2.1 Setting
IRCCS Istituto Giannina Gaslini is a tertiary care children’s hospital, in Genoa, Italy, serving a region of 1.5 million inhabitants in the North-West of Italy. The hospital is the hub of the Liguria region for pediatric emergencies. It is equipped with 328 pediatric beds and 18-20 level-IV beds in the pediatric intensive care unit (PICU) with critical care transport and extracorporeal membrane oxygenation (ECMO) retrieval capability. A new standing-alone 12-bed pediatric Intermediate Care Unit (IMCU) was also established in December 2020 [12].