Left Heart Decompression on Extracorporeal Membrane Oxygenation Support and Cardiopulmonary Bypass
No abstract available (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - December 1, 2021 Category: Pediatrics Tags: Online PCCM Concise Physiology Review Source Type: research
Collateral Damage*
No abstract available (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - December 1, 2021 Category: Pediatrics Tags: Editorials Source Type: research
Restoring Justice: Affluence Should Not Determine Children’s Access to Critical Care Services*
No abstract available (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - December 1, 2021 Category: Pediatrics Tags: Editorials Source Type: research
Causal Inference From Observational Data: It Is Complicated*
No abstract available (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - December 1, 2021 Category: Pediatrics Tags: Editorials Source Type: research
Learning From an Association Analysis Using Propensity Scores
No abstract available (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - December 1, 2021 Category: Pediatrics Tags: PCCM Notes, Methods, and Statistics Source Type: research
Association Between Anticholinergic Drug Burden and Adequacy of Enteral Nutrition in Critically Ill, Mechanically Ventilated Pediatric Patients
We examined the association between the anticholinergic burden of administered medications using the Anticholinergic Drug Scale and adequacy of enteral nutrition delivery.
DESIGN:
Secondary analysis of data from a previously characterized PICU cohort.
SETTING:
Multidisciplinary PICU in a quaternary academic medical center.
PATIENTS:
Younger than or equal to 18 years, on mechanical ventilation and received enteral nutrition within the first 3 days of PICU admission.
MEASUREMENTS AND MAIN RESULTS:
Daily Anticholinergic Drug Scale score, demographic data, and clinical data were obtained from the pr...
Source: Pediatric Critical Care Medicine - December 1, 2021 Category: Pediatrics Tags: Brief Reports Source Type: research
Relationship Distress at Home and Burnout Among 254 Pediatric Intensive Care Nurses*
CONCLUSIONS:
This study reflects the prevalence of relationship distress and its association with burnout and other practice and personal factors among PICU nurses. Nurses with high depersonalization experienced significantly higher distress in relationship satisfaction, and nurses who reported high personal satisfaction had significantly higher distress in relationship consensus. (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - December 1, 2021 Category: Pediatrics Tags: Brief Reports Source Type: research
A Hard Learned Lesson on What It’s Like to Be a Patient
No abstract available (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - December 1, 2021 Category: Pediatrics Tags: PCCM Narrative Source Type: research
Overall Health Following Pediatric Critical Illness: A Scoping Review of Instruments and Methodology
CONCLUSIONS:
Overall health was commonly assessed post-PICU discharge, especially in the traumatic brain injury population, using a heterogenous array of measures. Evaluation and consensus are imperative to identify the most appropriate method to measure overall health with the goal of improving care efficacy and facilitating recovery across populations of critically ill children. (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - December 1, 2021 Category: Pediatrics Tags: Review Article Source Type: research
ICU Admission in Children With Acute Lymphoblastic Leukemia in Sweden: Prevalence, Outcome, and Risk Factors
CONCLUSIONS:
The need for intensive care in children with acute lymphoblastic leukemia, especially for children with T cell acute lymphoblastic leukemia and CNS leukemia, is high with most admissions occurring during early treatment. (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - December 1, 2021 Category: Pediatrics Tags: Clinical Investigation Source Type: research
Outcomes of Catheter-Related Arterial and Venous Thrombosis After Enoxaparin Therapy in Neonates and Infants With Congenital Heart Disease
CONCLUSIONS:
A high proportion of vascular catheter-related thrombi identified in infants with congenital heart disease resolve with enoxaparin treatment. In all patients with thrombosis, arterial versus venous thrombosis is associated with greater odds of resolution. (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - December 1, 2021 Category: Pediatrics Tags: Cardiac Intensive Care Source Type: research
Socioeconomic Disadvantage and Distance to Pediatric Critical Care*
OBJECTIVES:
To describe the geography of pediatric critical care services and the relationship between poverty and distance to these services across the United States.
DESIGN:
Retrospective, cross-sectional study.
SETTING:
Contiguous United States.
PATIENTS:
Children less than 18 years as represented in the 2016 American Community Survey.
INTERVENTIONS:
None.
MEASUREMENTS AND MAIN RESULTS:
Pediatric critical care services were geographically concentrated within urban areas, with half of all PICUs located within 9.5 miles of another (interquartile range, 3.4–51.5 miles). Median dista...
Source: Pediatric Critical Care Medicine - December 1, 2021 Category: Pediatrics Tags: Feature Articles Source Type: research
Left Heart Decompression on Veno-Arterial Extracorporeal Membrane Oxygenation in Children With Dilated Cardiomyopathy and Myocarditis: An Extracorporeal Life Support Organization Registry Review
OBJECTIVES:
To describe the association between left heart decompression on veno-arterial extracorporeal membrane oxygenation and survival in patients with myocarditis and dilated cardiomyopathy. The secondary outcome is to study association of left heart decompression with survival in children with myocarditis compared with those with dilated cardiomyopathy.
DESIGN:
Retrospective study of a multicenter registry database.
SETTING:
Data reported to Extracorporeal Life Support Organization from international extracorporeal membrane oxygenation centers.
PATIENTS:
Patients less than or equal to 18 year...
Source: Pediatric Critical Care Medicine - December 1, 2021 Category: Pediatrics Tags: Feature Articles Source Type: research
Long-Term Increases in Mental Disorder Diagnoses After Invasive Mechanical Ventilation for Severe Childhood Respiratory Disease: A Propensity Matched Observational Cohort Study*
We examined rates of International Classification of Diseases, 9th revision–coded mental disorder diagnoses and psychotropic medication use following discharge among children requiring invasive mechanical ventilation for severe respiratory illness, compared with general hospital patients propensity score matched on sociodemographic and clinical characteristics prior to admission. Children admitted to the PICU for respiratory illness not necessitating invasive mechanical ventilation were also compared with matched general hospital patients as a negative control exposure.
MEASUREMENTS AND MAIN RESULTS:
Of 115,335 el...
Source: Pediatric Critical Care Medicine - December 1, 2021 Category: Pediatrics Tags: Feature Articles Source Type: research
Editor’s Choice Articles for December
No abstract available (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - December 1, 2021 Category: Pediatrics Tags: Editor’s Choice Source Type: research
