Peripheral Vasopressors—Are We Avoiding the Central Issue Altogether?*
No abstract available (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - August 1, 2022 Category: Pediatrics Tags: Editorials Source Type: research
Reckoning With Redlining and Other Structural Barriers to Health of Critically Ill Children: Addressing Systemic Racism Will Require Shifting the Focus From Micro- to Macrolevel Analysis of Social Risks*
No abstract available (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - August 1, 2022 Category: Pediatrics Tags: Editorials Source Type: research
Late-Onset Neurologic Dysfunction in Pediatric Sepsis—What Brains Might Learn From Kidneys and Persistent Acute Kidney Injury*
No abstract available (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - August 1, 2022 Category: Pediatrics Tags: Editorials Source Type: research
The Post-PICU Growth Curve*
No abstract available (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - August 1, 2022 Category: Pediatrics Tags: Editorials Source Type: research
Writing for PCCM: Instructions for Authors
No abstract available (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - August 1, 2022 Category: Pediatrics Tags: PCCM Notes, Methods, and Statistics Source Type: research
Variations in Demonstrated Emotional Intelligence: Trainee to Experienced Faculty Member*
CONCLUSIONS:
This study provides the first characterization of EI competencies among trainees and faculty members using a validated multirater assessment tool. The descriptions of physician EI, based on years of experience, are an important piece of the foundation for future explorations into the advancement of physician EI and effective leadership. (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - August 1, 2022 Category: Pediatrics Tags: Brief Report Source Type: research
Association of Pathogen Type With Outcomes of Children Encountering Community-Acquired Pediatric Septic Shock
CONCLUSIONS:
This secondary analysis of the LAPSE database identified no statistically significant association of pathogen type with composite mortality and morbidity outcomes. However, pathogen type may be associated with PICU resources employed to treat sepsis organ dysfunction. Ultimately, pediatric septic shock was frequently associated with adverse patient-centered, clinically meaningful outcomes regardless of infectious disease pathogen type. (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - August 1, 2022 Category: Pediatrics Tags: Clinical Investigations Source Type: research
Peripheral and Central/Intraosseous Vasoactive Infusions During and After Pediatric Critical Care Transport: Retrospective Cohort Study of Extravasation Injury*
CONCLUSIONS:
During pediatric critical care transport, we did not find a difference in prevalence of adverse events following the administration of vasoactive drugs via peripheral venous catheters or via central venous and intraosseous catheters. (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - August 1, 2022 Category: Pediatrics Tags: Clinical Investigations Source Type: research
Peripheral Vasoactive Administration in Critically Ill Children With Shock: A Single-Center Retrospective Cohort Study*
CONCLUSIONS:
In our experience, peripheral venous catheters can be used for vasoactive administration. In our series, the upper limit of the 95% CI for extravasation is approximately 1-in-30, meaning that this route may be an appropriate option while evaluating the need for central access, particularly in patients with low illness severity. (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - August 1, 2022 Category: Pediatrics Tags: Clinical Investigations Source Type: research
Geospatial Analysis of Social Determinants of Health Identifies Neighborhood Hot Spots Associated With Pediatric Intensive Care Use for Acute Respiratory Failure Requiring Mechanical Ventilation*
CONCLUSIONS:
Social determinants of health identified by geospatial analyses are associated with acute respiratory failure requiring invasive mechanical ventilation in critically ill children. Interventions addressing the neighborhood social vulnerability and child opportunity are needed to decrease disparities in intensive care admissions for acute respiratory failure requiring mechanical ventilation. (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - August 1, 2022 Category: Pediatrics Tags: Feature Articles Source Type: research
Outcomes Associated With Timing of Neurologic Dysfunction Onset Relative to Pediatric Sepsis Recognition*
OBJECTIVES:
To compare outcomes associated with timing—early versus late—of any neurologic dysfunction during pediatric sepsis.
DESIGN:
Secondary analysis of a cross-sectional point prevalence study.
SETTING:
A total of 128 PICUs in 26 countries.
PATIENTS:
Less than 18 years with severe sepsis on 5 separate days (2013–2014).
INTERVENTIONS:
None.
MEASUREMENTS AND MAIN RESULTS:
Patients were categorized as having either no neurologic dysfunction or neurologic dysfunction (i.e., present at or after sepsis recognition), which was defined as Glasgow Coma Scale score less than 5 and/o...
Source: Pediatric Critical Care Medicine - August 1, 2022 Category: Pediatrics Tags: Feature Articles Source Type: research
Physical, Emotional/Behavioral, and Neurocognitive Developmental Outcomes From 2 to 4 Years After PICU Admission: A Secondary Analysis of the Early Versus Late Parenteral Nutrition Randomized Controlled Trial Cohort*
CONCLUSIONS:
From 2- to 4-year post-PICU admission, developmental impairments remained prominent. Within that time-window, impaired growth in height, executive functioning and intelligence aggravated, and impaired memory and harm by early-PN only partially recovered. Impact on development into adulthood requires further investigation. (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - August 1, 2022 Category: Pediatrics Tags: Feature Articles Source Type: research
Editor’s Choice Articles for August
No abstract available (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - August 1, 2022 Category: Pediatrics Tags: Editor’s Choice Source Type: research
Preferential Protection of Cerebral Autoregulation and Reduction of Hippocampal Necrosis With Norepinephrine After Traumatic Brain Injury in Female Piglets: Retraction
No abstract available (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - July 1, 2022 Category: Pediatrics Tags: Online Retraction Source Type: research
Risk Factors for Sepsis-Associated Acute Kidney Injury in the PICU: A Retrospective Cohort Study
CONCLUSIONS:
In children with severe sepsis, the degree of hemodynamic support as measured by the VIS and the presence of fluid overload may identify patients at increased risk of developing severe AKI. (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - July 1, 2022 Category: Pediatrics Tags: Online Brief Reports Source Type: research
