Biting Off What You Can Chew: Promoting Feeding Development in the Cardiac ICU*
No abstract available (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - March 1, 2022 Category: Pediatrics Tags: Editorials Source Type: research
Risk and Resistance: Examining Our Antibiotic Use*
No abstract available (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - March 1, 2022 Category: Pediatrics Tags: Editorials Source Type: research
Peak Inspiratory Pressure to Estimate Plateau Pressure in Pressure Controlled Modes: Be Aware of Age and Disease*
No abstract available (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - March 1, 2022 Category: Pediatrics Tags: Editorials Source Type: research
Fluid Resuscitation in Children—Better to Be “Normal” or “Balanced”?*
No abstract available (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - March 1, 2022 Category: Pediatrics Tags: Editorials Source Type: research
Rising Intensive Care Costs in Bronchiolitis Infants—Is Nasal High Flow the Culprit?*
No abstract available (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - March 1, 2022 Category: Pediatrics Tags: Editorials Source Type: research
Latent Safety Threats in the PICU: Finding the Unseen*
No abstract available (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - March 1, 2022 Category: Pediatrics Tags: Editorials Source Type: research
I Cannot Let It Go
No abstract available (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - March 1, 2022 Category: Pediatrics Tags: PCCM Narrative Source Type: research
Candidacy for Extracorporeal Life Support in Children After Hematopoietic Cell Transplantation: A Position Paper From the Pediatric Acute Lung Injury and Sepsis Investigators Network’s Hematopoietic Cell Transplant and Cancer Immunotherapy Subgroup
CONCLUSIONS:
Extracorporeal life support in hematopoietic cell transplantation patients is being used with increasing frequency and potentially improving survival. The Pediatric Acute Lung Injury and Sepsis Investigators hematopoietic cell transplantation-cancer immunotherapy subgroup has developed a framework to guide physicians in decision-making surrounding extracorporeal life support candidacy in pediatric hematopoietic cell transplantation patients. In addition to standard extracorporeal life support considerations, candidacy in the hematopoietic cell transplantation population should consider the following six fa...
Source: Pediatric Critical Care Medicine - March 1, 2022 Category: Pediatrics Tags: Special Article Source Type: research
Agreement Between Peak Inspiratory Pressure in Decelerating-Flow Ventilation and Plateau Pressure in Square-Flow Ventilation in Pediatric Acute Respiratory Distress Syndrome*
OBJECTIVES:
Acute respiratory distress syndrome guidelines suggest limiting plateau pressures to 28–30 cm H2O. Plateau pressure is most accurately measured in square-flow modes, such as volume control. In children, decelerating-flow modes, such as pressure-regulated volume control and pressure control, are more common. Consequently, plateau pressures are rarely obtained, and pressure limits are instead provided for peak inspiratory pressure. The degree to which peak inspiratory pressure in decelerating-flow overestimates plateau pressure is unknown. Therefore, we assessed the correlation and accuracy of peak inspir...
Source: Pediatric Critical Care Medicine - March 1, 2022 Category: Pediatrics Tags: Brief Report Source Type: research
Retrospective Assessment of Patient and Catheter Characteristics Associated With Malpositioned Central Venous Catheters in Pediatric Patients
CONCLUSIONS:
The prevalence of IJ and SC CVC tips outside of the recommended location was high. Left-sided catheters, patient weight, and sex were associated with malposition. Malpositioned catheters were not associated with increased harm. (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - March 1, 2022 Category: Pediatrics Tags: Clinical Investigation Source Type: research
Balanced Versus Unbalanced Fluid in Critically Ill Children: Systematic Review and Meta-Analysis*
CONCLUSIONS:
Our systematic review found some evidence of improvement in blood pH and bicarbonate values in critically ill children after 4–12 hours of fluid bolus therapy with balanced fluid compared with the unbalanced fluid. However, a randomized controlled trial is needed to establish whether these findings have an impact on clinical outcomes before recommendations can be generated. (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - March 1, 2022 Category: Pediatrics Tags: Feature Review Article Source Type: research
Hospital Charges Associated With Critical Bronchiolitis From 2009 to 2019*
OBJECTIVES:
To evaluate the contribution of PICU care to increasing hospital charges for patients with bronchiolitis over a 10-year study period.
DESIGN:
In this retrospective multicenter study, changes in annual hospital charges (adjusted for inflation) were analyzed using linear regression for subjects admitted to the PICU with invasive mechanical ventilation (PICU + IMV) and without IMV (PICU – IMV), and for children not requiring PICU care.
SETTING:
Free-standing children’s hospitals contributing to the Pediatric Health Information System (PHIS) database.
SUBJECTS:
Children less than 2 year...
Source: Pediatric Critical Care Medicine - March 1, 2022 Category: Pediatrics Tags: Feature Articles Source Type: research
Antimicrobial Stewardship in Bronchiolitis: A Retrospective Cohort Study of Three PICUs in Canada
CONCLUSIONS:
Antimicrobial stewardship programs were associated with increased likelihood of discontinuing antimicrobial treatments in the PICU patients with viral bronchiolitis. However, larger studies are needed to further determine the role of an antimicrobial stewardship programs in reducing unnecessary antimicrobial use in this patient population. (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - March 1, 2022 Category: Pediatrics Tags: Feature Articles Source Type: research
Human Factors Analysis of Latent Safety Threats in a Pediatric Critical Care Unit*
CONCLUSIONS:
Latent safety threats span various pediatric critical care activities and are attributable to many underlying work system factors. Latent safety threats are present both when staff comply with and deviate from policies and protocols, suggesting that simply reinforcing compliance with existing policies and protocols, the common default intervention imposed by healthcare organizations, will be insufficient to mitigate safety threats. Rather, interventions must be designed to address the underlying work system threats. This human factors informed framework analysis of observational data is a useful approach t...
Source: Pediatric Critical Care Medicine - March 1, 2022 Category: Pediatrics Tags: Feature Articles Source Type: research
Editor’s Choice Articles for March
No abstract available (Source: Pediatric Critical Care Medicine)
Source: Pediatric Critical Care Medicine - March 1, 2022 Category: Pediatrics Tags: Editor’s Choice Source Type: research
