Lessons and Insights From the Implementation of the Cohort Model for a PICU: A Case Study Research
Conclusions: Our transition to a cohort PICU model offers lessons on impacts of PICU model changes on communities and teams. These theory-informed insights and implications can guide others undergoing similar transitions. (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - October 1, 2022 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

Weight-Based Versus Flat Dosing of Epinephrine During Cardiac Arrest in the PICU: A Multicenter Survey
Conclusions: The majority of PICUs surveyed report epinephrine dosing practices that are inconsistent with PALS guidelines. (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - October 1, 2022 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

Clinical Relevance of Adverse Pulmonary Outcomes Following Severe Bronchiolitis*
No abstract available (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - October 1, 2022 Category: Pediatrics Tags: Editorials Source Type: research

In Search of the Unbiased Truth: Peritoneal Dialysis After Cardiac Surgery in Infants*
No abstract available (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - October 1, 2022 Category: Pediatrics Tags: Editorials Source Type: research

Sodium Bicarbonate and Poor Outcomes in Cardiopulmonary Resuscitation: Coincidence or Culprit?*
No abstract available (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - October 1, 2022 Category: Pediatrics Tags: Editorials Source Type: research

Enoxaparin to Prevent Catheter-Associated Thrombosis: Effective, But Is This a Tool We Need?*
No abstract available (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - October 1, 2022 Category: Pediatrics Tags: Editorials Source Type: research

Delirium in the PICU and Hospital Readmission With Delirium Recurrence*
No abstract available (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - October 1, 2022 Category: Pediatrics Tags: Editorials Source Type: research

Being and Becoming: Narrative Records of Pediatric Critical Care Clinicians
Medical humanities initiatives have been integrated in our Pediatric Critical Care program to help clinicians make meaning of key experiences in their professional and personal journeys. In particular, narrative medicine and clinicians’ writings illuminate and commemorate these journeys and increase our understanding of our profession in its full complexity. In this piece, we provide an example of a medical humanities curriculum and a selection of pieces written by several participants in it. These pieces form a collective narrative, portraying aspects of our individual and collective biography. (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - October 1, 2022 Category: Pediatrics Tags: PCCM Perspectives Source Type: research

A PCCM Narrative, in Verse
No abstract available (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - October 1, 2022 Category: Pediatrics Tags: PCCM Narrative Source Type: research

Functional Status and Hospital Readmission After Pediatric Critical Disease: A Year Follow-Up
Conclusion: FSS-Brazil rating at hospital discharge, age, and length of stay were associated with greater hazard of nonelective hospital readmission within 1 year of discharge. (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - October 1, 2022 Category: Pediatrics Tags: Brief Report Source Type: research

ICU Admission Tool for Congenital Heart Catheterization (iCATCH): A Predictive Model for High Level Post-Catheterization Care and Patient Management
Conclusions: The creation of a validated pre-procedural risk prediction model for ICU admission following congenital cardiac catheterization using a large volume, single-center, academic institution will improve resource allocation and prediction of capacity needs for this complex patient population. (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - October 1, 2022 Category: Pediatrics Tags: Cardiac Intensive Care Source Type: research

Treatment Algorithm for Patients With von Willebrand Syndrome Type 2A and Congenital Heart Disease—A Treatment Algorithm May Reduce Perioperative Blood Loss in Children With Congenital Heart Disease
Objectives: In children with congenital heart disease (CHD), excessive perioperative bleeding is associated with increased morbidity and mortality, thus making adequate perioperative hemostasis crucial. We investigate the prevalence of acquired von Willebrand syndrome type 2A (aVWS) in CHD and develop a treatment algorithm for patients with aVWS and CHD (TAPAC) to reduce perioperative blood loss. Design: Retrospective cohort study. Setting: Single-center study. Patients: A total of 627 patients with CHD, undergoing corrective cardiac surgery between January 2008 and May 2017. Interventions: ...
Source: Pediatric Critical Care Medicine - October 1, 2022 Category: Pediatrics Tags: Cardiac Intensive Care Source Type: research

Long-Term Pulmonary Outcomes in Children Mechanically Ventilated for Severe Bronchiolitis*
This study investigates children with a history of invasive mechanical ventilation for bronchiolitis, addressing: 1) the extent, 2) potential explanatory factors, and 3) possible impact on daily life activities of adverse long-term pulmonary outcomes. Design: Single-center cohort study. Setting: Outpatient PICU follow-up clinic. Patients: Children 6–12 years old with a history of invasive mechanical ventilation for bronchiolitis (age (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - October 1, 2022 Category: Pediatrics Tags: Clinical Investigation Source Type: research

Early Peritoneal Dialysis and Postoperative Outcomes in Infants After Pediatric Cardiac Surgery: A Systematic Review and Meta-Analysis*
Conclusions: This review suggests that early initiation of PD may be associated with beneficial postoperative outcomes in infants after cardiac surgery. However, these results were based on studies of varying qualities and risk of bias. Early identification of high-risk infants after cardiac surgery is important so that prevention or early mitigation strategies can be applied to this cohort. Future prospective studies in high-risk populations are needed to study the role of early PD in influencing postoperative outcomes. (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - October 1, 2022 Category: Pediatrics Tags: Feature Review Article Source Type: research

Sodium Bicarbonate Use During Pediatric Cardiopulmonary Resuscitation: A Secondary Analysis of the ICU-RESUScitation Project Trial*
Conclusions: In this propensity weighted multicenter cohort study of p-IHCA, sodium bicarbonate use was common and associated with lower rates of survival to hospital discharge. (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - October 1, 2022 Category: Pediatrics Tags: Feature Articles Source Type: research