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Online Abstract Translations
No abstract available (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - December 1, 2017 Category: Pediatrics Tags: Online Abstract Translations Source Type: research

Sepsis in Children: Global Implications of the World Health Assembly Resolution on Sepsis
Conclusions: The resolution highlights sepsis as a global threat and urges the 194 United Nations member states to take specific actions and implement appropriate measures to reduce its human and health economic burden. The resolution is a major step toward achieving the targets outlined by the Sustainable Developmental Goals for decreasing mortality in infants and children, but implementing it will require a concerted global effort. (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - December 1, 2017 Category: Pediatrics Tags: Online PCCM Perspectives Source Type: research

Delirium in the Pediatric Cardiac Extracorporeal Membrane Oxygenation Patient Population: A Case Series
Conclusions: In this cohort, delirium occurred in all children who required venoarterial extracorporeal membrane oxygenation. It is likely that this patient population has an extremely high risk for delirium and will benefit from routine screening in order to detect and treat delirium sooner. This has potential to improve both short- and long-term outcomes. (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - December 1, 2017 Category: Pediatrics Tags: Online Brief Reports Source Type: research

Detectable Concentrations of Inhaled Tobramycin in Critically Ill Children Without Cystic Fibrosis: Should Routine Monitoring Be Recommended?
Conclusions: Detectable troughs were noted in almost half of patients with concentrations obtained. A clinically significant decrease in estimated glomerular filtration rate was noted in patients with detectable concentrations. Continued work should be directed to better understand outcomes and monitoring in children requiring inhaled tobramycin. (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - December 1, 2017 Category: Pediatrics Tags: Online Brief Reports Source Type: research

Temporal Changes in Prescription of Neuropharmacologic Drugs and Utilization of Resources Related to Neurologic Morbidity in Mechanically Ventilated Children With Bronchiolitis*
Objectives: Critically ill children with bronchiolitis may require neuropharmacologic medications and support for neuro-functional sequelae, but current practices are not well described. We aimed to describe recent trends in neuropharmacology and utilization of neuro-rehabilitation resources in mechanically ventilated children with bronchiolitis. Design: Analysis of the multicenter Pediatric Health Information System database. Setting: Forty-seven U.S. children’s hospitals. Patients: PICU patients less than 2 years old with bronchiolitis undergoing mechanical ventilation between 2006 and 2015. Interventio...
Source: Pediatric Critical Care Medicine - December 1, 2017 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

Body Composition Changes in Severely Burned Children During ICU Hospitalization*
Objectives: Prolonged hospitalization due to burn injury results in physical inactivity and muscle weakness. However, how these changes are distributed among body parts is unknown. The aim of this study was to evaluate the degree of body composition changes in different anatomical regions during ICU hospitalization. Design: Retrospective chart review. Setting: Children’s burn hospital. Patients: Twenty-four severely burned children admitted to our institution between 2000 and 2015. Interventions: All patients underwent a dual-energy x-ray absorptiometry within 2 weeks after injury and 2 weeks before dis...
Source: Pediatric Critical Care Medicine - December 1, 2017 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

Discussing Benefits and Risks of Tracheostomy: What Physicians Actually Say*
Conclusions: When discussing tracheostomy placement, physicians emphasized benefits that are shared by physicians and families while minimizing the risks. The expert panel recommended a balanced approach by equally weighing risks and benefits. To facilitate educated decision making, physicians should present a more extensive range of risks and benefits to families making this critical decision. (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - December 1, 2017 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

Increased Risk of Acute Kidney Injury in Critically Ill Children Treated With Vancomycin and Piperacillin/Tazobactam*
Conclusions: In critically ill children, acute kidney injury occurred more in patients treated with vancomycin and piperacillin-tazobactam versus vancomycin plus ceftriaxone. After controlling for covariates, exposure to piperacillin-tazobactam was associated with an increased odds of acute kidney injury development. (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - December 1, 2017 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

Workload of Team Leaders and Team Members During a Simulated Sepsis Scenario: Erratum
No abstract available (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - December 1, 2017 Category: Pediatrics Tags: Erratum Source Type: research

Can Serum Neutrophil Gelatinase–Associated Lipocalin Be Precisely Used as a Diagnostic Marker of Sepsis in Pediatric Cases?
No abstract available (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - December 1, 2017 Category: Pediatrics Tags: Letters to the Editor Source Type: research

The authors reply
No abstract available (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - December 1, 2017 Category: Pediatrics Tags: Letters to the Editor Source Type: research

Assessing Cardiac Surgery–Associated Acute Kidney Injury in Pediatric Patients
No abstract available (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - December 1, 2017 Category: Pediatrics Tags: Letters to the Editor Source Type: research

Healthcare in the PICU May Be More Complicated Than We Thought—Who Knew?*
No abstract available (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - December 1, 2017 Category: Pediatrics Tags: Editorials Source Type: research

The Quest to Preserve Muscle Mass—Lessons From Pediatric Burn Injury*
No abstract available (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - December 1, 2017 Category: Pediatrics Tags: Editorials Source Type: research

Communication of Risk and Benefit*
No abstract available (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - December 1, 2017 Category: Pediatrics Tags: Editorials Source Type: research

Piperacillin-Tazobactam Plus Vancomycin Equals Acute Kidney Injury: Does It Add Up?*
No abstract available (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - December 1, 2017 Category: Pediatrics Tags: Editorials Source Type: research

Fluid Overload and Extracorporeal Membrane Oxygenation: Is Renal Replacement Therapy a Buoy or an Anchor?*
No abstract available (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - December 1, 2017 Category: Pediatrics Tags: Editorials Source Type: research

The Most Vulnerable SPROUTs: Severe Sepsis in the Pediatric Hematopoietic Cell Transplantation Population*
No abstract available (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - December 1, 2017 Category: Pediatrics Tags: Editorials Source Type: research

Viral Bronchiolitis in PICUs: Looking Further Than the Acute Phase!*
No abstract available (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - December 1, 2017 Category: Pediatrics Tags: Editorials Source Type: research

Is the ICU a Risk Factor for Future Asthma Readmissions?*
No abstract available (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - December 1, 2017 Category: Pediatrics Tags: Editorials Source Type: research

Enteral Feeding in Children on Noninvasive Ventilation Is Feasible, but Clinicians Remain Fearful*
No abstract available (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - December 1, 2017 Category: Pediatrics Tags: Editorials Source Type: research

Critical Care Resource Utilization and Outcomes of Children With Moderate Traumatic Brain Injury
We examined clinical characteristics, critical care resource utilization, and discharge outcomes. Poor outcomes were defined as discharge to hospice, skilled nursing facility, long-term acute care, or death. We examined 20,010 patient records. Patients were 9 years old (interquartile range, 2–15 yr), male (64%) with isolated traumatic brain injury (81%), Glasgow Coma Scale score of 12, head Abbreviated Injury Scale score of 3, and Injury Severity Score of 10. Majority (34%) were admitted to nontrauma hospitals. Critical care utilization was 58.7% including 11.5% mechanical ventilation and 3.2% intracranial pressure m...
Source: Pediatric Critical Care Medicine - December 1, 2017 Category: Pediatrics Tags: Neurocritical Care Source Type: research

Feasibility and Safety of Controlled Active Hypothermia Treatment During Transport in Neonates With Hypoxic-Ischemic Encephalopathy
Objectives: To evaluate the feasibility and safety of controlled active hypothermia versus standard intensive care during neonatal transport in patients with hypoxic-ischemic encephalopathy. Design: Cohort study with a historic control group. Setting: All infants were transported by Neonatal Emergency & Transport Services to a Level-III neonatal ICU. Patients: Two hundred fourteen term newborns with moderate-to-severe hypoxic-ischemic encephalopathy. An actively cooled group of 136 newborns were compared with a control group of 78 newborns. Interventions: Controlled active hypothermia during neonatal tran...
Source: Pediatric Critical Care Medicine - December 1, 2017 Category: Pediatrics Tags: Neonatal Intensive Care Source Type: research

Contemporary Postnatal Incidence of Acquiring Acute Myocarditis by Age 15 Years and the Outcomes From a Nationwide Birth Cohort
Conclusions: This birth cohort study determined the cumulative incidence of acute myocarditis for neonates by 15 years old to be one in 2,105. In an era of extracorporeal membrane oxygenation, the need of extracorporeal membrane oxygenation may reflect the severity of acute myocarditis and predict its outcome. (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - December 1, 2017 Category: Pediatrics Tags: Cardiac Intensive Care Source Type: research

Neutrophil Phenotype Correlates With Postoperative Inflammatory Outcomes in Infants Undergoing Cardiopulmonary Bypass
Conclusions: Neutrophil priming occurs in a subset of infants undergoing cardiopulmonary bypass. Acute kidney injury was more frequent in those patients who displayed priming of nicotinamide adenine dinucleotide phosphate oxidase activity after cardiopulmonary bypass. This pilot study suggests that neutrophil phenotypic signature could be used to predict inflammatory organ dysfunction. (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - December 1, 2017 Category: Pediatrics Tags: Cardiac Intensive Care Source Type: research

Extubation Failure Is Associated With Increased Mortality Following First Stage Single Ventricle Reconstruction Operation
Objectives: To identify the prevalence, causes, risk factors, and outcomes associated with extubation failure following first stage single ventricle reconstruction surgery. Design: Retrospective cohort analysis of neonates who underwent a first stage single ventricle reconstruction operation. Extubation failure was defined as endotracheal reintubation within 48 hours of first extubation attempt. Setting: The Royal Children’s Hospital, Melbourne. Patients: Data were collected for all infants who underwent a Norwood or Damus-Kaye-Stansel procedure between 2005 and 2014 at our institution. Interventions: N...
Source: Pediatric Critical Care Medicine - December 1, 2017 Category: Pediatrics Tags: Cardiac Intensive Care Source Type: research

The Impact of Fluid Overload on Outcomes in Children Treated With Extracorporeal Membrane Oxygenation: A Multicenter Retrospective Cohort Study*
Objective: To characterize the epidemiology of fluid overload and its association with mortality and duration of extracorporeal membrane oxygenation in children treated with extracorporeal membrane oxygenation. Design: Retrospective cohort study. Setting: Six tertiary children’s hospital ICUs. Patients: Seven hundred fifty-six children younger than 18 years old treated with extracorporeal membrane oxygenation for greater than or equal to 24 hours from January 1, 2007, to December 31, 2011. Interventions: None. Measurements and Main Results: Overall survival to extracorporeal membrane oxygenation deca...
Source: Pediatric Critical Care Medicine - December 1, 2017 Category: Pediatrics Tags: Feature Articles Source Type: research

High Levels of Morbidity and Mortality Among Pediatric Hematopoietic Cell Transplant Recipients With Severe Sepsis: Insights From the Sepsis PRevalence, OUtcomes, and Therapies International Point Prevalence Study*
Objectives: Pediatric severe sepsis is a major cause of morbidity and mortality worldwide, and hematopoietic cell transplant patients represent a high-risk population. We assessed the epidemiology of severe sepsis in hematopoietic cell transplant patients, describing patient outcomes compared with children with no history of hematopoietic cell transplant. Design: Secondary analysis of the Sepsis PRevalence, OUtcomes, and Therapies point prevalence study, comparing demographics, sepsis etiology, illness severity, organ dysfunction, and sepsis-related treatments in patients with and without hematopoietic cell transplant...
Source: Pediatric Critical Care Medicine - December 1, 2017 Category: Pediatrics Tags: Feature Articles Source Type: research

Neurologic and Functional Morbidity in Critically Ill Children With Bronchiolitis*
Objectives: Neurologic and functional morbidity occurs in ~30% of PICU survivors, and young children may be at particular risk. Bronchiolitis is a common indication for PICU admission among children less than 2 years old. Two single-center studies suggest that greater than 10–25% of critical bronchiolitis survivors have neurologic and functional morbidity but those estimates are 20 years old. We aimed to estimate the burden of neurologic and functional morbidity among more recent bronchiolitis patients using two large, multicenter databases. Design: Analysis of the Pediatric Health Information System and the Vir...
Source: Pediatric Critical Care Medicine - December 1, 2017 Category: Pediatrics Tags: Feature Articles Source Type: research

Time to Asthma-Related Readmission in Children Admitted to the ICU for Asthma*
Conclusions: Children previously admitted to the ICU for asthma had a shorter time to asthma-related readmission, compared with children who did not require intensive care, underlining the importance of targeted long-term postdischarge follow-up of these children. Children of preschool age and who have a lengthier hospital stay are particularly at risk for future morbidity. (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - December 1, 2017 Category: Pediatrics Tags: Feature Articles Source Type: research

Enteral Nutrition Practices in Critically Ill Children Requiring Noninvasive Positive Pressure Ventilation*
Conclusions: A majority of patients requiring noninvasive positive pressure ventilation received enteral nutrition within 24 hours. However, less than half achieved caloric and protein goals during their PICU admission. Further investigation is warranted to determine the safety and effectiveness of early enteral nutrition in this population. (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - December 1, 2017 Category: Pediatrics Tags: Feature Articles Source Type: research

End-Tidal CO2–Guided Chest Compression Delivery Improves Survival in a Neonatal Asphyxial Cardiac Arrest Model*
Objectives: To determine whether end-tidal CO2–guided chest compression delivery improves survival over standard cardiopulmonary resuscitation after prolonged asphyxial arrest. Design: Preclinical randomized controlled study. Setting: University animal research laboratory. Subjects: 1–2-week-old swine. Interventions: After undergoing a 20-minute asphyxial arrest, animals received either standard or end-tidal CO2–guided cardiopulmonary resuscitation. In the standard group, chest compression delivery was optimized by video and verbal feedback to maintain the rate, depth, and release within pub...
Source: Pediatric Critical Care Medicine - November 1, 2017 Category: Pediatrics Tags: Online Laboratory Investigation Source Type: research

Validation of a Portable Coagulometer for Routine In-Hospital Use for Newborns
Conclusions: The portable coagulometer qLabs Electrometer Plus device has the potential to be an alternative to standard hospital coagulation autoanalyzers in a subset of patients where the amount of blood drawn can have significant risks. Our study is the first of its kind to analyze the use of this device with severely ill newborns. (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - November 1, 2017 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

“Stuck in the ICU”: Caring for Children With Chronic Critical Illness*
Conclusions: ICU care is poorly adapted to pediatric chronic critical illness. Patient, family, clinician, and system factors highlight opportunities for targeted interventions toward improvement in care. (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - November 1, 2017 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

The Impact of Telemedicine on Pediatric Critical Care Triage*
We examined the providers’ self-reported assessments about the consultation, decision-making, and triage outcomes. We estimate a logit model to predict triage location as a function of telemedicine consult age and sex. For telemedicine patients, the odds of triage to a non-ICU level of care are 2.55 times larger than the odds for patients receiving telephone consultations (p = 0.0005). Providers rated the accuracy of their assessments higher when consultations were provided via telemedicine. When patients were transferred to a non-ICU location following a telemedicine consultation, providers indicated that the use of...
Source: Pediatric Critical Care Medicine - November 1, 2017 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

Early Exercise in Critically Ill Youth and Children, a Preliminary Evaluation: The wEECYCLE Pilot Trial*
Conclusions: Early mobilization is safe and feasible in the PICU. In-bed cycling may facilitate greater duration and intensity of mobilization, in critically ill children. A full-scale randomized controlled trial is warranted to evaluate the efficacy of this intervention on PICU-acquired morbidities and functional outcomes in this population. (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - November 1, 2017 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

Factors Associated With Pediatric Ventilator-Associated Conditions in Six U.S. Hospitals: A Nested Case-Control Study*
Conclusions: In mechanically ventilated neonates and children, we identified several possible risk factors associated with ventilator-associated conditions. Next steps include studying propensity-matched cohorts and prospectively testing whether changes in sedation management, transfusion thresholds, and fluid management can decrease pediatric ventilator-associated conditions rates and improve patient outcomes. (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - November 1, 2017 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

Decision-Making in Pediatric Transport Team Dispatch Using Script Concordance Testing*
Conclusions: Our study demonstrates pediatric transport team dispatch decision-making discordance by pediatric critical care physicians of varying levels of expertise and experience. Script Concordance Testing at a local level may better elucidate standards in medical decision-making within pediatric critical care physicians. The development of a curriculum, which provides education and trains our workforce on the logistics of pediatric transport team dispatch, would help standardize practice and evaluate outcomes based on decision-making. (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - November 1, 2017 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

Variability in Usual Care Mechanical Ventilation for Pediatric Acute Respiratory Distress Syndrome: Time for a Decision Support Protocol?*
Objectives: Although pediatric intensivists philosophically embrace lung protective ventilation for acute lung injury and acute respiratory distress syndrome, we hypothesized that ventilator management varies. We assessed ventilator management by evaluating changes to ventilator settings in response to blood gases, pulse oximetry, or end-tidal CO2. We also assessed the potential impact that a pediatric mechanical ventilation protocol adapted from National Heart Lung and Blood Institute acute respiratory distress syndrome network protocols could have on reducing variability by comparing actual changes in ventilator settin...
Source: Pediatric Critical Care Medicine - November 1, 2017 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

The Relationship Between Remoteness and Outcomes in Critically Ill Children
Objective: A significant number of children live in remote geographic areas without direct access to tertiary care PICU. Our objective was to explore the relationship between remoteness and outcomes of critically ill children in Canada. Design: Retrospective cohort study of patients admitted to the PICU from February 1, 2015, to January 31, 2016. Setting: Pediatric tertiary care PICU in Canada. Patients: All children admitted to PICU during the study period. Interventions: None Measurements and Main Results: Four hundred fifty-five unique PICU admissions were included. One hundred sixty-nine patients were ...
Source: Pediatric Critical Care Medicine - November 1, 2017 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

Empowering Parents of Australian Infants and Children in Hospital: Translation, Cultural Adaptation, and Validation of the EMpowerment of PArents in The Intensive Care-30-AUS Questionnaire
Objectives: To translate, culturally adapt, and psychometrically test the EMpowerment of PArents in The Intensive Care-30 questionnaire in Australian pediatric critical care, neonatal, and pediatric ward settings. Design: Cross-sectional, descriptive, multicenter study conducted in two phases; 1) translation and cultural adaptation and 2) validation of the EMpowerment of PArents in The Intensive Care-30 questionnaire. Settings: Two Western Australian sites, the PICU and two pediatric wards of a children’s hospital and the neonatal unit of a women’s and newborn hospital. Participants: Parents whose ba...
Source: Pediatric Critical Care Medicine - November 1, 2017 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

Similar Metabolic, Innate Immunity, and Adipokine Profiles in Adult and Pediatric Sepsis Versus Systemic Inflammatory Response Syndrome—A Pilot Study
Objectives: To examine whether the septic profiles of heat shock protein 72, heat shock protein 90α, resistin, adiponectin, oxygen consumption, CO2 production, energy expenditure, and metabolic pattern, along with illness severity, nutritional, and inflammatory indices, differ between adult and pediatric patients compared with systemic inflammatory response syndrome and healthy controls. To evaluate whether these biomolecules may discriminate sepsis from systemic inflammatory response syndrome in adult and pediatric patients. Design: Prospective cohort study. Setting: University ICU and PICU. Patients: Sev...
Source: Pediatric Critical Care Medicine - November 1, 2017 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

Basic Hemodynamic Monitoring Using Ultrasound or Electrical Cardiometry During Transportation of Neonates and Infants*
Objectives: Electrical cardiometry and heart ultrasound might allow hemodynamic evaluation during transportation of critically ill patients. Our aims were 1) to test feasibility of stroke volume monitoring using electrical cardiometry or ultrasound during transportation and 2) to investigate if transportation impacts on electrical cardiometry and ultrasound reliability. Design: Prospective, pragmatic, feasibility cohort study. Setting: Mobile ICUs specialized for neonatal and pediatric transportation. Patients: Thirty hemodynamically stable neonates and infants. Interventions: Patients enrolled underwent pair...
Source: Pediatric Critical Care Medicine - November 1, 2017 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

Pharmacokinetic/Pharmacodynamic Target Attainment During Extracorporeal Membrane Oxygenation: Does the Circuit Matter?
No abstract available (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - November 1, 2017 Category: Pediatrics Tags: Letters to the Editor Source Type: research

The authors reply
No abstract available (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - November 1, 2017 Category: Pediatrics Tags: Letters to the Editor Source Type: research

The First-Line Treatment of Anaphylaxis Is to Have a Written Protocol
No abstract available (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - November 1, 2017 Category: Pediatrics Tags: Letters to the Editor Source Type: research

The author replies
No abstract available (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - November 1, 2017 Category: Pediatrics Tags: Letters to the Editor Source Type: research

Assessing Feasibility of Randomized Controlled Trials of Corticosteroids in Pediatric Septic Shock in Developed Countries: Only Half the Answer to the Problem
No abstract available (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - November 1, 2017 Category: Pediatrics Tags: Letters to the Editor Source Type: research

The Future of Resuscitation: Personalized Physiology-Guided Cardiopulmonary Resuscitation*
No abstract available (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - November 1, 2017 Category: Pediatrics Tags: Editorials Source Type: research

The Importance of Not Being Stuck in the ICU and Options to Make it Happen*
No abstract available (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - November 1, 2017 Category: Pediatrics Tags: Editorials Source Type: research