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Total 135433 results found since Jan 2013.

Ultrasound Assessment of Quadriceps Femoris Muscle Thickness in Critically Ill Children*
OBJECTIVES: Evaluate the reliability of ultrasound to measure quadriceps femoris muscle thickness in critically ill children and to describe serial changes in quadriceps femoris muscle thickness in relation to fluid balance and nutritional intake. DESIGN: Prospective observational study. SETTING: Tertiary care children’s hospital. PATIENTS: Inpatients age 3 months to 18 years recently admitted to the ICU who were sedated and mechanically ventilated at the time of the first ultrasound scan. METHODS: Prospective observational study to examine the reliability of averaged ultrasound measuremen...
Source: Pediatric Critical Care Medicine - October 1, 2021 Category: Pediatrics Tags: Clinical Investigations Source Type: research

Performance of Pediatric Mortality Prediction Scores for PICU Mortality and 90-Day Mortality*
Conclusions: Pediatric Index of Mortality 3 performed better in calibration for predicting PICU and 90-day mortality than Pediatric Risk of Mortality III and is not influenced by intervention or PICU quality of care. Therefore, Pediatric Index of Mortality 3 seems a better choice for use in clinical trials with 90-day mortality as primary outcome.
Source: Pediatric Critical Care Medicine - February 1, 2019 Category: Pediatrics Tags: Feature Articles Source Type: research

Profile of Fluid Exposure and Recognition of Fluid Overload in Critically Ill Children
Conclusions: Although resuscitation fluids contributed more to fluid exposure on day 1 compared with day 3, fluid exposure frequently exceeded maintenance requirements on day 3. Fluid overload was not always recognized by PICU practitioners. Further studies to correlate modifiable fluid exposure to fluid overload and explore modifiable practice improvement opportunities are needed.
Source: Pediatric Critical Care Medicine - August 1, 2020 Category: Pediatrics Tags: Renal Critical Care Source Type: research

Rapid Advancement in Enteral Nutrition Does Not Affect Systemic Inflammation and Insulin Homeostasis Following Pediatric Cardiopulmonary Bypass Surgery*
Conclusions: A FF strategy was not associated with changes to early enteral nutrition delivery. Inflammation, insulin resistance, and morbidity were similar, but FF may modify the relationship between inflammation and adverse event. Multicenter nutrition studies are possible and necessary in this vulnerable population.
Source: Pediatric Critical Care Medicine - July 1, 2020 Category: Pediatrics Tags: Online Cardiac Intensive Care Source Type: research

The Association of Laboratory Test Abnormalities With Mortality Risk in Pediatric Intensive Care*
CONCLUSIONS: The relative importance of laboratory test ranges vary widely, with some ranges strongly associated with mortality and others strongly associated with survival. When evaluated in the context of test panels rather than isolated tests, the mortality odds ratios for the test ranges decreased but generally remained significant as risk was distributed among the components of the test panels. These data are useful to develop critical values for children in ICUs, to identify risk factors previously underappreciated, for education and training, and for future risk score development.
Source: Pediatric Critical Care Medicine - February 1, 2021 Category: Pediatrics Tags: Feature Articles Source Type: research

Enteral Feeding Practices in Infants With Congenital Heart Disease Across European PICUs: A European Society of Pediatric and Neonatal Intensive Care Survey*
Conclusions: Wide variations in practices exist in the nutritional care between European PICUs, which reflects the absence of local protocols and scientific society-endorsed guidelines. This is likely to contribute to suboptimal energy delivery in this particularly vulnerable group.
Source: Pediatric Critical Care Medicine - February 1, 2018 Category: Pediatrics Tags: Cardiac Intensive Care Source Type: research

Incorporating the 2017 critical care pediatric nutrition support guidelines into clinical practice
Abstract: Optimal nutrition support in critically ill children is associated with improved outcomes and decreased mortality. Nutrition provision often competes with other care priorities in critically ill patients. The pediatric critical care nutrition support guidelines supplement clinician knowledge and inform best practices for nutrition therapy in this vulnerable patient population.
Source: Nursing Critical Care - December 7, 2018 Category: Nursing Tags: Feature Source Type: research

SCCM Pod-46 2007 Congress Keynotes Up Close: Daren Heyland
Daren Heyland, MD, MSc, is of the prominent keynote speakers set to present during the 36th Critical Care Congress, to be held February 17 to 21, 2007. He discusses his presentation, "Pharmaco-Nutrition: A New Emerging Paradigm," and offers insight into his background and accomplishments in critical care. Dr. Heyland is professor of medicine at Queens University in Kingston, Ontario, Canada.
Source: SCCM PodCast - iCritical Care - October 27, 2006 Category: Intensive Care Authors: The Society of Critical Care Medicine (SCCM) Tags: Medicine Source Type: podcasts

Point-of-care ultrasound to evaluate thickness of rectus femoris, vastus intermedius muscle, and fat as an indicator of muscle and fat wasting in critically ill patients in a multidisciplinary intensive care unit
Conclusions: There is potential utility of ultrasound for early detection and probable corrective measures to prevent ICUAW. The rectus femoris thickness, skin to bone, and bone to muscle thickness show statistically significant difference on day 3, day 7 compared to day 1. Fat layer did not show statistically significant decrease.
Source: Indian Journal of Critical Care Medicine - November 19, 2018 Category: Intensive Care Authors: Yeshaswini Katari Rangalakshmi Srinivasan Priyadarshini Arvind Sahajananda Hiremathada Source Type: research

Choosing Wisely in Critical Care: A National Survey of Critical Care Nurses.
CONCLUSIONS: Acute and critical care nurses are directly involved with measures to reduce unnecessary testing and treatments. Greater awareness and championing of the Choosing Wisely recommendations by acute and critical care nurses can help to promote high-value care for acute and critically ill patients. PMID: 31676518 [PubMed - in process]
Source: American Journal of Critical Care - October 31, 2019 Category: Nursing Authors: Wiencek CA, Kleinpell R, Moss M, Sessler CN Tags: Am J Crit Care Source Type: research

Factors Disrupting Melatonin Secretion Rhythms During Critical Illness
Conclusions: Encephalopathy severity and adrenergic agonist medication exposure were the primary factors contributing to abnormal melatonin rhythms. Improvements in encephalopathy and medical stabilization did not rapidly normalize rhythms. Urinary 6-sulphatoxymelatonin is not a reliable measure of the central circadian rhythm in critically ill patients.
Source: Critical Care Medicine - May 22, 2020 Category: Emergency Medicine Tags: Neurologic Critical Care Source Type: research

Current Evidence for the Use of Smoflipid ® Emulsion in Critical Care Patients for Parenteral Nutrition.
Current Evidence for the Use of Smoflipid® Emulsion in Critical Care Patients for Parenteral Nutrition. Crit Care Res Pract. 2018;2018:6301293 Authors: Leguina-Ruzzi AA, Ortiz R Abstract There are strong data showing that malnutrition is highly prevalent in intensive care unit patients (20-50% in the worldwide), presenting a negative accumulated body energy balance. This results in an increased mortality, infections, and hospital length stay with high costs associated with the total treatment. Parenteral nutrition is the first option when the patient's physical condition is not suitable for oral nutri...
Source: Critical Care Research and Practice - December 28, 2018 Category: Intensive Care Tags: Crit Care Res Pract Source Type: research

Priorities for Nutrition Research in Pediatric Critical Care.
CONCLUSIONS: This paper has identified important consensus-derived priorities for clinical research in pediatric critical care nutrition. Future studies should determine topics that are a priority for patients and parents. Research funding should target these priority areas and promote an international collaborative approach to research in this field, with a focus on improving relevant patient outcomes. PMID: 30588643 [PubMed - as supplied by publisher]
Source: JPEN Journal Of Parenteral And Enteral Nutrition - December 26, 2018 Category: Nutrition Authors: Tume LN, Valla FV, Floh AA, Goday P, Jotterand Chaparro C, Larsen B, Lee JH, Moreno YMF, Pathan N, Verbruggen S, Mehta NM Tags: JPEN J Parenter Enteral Nutr Source Type: research

Critical Update on the Third Edition of the Guidelines for Managing Severe Traumatic Brain Injury in Children.
CONCLUSIONS: The evidence base for treating pediatric TBI is increasing and provides the basis for high-quality care. This article provides critical care providers with a quick reference to the current evidence when caring for a child with a severe TBI. In addition, it provides direct access links to the comprehensive guideline document and algorithms developed to support critical care providers. PMID: 31968082 [PubMed - in process]
Source: American Journal of Critical Care - December 31, 2019 Category: Nursing Authors: Reuter-Rice K, Christoferson E Tags: Am J Crit Care Source Type: research