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A Brief History of Cardiothoracic Surgical Critical Care Medicine in the United States
This article describes the early days of cardiothoracic surgery and cardiothoracic intensive care medicine.PMID:36557057 | PMC:PMC9788562 | DOI:10.3390/medicina58121856
Source: Medicina (Kaunas) - December 23, 2022 Category: Universities & Medical Training Authors: Rafal Kopanczyk Nicolas Kumar Amar M Bhatt Source Type: research
The Morbidity and Mortality Conference in PICUs in the United States: A National Survey*
Conclusions: Morbidity and mortality conferences varied widely in structure and process across PICUs in the United States. There was marked disagreement as to whether the morbidity and mortality conference conforms to key elements of medical incident analysis, which might itself be revealing a lack of morbidity and mortality conference structure and consistency. Future research is needed to identify barriers to the use of the morbidity and mortality conference as a patient safety improvement tool and to test strategies for effective implementation linked to improved patient outcomes.
Source: Critical Care Medicine - October 1, 2014 Category: Emergency Medicine Tags: Pediatric Critical Care Source Type: research
Hyperchloremia Is Associated With Complicated Course and Mortality in Pediatric Patients With Septic Shock*
Objective:
Hyperchloremia is associated with poor outcome among critically ill adults, but it is unknown if a similar association exists among critically ill children. We determined if hyperchloremia is associated with poor outcomes in children with septic shock.
Design:
Retrospective analysis of a pediatric septic shock database.
Setting:
Twenty-nine PICUs in the United States.
Patients:
Eight hundred ninety children 10 years and younger with septic shock.
Interventions:
None.
Measurements and Main Results:
We considered the minimum, maximum, and mean chloride values during the initial 7 days of septic sh...
Source: Pediatric Critical Care Medicine - February 1, 2018 Category: Pediatrics Tags: Late Breaker Articles Source Type: research
Initiating Nutritional Support Before 72 Hours Is Associated With Favorable Outcome After Severe Traumatic Brain Injury in Children: A Secondary Analysis of a Randomized, Controlled Trial of Therapeutic Hypothermia
Objectives:
To understand the relationship between the timing of initiation of nutritional support in children with severe traumatic brain injury and outcomes.
Design:
Secondary analysis of a randomized, controlled trial of therapeutic hypothermia (Pediatric Traumatic Brain Injury Consortium: Hypothermia, also known as “the Cool Kids Trial” (NCT 00222742).
Settings:
Fifteen clinical sites in the United States, Australia, and New Zealand.
Subjects:
Inclusion criteria included 1) age less than 18 years, 2) postresuscitation Glasgow Coma Scale less than or equal to 8, 3) Glasgow Coma Scale motor score less than...
Source: Pediatric Critical Care Medicine - April 1, 2018 Category: Pediatrics Tags: Neurocritical Care Source Type: research
23.4% Hypertonic Saline and Intracranial Pressure in Severe Traumatic Brain Injury Among Children: A 10-Year Retrospective Analysis
Objective:
To explore the effect of 23.4% hypertonic saline for management of elevated intracranial pressure in children admitted to our institution for severe traumatic brain injury.
Design:
Single-center, retrospective medical chart analysis.
Setting:
A PICU at a level 1 pediatric trauma center in the United States.
Patients:
Children admitted for severe traumatic brain injury from 2006 to 2016 who received 23.4% hypertonic saline and whose intracranial pressures were measured within 5 hours of receiving 23.4% hypertonic saline.
Interventions:
None.
Measurements and Main Results:
Over the 10-year period,...
Source: Pediatric Critical Care Medicine - May 1, 2019 Category: Pediatrics Tags: Neurocritical Care Source Type: research
A bibliometric analysis of publications on trauma in critical care medicine during 1980-2018: A holistic view.
CONCLUSION: This study will be a useful guide to all scientists and clinicians conducting research on trauma in critical care.
PMID: 32185766 [PubMed - in process]
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - February 29, 2020 Category: Emergency Medicine Authors: Karaca O, Guldogan CE Tags: Ulus Travma Acil Cerrahi Derg Source Type: research
Longitudinal Trajectories of Caregiver Distress and Family Functioning After Community-Acquired Pediatric Septic Shock
Conclusions:
Although the majority of families whose children survived community-acquired septic shock were characterized by resilience, a subgroup demonstrated trajectories of persistently elevated distress and family dysfunction during the 12 months after hospitalization. Results suggest a need for family-based psychosocial screening after pediatric septic shock to identify and support at-risk families.
Source: Pediatric Critical Care Medicine - September 1, 2020 Category: Pediatrics Tags: Feature Article Source Type: research
Severe Acute Kidney Injury Is Associated With Increased Risk of Death and New Morbidity After Pediatric Septic Shock*
Objectives:
Acute kidney injury is common in critically ill children; however, the frequency of septic shock–associated acute kidney injury and impact on functional status are unknown. We evaluated functional outcomes of children with septic shock–associated acute kidney injury.
Design:
Secondary analysis of patients with septic shock from the prospective Life after Pediatric Sepsis Evaluation study. We defined acute kidney injury using Kidney Disease Improving Global Outcomes criteria, comparing patients with absent/Stage 1 acute kidney injury to those with Stage 2/3 acute kidney injury (severe acute kidney injur...
Source: Pediatric Critical Care Medicine - September 1, 2020 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research
International Survey on Determinants of Antibiotic Duration and Discontinuation in Pediatric Critically Ill Patients
Conclusions:
Antibiotic-related decisions are complex and may be influenced by cultural and contextual factors. Evidence-based criteria are necessary to guide antibiotic duration and ensure the rational use of antibiotics in PICUs.
Source: Pediatric Critical Care Medicine - September 1, 2020 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research
ABCDEF Bundle Practices for Critically Ill Children: An International Survey of 161 PICUs in 18 Countries*
Conclusions:
ABCDEF bundle components have been adopted with substantial variability across regions. Additional research must rigorously evaluate the efficacy of specific elements with a focus on B, D, E, and full ABCDEF bundle implementation. Implementation science is needed to facilitate an understanding of the barriers to ABCDEF implementation and sustainability with a focus on specific cultural and regional differences.
Source: Critical Care Medicine - December 20, 2021 Category: Emergency Medicine Tags: Pediatric Critical Care Source Type: research
