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Infectious Disease: Coronavirus

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Changes in Pediatric Intensive Care Unit Utilization and Clinical Trends during the Coronavirus Pandemic
We examined the indirect impact of the pandemic on a population of critically ill children in the United States.RESEARCH QUESTION: Were there significantly fewer critically ill children admitted to PICUs during the 2nd quarter of 2020, and were there significant changes in the types of diseases admitted?STUDY DESIGN AND METHODS: Retrospective observational cohort study using the Virtual Pediatric Systems (VPS, LLC) database. Participants were 160,295 children admitted to the Pediatric Intensive Care Unit (PICU) at 77 sites in the United States during quarters 1 (Q1) and 2 (Q2) of 2017-2019 (pre-COVID) and 2020 (COVID).RESU...
Source: Chest - March 17, 2021 Category: Respiratory Medicine Authors: Janine Zee-Cheng Casey K McCluskey Margaret J Klein Matthew C Scanlon Alexandre T Rotta Steven L Shein Jose A Pineda Kenneth E Remy Christopher L Carroll Source Type: research

Agreement With Pediatric Suprapatellar Bursa Effusion Assessments by Point-of-Care Ultrasound After Remote Training
Conclusions After a remote teleconference didactic session, PEM fellows were able to successfully diagnose SPB effusions using a longitudinal view with substantial interobserver reliability. Knee radiography exhibited limited sensitivity to rule out SPB effusions.
Source: Pediatric Emergency Care - February 1, 2022 Category: Emergency Medicine Tags: Original Research Article Source Type: research

Evaluation of reported medical services provided to pediatric viral bronchiolitis diagnoses during the COVID-19 pandemic
CONCLUSIONS: During the COVID-19 pandemic, less infants were diagnosed with acute bronchiolitis but the frequency of emergency department services, hospitalization, and mechanical ventilation, reportedly required was similar. Longer-term studies are needed to evaluate the benefits of COVID-19 mitigation strategies on common viruses that require critical care.PMID:35436722 | DOI:10.1016/j.resmer.2022.100909
Source: Respiratory Care - April 18, 2022 Category: Respiratory Medicine Authors: Conrad Krawiec Duane Williams Vonn Walter Neal J Thomas Source Type: research

COVID-19: trainee perspectives from unprecedented changes on the Paediatric Intensive Care Unit (PICU)
Pediatr Res. 2021 Mar 2. doi: 10.1038/s41390-021-01418-5. Online ahead of print.ABSTRACTDuring the coronavirus disease 2019 (COVID-19) global pandemic, there has been a need to develop surge capacity. Since the disease is uncommon in children, working on a paediatric intensive care unit (PICU) has required an expansion of roles and responsibilities outside established confines. The most drastic change in practice involved having to care for both critically ill adults and children side by side on the PICU. Redeployment to work on an adult critical care unit as required was similarly momentous. Based on our experience of man...
Source: Pediatric Research - March 3, 2021 Category: Pediatrics Authors: Naren Siva Philip Knight Akash Deep Source Type: research

Trauma patients with SARS-CoV-2 in German ICUs during the 2nd wave of the COVID-19 pandemic
CONCLUSION: The proportion of trauma patients of all SARS-CoV-2-positive critically ill patients is small (~ 1%) but relevant. There is no concentration of these patients at Level 1 trauma centres. However, the traumatic insult is the most relevant cause for ICU treatment in most of these patients. Regarding a new wave of the pandemic, adequate trauma dedicated resources and perioperative structures and expertise have to be provided for COVID-19 trauma patients.PMID:34779869 | DOI:10.1007/s00068-021-01829-3
Source: Hand Surgery - November 15, 2021 Category: Surgery Authors: Uwe Hamsen Christian Waydhas J örg Bayer Sebastian Wutzler Klemens Horst Frank Hildebrand Trauma Section of the German Interdisciplinary Association of Critical Care, Emergency Medicine (DIVI) Source Type: research

Clinical Care for Severe Acute Respiratory Infection Toolkit: COVID-19 Adaptation
Source: World Health Organization (WHO). Published: 4/9/2020. This 196-page toolkit is intended for clinicians working in intensive care units in low- and middle-income countries, managing adult and pediatric patients with severe forms of acute respiratory infection, including severe pneumonia, acute respiratory distress syndrome, sepsis, and septic shock. It is a hands-on practical guide to be used by healthcare professionals involved in critical care management during the COVID-19 pandemic and outbreaks of influenza (seasonal or avian influenza), Middle East respiratory syndrome coronavirus (MERS-CoV), or other emerging...
Source: Disaster Lit: Resource Guide for Disaster Medicine and Public Health - April 9, 2020 Category: International Medicine & Public Health Source Type: news

American College of Rheumatology Clinical Guidance for Multisystem Inflammatory Syndrome in Children Associated With SARS –CoV‐2 and Hyperinflammation in Pediatric COVID‐19: Version 1
ConclusionOur understanding of SARS –CoV‐2–related syndromes in the pediatric population continues to evolve. The guidance provided in this “living document” reflects currently available evidence, coupled with expert opinion, and will be revised as further evidence becomes available.
Source: Arthritis and Rheumatology - October 2, 2020 Category: Rheumatology Authors: Lauren A. Henderson, Scott W. Canna, Kevin G. Friedman, Mark Gorelik, Sivia K. Lapidus, Hamid Bassiri, Edward M. Behrens, Anne Ferris, Kate F. Kernan, Grant S. Schulert, Philip Seo, Mary Beth F. Son, Adriana H. Tremoulet, Rae S. M. Yeung, Am Tags: Full Length Source Type: research

American College of Rheumatology Clinical Guidance for Multisystem Inflammatory Syndrome in Children Associated With SARS –CoV‐2 and Hyperinflammation in Pediatric COVID‐19: Version 2
ConclusionOur understanding of SARS –CoV‐2–related syndromes in the pediatric population continues to evolve. This guidance document reflects currently available evidence coupled with expert opinion, and will be revised as further evidence becomes available.
Source: Arthritis and Rheumatology - February 16, 2021 Category: Rheumatology Authors: Lauren A. Henderson, Scott W. Canna, Kevin G. Friedman, Mark Gorelik, Sivia K. Lapidus, Hamid Bassiri, Edward M. Behrens, Anne Ferris, Kate F. Kernan, Grant S. Schulert, Philip Seo, Mary Beth F. Son, Adriana H. Tremoulet, Rae S. M. Yeung, Am Tags: Full Length Source Type: research

Coronavirus Disease 2019 in Children: An Invisible Threat Which We Cannot Ignore*
No abstract available
Source: Pediatric Critical Care Medicine - July 1, 2020 Category: Pediatrics Tags: Editorials Source Type: research

The Role of Lung Ultrasound in Diagnosis and Follow-Up of Children With Coronavirus Disease 2019
No abstract available
Source: Pediatric Critical Care Medicine - August 1, 2020 Category: Pediatrics Tags: Letters to the Editor Source Type: research

Well-Being During Coronavirus Disease 2019: A PICU Practical Perspective
The importance of promoting well-being for healthcare professionals has never been as important as during the current coronavirus disease 2019 pandemic. It is recognized that the concept of well-being is a multifaceted phenomenon which is influenced by individual, team, and system characteristics. We outline an approach to practically initiating supportive strategies within the PICU using a well-being approach to improve baseline resilience alongside an acute rescue strategy utilizing a peer-support network. These strategies are practical interventions and we share them with the aim of encouraging the international PICU co...
Source: Pediatric Critical Care Medicine - August 1, 2020 Category: Pediatrics Tags: Online PCCM Perspectives Source Type: research

Coronavirus Disease 2019: A Tsunami of Data and a Plethora of Unanswered Questions*
No abstract available
Source: Pediatric Critical Care Medicine - October 1, 2020 Category: Pediatrics Tags: Editorials Source Type: research