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An Ethical Claim for Providing Medical Recommendations in Pediatric Intensive Care
We describe an approach through which doctors can avoid paternalism without placing an undue burden of decision-making on families. We assert that patients’ interests are best served by clinicians taking an active, relational role in shared decision-making, including exploration of values and giving explicit medical recommendations for care.
Source: Pediatric Critical Care Medicine - August 1, 2018 Category: Pediatrics Tags: Online PCCM Perspectives Source Type: research

Pediatric Neurocritical Care: Evolution of a New Clinical Service in PICUs Across the United States
Objectives: Pediatric neurocritical care as a conceptual service is relatively new, and implementation of such specialized services may improve outcomes for children with disorders of the brain or spinal cord. How many pediatric neurocritical care services currently exist in the United States, and attitudes about such a service are unknown. Design: Web-based survey, distributed by e-mail. Setting: Survey was sent to PICU Medical Directors and Program Directors of Pediatric Neurosurgery fellowship and Child Neurology residency programs. Patients: None. Interventions: None. Measurements and Main Results: A t...
Source: Pediatric Critical Care Medicine - November 1, 2018 Category: Pediatrics Tags: Neurocritical Care Source Type: research

SCCM Pod-325 Pediatric Triage in a Severe Pandemic
Margaret Parker, MD, MCCM, speaks with Christine Gall, DrPH, about the article, "Pediatric Triage in a Severe Pandemic: Maximizing Survival by Establishing Triage Thresholds," published in the September 2016 issue of Critical Care Medicine.
Source: SCCM PodCast - iCritical Care - August 18, 2016 Category: Intensive Care Authors: The Society of Critical Care Medicine (SCCM) Tags: Medicine Source Type: podcasts

SCCM Pod-169 PCCM: Formal Handover Protocols Reduce Errors During Transition to the ICU
Brian F. Joy, MD, a fellow in the Department of Pediatric Cardiology at Childrens Memorial Hospital in Chicago, Illinois, USA, discussed an article published in the May 2011 Pediatric Critical Care Medicine
Source: SCCM PodCast - iCritical Care - March 1, 2012 Category: Intensive Care Authors: The Society of Critical Care Medicine (SCCM) Tags: Medicine Source Type: podcasts

SCCM Pod-96 PCCM: Acute Hyponatremia in Hospitalized Children
Desmond Bohn, MC, BCH, discusses his editorial, "The Problem of Acute Hyponatremia in Hospitalized Children: The Solution is the Solution," which was published in the November 2008 issue of Pediatric Critical Care Medicine. The editorial was in response to an article by P. Alvarez-Montanana et al, published in the same issue titled, "The use of isotonic fluid as maintenance therapy prevents iatrogenic hyponatremia in pediatrics: A randomized, controlled open study." Dr. Bohn is Department of Critical Care Medicine Chief at The Hospital for Sick Children in Toronto, Canada. (Pediatr Crit Care Med. 2008;9[6]:658) Released: 12/1/08
Source: SCCM PodCast - iCritical Care - December 1, 2008 Category: Intensive Care Authors: The Society of Critical Care Medicine (SCCM) Tags: Medicine Source Type: podcasts

Associations Between Postoperative Management in the Critical Care Unit and Adolescent Developmental Outcomes Following Cardiac Surgery in Infancy: An Exploratory Study*
Conclusions: Several important developmental outcomes in adolescents were associated with factors related to their postoperative course in the PICU as infants. Findings may highlight those children at highest risk for neurodevelopmental sequelae and suggest new approaches to critical care management following open-heart surgery, with the aim of mitigating or preventing adverse long-term outcomes.
Source: Pediatric Critical Care Medicine - November 1, 2020 Category: Pediatrics Tags: Online Cardiac Intensive Care Source Type: research

Family presence during resuscitation and invasive procedures in pediatric critical care: a systematic review.
CONCLUSIONS: These studies support the suggestion that family presence during resuscitation and invasive procedures increases parents' satisfaction and coping. However, the generalizability of these findings is limited by small sample sizes and inconsistent evaluation of confounding variables. Further research is needed to determine the benefits of family presence and prevent barriers to true implementation. PMID: 25362671 [PubMed - in process]
Source: American Journal of Critical Care - November 1, 2014 Category: Nursing Authors: McAlvin SS, Carew-Lyons A Tags: Am J Crit Care Source Type: research

Anemia among Pediatric Critical Care Survivors: Prevalence and Resolution.
Conclusions. Anemia is not common among patients discharged from the PCCU and recovers spontaneously within 4-6 months. PMID: 23509619 [PubMed]
Source: Critical Care Research and Practice - December 1, 2014 Category: Intensive Care Tags: Crit Care Res Pract Source Type: research

Incidence and Outcomes of Cardiopulmonary Resuscitation in PICUs
Objectives: To determine the incidence of cardiopulmonary resuscitation in PICUs and subsequent outcomes. Design, Setting, and Patients: Multicenter prospective observational study of children younger than 18 years old randomly selected and intensively followed from PICU admission to hospital discharge in the Collaborative Pediatric Critical Care Research Network December 2011 to April 2013. Results: Among 10,078 children enrolled, 139 (1.4%) received cardiopulmonary resuscitation for more than or equal to 1 minute and/or defibrillation. Of these children, 78% attained return of circulation, 45% survived to hospital disc...
Source: Critical Care Medicine - March 15, 2016 Category: Emergency Medicine Tags: Pediatric Critical Care Source Type: research

SCCM Pod-345 International Survey of Critically Ill Children with Acute Neurological Insults
Margaret Parker, MD, MCCM, speaks with Ericka L. Fink, MD, MS, about the PANGEA study (Prevalence of Acute Critical Neurological Disease in Children: A Global Epidemiological Assessment), published in the April 2017 issue of Pediatric Critical Care Medicine.
Source: SCCM PodCast - iCritical Care - August 3, 2017 Category: Intensive Care Authors: The Society of Critical Care Medicine (SCCM) Tags: Medicine Source Type: podcasts

SCCM Pod-344 Developing an ICU Diary in the Pediatric ICU
Todd Fraser, MD, speaks with Jenny Tcharmtchi, BSN, RN, CCRN, about the article, "Family Experience in the PICU," published in Critical Connections, the Society of Critical Care Medicine's newsletter.
Source: SCCM PodCast - iCritical Care - July 13, 2017 Category: Intensive Care Authors: The Society of Critical Care Medicine (SCCM) Tags: Medicine Source Type: podcasts

The Effectiveness of α2 Agonists As Sedatives in Pediatric Critical Care: A Propensity Score-Matched Cohort Study
Conclusions: Use of α2 agonists was associated with similar time adequately sedated as a matched unexposed group although no reduction in morphine or benzodiazepine coadministration was observed. There was a shift toward lighter sedation with α2 agonist use.
Source: Critical Care Medicine - June 15, 2019 Category: Emergency Medicine Tags: Online Clinical Investigations Source Type: research

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