time, and money, we recommend continued development and implementation of pediatric telemedicine programs to provide clinical support and critical care education for remote and resource-limited settings.