Query: Pediatric Critical Care Medicine

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A Needs Assessment of Brain Death Education in Pediatric Critical Care Medicine Fellowships*
Objectives: To assess the current training in brain death examination provided during pediatric critical care medicine fellowship. Design: Internet-based survey. Setting: United States pediatric critical care medicine fellowship programs. Subjects: Sixty-four pediatric critical care medicine fellowship program directors and 230 current pediatric critical care medicine fellows/recent graduates were invited to participate. Interventions: Participants were asked demographic questions related to their fellowship programs, training currently provided at their fellowship programs, previous experience with brain dea...
Source: Pediatric Critical Care Medicine - July 1, 2018 Category: Pediatrics Tags: Neurocritical Care Source Type: research

Practice Patterns in Pediatric Critical Care Medicine: Results of a Workforce Survey
Conclusions: These data provide a description of the typical intensivist and a snapshot of the current pediatric critical care medicine workforce, which may be experiencing a mild-to-moderate undersupply. The results are useful for assessing the current workforce and valuable for future planning.
Source: Pediatric Critical Care Medicine - October 1, 2015 Category: Pediatrics Tags: Online PCCM Perspectives Source Type: research

Hemodynamic Bedside Ultrasound Image Quality and Interpretation After Implementation of a Training Curriculum for Pediatric Critical Care Medicine Providers*
Conclusion: Hemodynamic bedside ultrasound performed or supervised by credentialed pediatric critical care providers had more accurate interpretation than studies performed by unsupervised non–credentialed providers. A rigorous pediatric critical care medicine bedside ultrasound credentialing program can train intensivists to attain adequate images and interpret those images appropriately.
Source: Pediatric Critical Care Medicine - July 1, 2016 Category: Pediatrics Tags: Feature Articles Source Type: research

The Development of Tracheal Intubation Proficiency Outside the Operating Suite During Pediatric Critical Care Medicine Fellowship Training: A Retrospective Cohort Study Using Cumulative Sum Analysis
Conclusions: Tracheal intubation overall success improved significantly during the course of fellowship; however, the tracheal intubation first attempt success rates did not. Large variance existed in individual tracheal intubation performance over time. Further investigations on a larger scale across different training programs are necessary to clarify intensity and duration of the training to achieve tracheal intubation procedural competency.
Source: Pediatric Critical Care Medicine - July 1, 2016 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

Career Development Support in Pediatric Critical Care Medicine: A National Survey of Fellows and Junior Faculty*
Conclusions: Most pediatric critical care medicine fellows and junior faculty reported good to excellent career development support during fellowship. However, important gaps remain, particularly for those pursuing community-based (nonacademic) and administrative tracks. Fellows were uncertain regarding future pediatric critical care medicine employment and their ability to pursue ideal career tracks. There may be a role for professional organizations to provide additional resources for career development in pediatric critical care medicine.
Source: Pediatric Critical Care Medicine - April 1, 2017 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

Outcome of Pediatric Critical Care Medicine Abstracts Presented at North American Academic National Meetings*
Conclusions: Less than half of pediatric critical care medicine research abstracts presented at North American national academic meetings culminate in articles. Pediatric Academic Societies had the highest publication success rate, and Society of Critical Care Medicine abstracts were published in journals with the highest impact factors. All trainees who were first authors retained that status in the journal publications.
Source: Pediatric Critical Care Medicine - August 1, 2017 Category: Pediatrics Tags: Special Article Source Type: research

An Intensive, Simulation-Based Communication Course for Pediatric Critical Care Medicine Fellows
Objective: Effective communication among providers, families, and patients is essential in critical care but is often inadequate in the PICU. To address the lack of communication education pediatric critical care medicine fellows receive, the Children’s Hospital of Pittsburgh PICU developed a simulation-based communication course, Pediatric Critical Care Communication course. Pediatric critical care medicine trainees have limited prior training in communication and will have increased confidence in their communication skills after participating in the Pediatric Critical Care Communication course. Design: Pediatric Criti...
Source: Pediatric Critical Care Medicine - August 1, 2017 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

Pediatric Critical Care Medicine Training: 2004–2016*
Conclusions: For the period 2004 to 2016, there was a substantial increase in positions and applicants applying for training in pediatric critical care medicine. We document an increase in demand (i.e., applicants) that has been matched by an increase in supply (i.e., positions) for pediatric critical care medicine fellowship training. The nearly complete use of the National Resident Matching Program for placing applicants in training positions in pediatric critical care medicine suggests that these data can be used to inform workforce analysis in pediatric critical care medicine.
Source: Pediatric Critical Care Medicine - January 1, 2018 Category: Pediatrics Tags: Feature Articles Source Type: research

Diagnostic Bedside Ultrasound Program Development in Pediatric Critical Care Medicine: Results of a National Survey*
Conclusions: Diagnostic bedside ultrasound is increasingly prevalent in training and clinical use across the pediatric critical care medicine landscape despite frequently absent core programmatic infrastructural elements. These core elements are perceived as important to program development, regardless of division unit size. Shared standardized resources may assist in reducing the effort in core element implementation and allow us to measure important educational and clinical outcomes.
Source: Pediatric Critical Care Medicine - November 1, 2018 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

Evaluating the Need for Pediatric Procedural Sedation Training in Pediatric Critical Care Medicine Fellowship*
Conclusions: Pediatric procedural sedation lacks a clearly defined training pathway. Most fellows find pediatric procedural sedation a valuable skill set. We propose that all Pediatric Critical Care Medicine fellows receive training that includes pediatric procedural sedation critical incident simulation and cases performed outside the PICU to establish proficiency.
Source: Pediatric Critical Care Medicine - March 1, 2019 Category: Pediatrics Tags: Education Source Type: research

Alterations in Spanish Language Interpretation During Pediatric Critical Care Family Meetings*
Conclusions: Conclusions:To minimize interpreter alterations during family meetings, physicians should speak in short utterances (fewer than 20 words) and ask interpreters to interrupt in order to facilitate accurate interpretation. Because alterations occur, physicians may also regularly attempt to assess the family’s understanding.
Source: Critical Care Medicine - October 17, 2017 Category: Emergency Medicine Tags: Pediatric Critical Care Source Type: research

Burnout and Psychological Distress Among Pediatric Critical Care Physicians in the United States*
Conclusions: Burnout is high among pediatric critical care physicians in the United States. About two thirds of the physicians with severe burnout met the screening criteria for psychological distress that suggests possible common mental disorders. Significant percentages of physicians experiencing burnout and considering to leave the profession has major implications for the critical care workforce.
Source: Critical Care Medicine - December 19, 2017 Category: Emergency Medicine Tags: Pediatric Critical Care Source Type: research

Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Pediatric Critically Ill Patient: Society of Critical Care Medicine and American Society for Parenteral and Enteral Nutrition
This document represents the first collaboration between two organizations, American Society of Parenteral and Enteral Nutrition and the Society of Critical Care Medicine, to describe best practices in nutrition therapy in critically ill children. The target of these guidelines is intended to be the pediatric (> 1 mo and
Source: Pediatric Critical Care Medicine - July 1, 2017 Category: Pediatrics Tags: Special Article Source Type: research

Pod-347 High-Quality Randomized Controlled Trials in Pediatric Critical Care
Margaret Parker, MD, MCCM, speaks Mark Duffett, PhD, about the article, High-Quality Randomized Controlled Trials in Pediatric Critical Care: A Survey of Barriers and Facilitators, published in the May 2017 issue of Pediatric Critical Care Medicine.
Source: SCCM PodCast - iCritical Care - August 21, 2017 Category: Intensive Care Authors: The Society of Critical Care Medicine (SCCM) Tags: Medicine Source Type: podcasts

SCCM Pod-347 High-Quality Randomized Controlled Trials in Pediatric Critical Care
Margaret Parker, MD, MCCM, speaks Mark Duffett, PhD, about the article, High-Quality Randomized Controlled Trials in Pediatric Critical Care: A Survey of Barriers and Facilitators, published in the May 2017 issue of Pediatric Critical Care Medicine.
Source: SCCM PodCast - iCritical Care - August 21, 2017 Category: Intensive Care Authors: The Society of Critical Care Medicine (SCCM) Tags: Medicine Source Type: podcasts

SCCM Pod-74 PCCM: The Collaborative Pediatric Critical Care Research Network
Douglas Willson, MD, discusses an article he published in the July 2006 issue of Pediatric Critical Care Medicine, "The Collaborative Pediatric Critical Care Research Network." Dr. Willson is medical director of the pediatric intensive care unit at the University of Virginia Health Sciences Center and the chairman of the Steering Committee for the Collaborative Pediatric Critical Care Research Network. (Pediatr Crit Care Med. 2006; 7:301)
Source: SCCM PodCast - iCritical Care - May 16, 2007 Category: Intensive Care Authors: The Society of Critical Care Medicine (SCCM) Tags: Medicine Source Type: podcasts

The Current State of the Diagnosis and Management of Acute Kidney Injury by Pediatric Critical Care Physicians*
Conclusions: Half of PICU attending physicians surveyed are not using recent acute kidney injury guidelines or diagnostic criteria in their practice. There is a positive association between awareness and clinical use of acute kidney injury guidelines. Serum creatinine and urine output are still the primary diagnostics; novel biomarkers are frequently unavailable.
Source: Pediatric Critical Care Medicine - August 1, 2016 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

Mothers and Fathers Experience Stress of Congenital Heart Disease Differently: Recommendations for Pediatric Critical Care*
Conclusions: This study highlights the importance of understanding the paternal experience and tailoring interventions to the unique needs of both mothers and fathers. Opportunities for critical care practice change to promote the mental health of mothers and fathers following a diagnosis of congenital heart disease are discussed.
Source: Pediatric Critical Care Medicine - July 1, 2018 Category: Pediatrics Tags: Cardiac Intensive Care Source Type: research

Pediatric Intensive Care Outcomes: Development of New Morbidities During Pediatric Critical Care*
Objective: To investigate significant new morbidities associated with pediatric critical care. Design: Randomly selected, prospective cohort. Setting: PICU patients from eight medical and cardiac PICUs. Patients: This was a randomly selected, prospective cohort of PICU patients from eight medical and cardiac PICUs. Measurements and Main Results: The main outcomes measures were hospital discharge functional status measured by Functional Status Scale scores and new morbidity defined as an increase in the Functional Status Scale of more than or equal to 3. Of the 5,017 patients, there were 242 new morbidities (4.8%), 99 PICU ...
Source: Pediatric Critical Care Medicine - November 1, 2014 Category: Pediatrics Tags: Feature Articles Source Type: research

Pediatric Critical Care Physician-Administered Procedural Sedation Using Propofol: A Report From the Pediatric Sedation Research Consortium Database*
Conclusions: Pediatric procedural sedation using propofol can be provided by pediatric critical care physicians effectively and with a low incidence of adverse events.
Source: Pediatric Critical Care Medicine - January 1, 2015 Category: Pediatrics Tags: Feature Articles Source Type: research

Making Decisions About Medications in Critically Ill Children: A Survey of Canadian Pediatric Critical Care Clinicians
Conclusions: The relative importance of many factors that clinicians consider when making decisions about medications varies by demographics, and depends on the clinical problem. This variability should be considered in quality improvement and knowledge translation interventions in this setting.
Source: Pediatric Critical Care Medicine - January 1, 2015 Category: Pediatrics Tags: Feature Articles Source Type: research

Implementation of a Pediatric Critical Care Focused Bedside Ultrasound Training Program in a Large Academic PICU*
Conclusions: Implementation of a critical care bedside ultrasound program for critical care providers in a large academic PICU is feasible. Bedside ultrasound evaluation and interpretation by intensivists affected the management of critically ill children.
Source: Pediatric Critical Care Medicine - March 1, 2015 Category: Pediatrics Tags: Feature Articles Source Type: research

Pediatric Critical Care Nursing Research Priorities—Initiating International Dialogue
Conclusions: The consensus meeting was effective in organizing pediatric critical care nursing knowledge, identifying knowledge gaps and in prioritizing nursing research initiatives that could be used to advance nursing science across world regions.
Source: Pediatric Critical Care Medicine - July 1, 2015 Category: Pediatrics Tags: Online Review Article Source Type: research

Pilot Randomized Trials in Pediatric Critical Care: A Systematic Review
Conclusions: Published pilot trials in pediatric critical care often focus on clinical outcomes. They uncommonly report explicit feasibility outcomes, criteria for success, or rationale for the pilot sample size. These pilot trials infrequently lead to larger trials. Understanding and addressing the reasons for this are key to the success of pediatric critical care research.
Source: Pediatric Critical Care Medicine - September 1, 2015 Category: Pediatrics Tags: Online Review Article Source Type: research

Validity and Feasibility Evidence of Objective Structured Clinical Examination to Assess Competencies of Pediatric Critical Care Trainees*
Conclusion: Validity and feasibility evidence in this study indicate that the use of the objective structured clinical examination scores can be a valid way to assess CanMEDS competencies required for independent practice in pediatric critical care medicine.
Source: Critical Care Medicine - April 16, 2016 Category: Emergency Medicine Tags: Clinical Investigations Source Type: research

Functional Outcomes and Physical Impairments in Pediatric Critical Care Survivors: A Scoping Review*
Conclusions: Functional impairment may be persistent in pediatric survivors of critical care. Unfortunately, studies varied largely in measurement timing and tools used. The lack of differentiation between impairment in different functional domains limited the generalizability of data. Further studies using a combination of standardized measures at various time points of the disease process can help establish more comprehensive rates of physical impairment.
Source: Pediatric Critical Care Medicine - May 1, 2016 Category: Pediatrics Tags: Online Review Article Source Type: research

The Impact of Clinical Trials Conducted by Research Networks in Pediatric Critical Care
The objective of this study was to evaluate the productivity and impact of randomized controlled trials conducted by pediatric critical care research networks, compared with nonnetwork trials. Data Sources, Study Selection, and Data Abstraction: We searched multiple online databases including MEDLINE, reference lists of randomized controlled trials, and relevant systematic reviews. Independent pairs of reviewers identified published randomized controlled trials administering any intervention to children in a PICU and abstracted data. A research network was defined as a formal consortium or collaborative research group est...
Source: Pediatric Critical Care Medicine - September 1, 2016 Category: Pediatrics Tags: Feature Review Article Source Type: research

Frequency, Composition, and Predictors of In-Transit Critical Events During Pediatric Critical Care Transport*
Conclusions: Using new consensus definitions of transport-related critical events, we found critical events occurred in almost one in eight transports, and were strongly associated with pretransport cardiovascular instability. Transport Pediatric Early Warning Score was poorly predictive of in-transit critical events, and was not superior to the presence of pretransport mechanical ventilation and cardiovascular instability. Future prospective studies are required to elucidate the optimal matching of transport resources to patients, in particular those with both pretransport cardiovascular instability and mechanical ventilation.
Source: Pediatric Critical Care Medicine - October 1, 2016 Category: Pediatrics Tags: Quality and Safety Source Type: research

Strategic Planning for Research in Pediatric Critical Care
Conclusions: Of the many pathophysiologic conditions discussed, the multiple organ dysfunction syndrome emerged as a topic in need of more study that is most relevant to the field. Additionally, the experts offered that the interrelationship and impact of critical illness on child development and family functioning are important research priorities. Consequently, long-term outcomes research was encouraged. The expert group also suggested that multidisciplinary conferences are needed to help identify key knowledge gaps to advance and direct research in the field. The Pediatric Critical Care and Trauma Scientist Development ...
Source: Pediatric Critical Care Medicine - November 1, 2016 Category: Pediatrics Tags: Online PCCM Perspectives Source Type: research

Pediatric Critical Care Transport as a Conduit to Terminal Extubation at Home: A Case Series*
Conclusions: Although a relatively infrequent practice in pediatric critical care, transport home for terminal extubation represents a feasible alternative for families seeking out-of-hospital end-of-life care for their critically ill technology-dependent children. Our single-center experience supports the need for development of formal programs for end-of-life critical care transports to include patient screening tools, palliative care home discharge algorithms, transport protocols, and resource utilization and cost analyses.
Source: Pediatric Critical Care Medicine - January 1, 2017 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

High-Quality Randomized Controlled Trials in Pediatric Critical Care: A Survey of Barriers and Facilitators*
Objectives: High-quality, adequately powered, randomized controlled trials are needed to inform the care of critically ill children. Unfortunately, such evidence is not always available. Our objective was to identify barriers and facilitators of conducting high-quality randomized controlled trials in pediatric critical care, from the perspective of trialists in this field. Design: Self-administered online survey. Respondents rated the importance of barriers and effectiveness of facilitators on seven-point scales. Setting: Authors of 294 pediatric critical care randomized controlled trials (published 1986 to June 2015). ...
Source: Pediatric Critical Care Medicine - May 1, 2017 Category: Pediatrics Tags: Feature Article Source Type: research

Relationship of Hospital Costs With Mortality in Pediatric Critical Care: A Multi-Institutional Analysis*
Conclusions: This large observational study did not demonstrate any relationship between hospital costs and patient outcomes in children with critical illness. Further efforts are needed to evaluate quality-cost relationship and high value care in critically ill children across centers of varying volume by linking data from clinical and administrative databases.
Source: Pediatric Critical Care Medicine - June 1, 2017 Category: Pediatrics Tags: Feature Articles Source Type: research

Abstracts from the Pediatric Critical Care Colloquium New York, NY November 11–13, 2016
No abstract available
Source: Pediatric Critical Care Medicine - July 1, 2017 Category: Pediatrics Tags: Abstracts from the Pediatric Critical Care Colloquium Source Type: research

The Impact of Telemedicine on Pediatric Critical Care Triage*
We examined the providers’ self-reported assessments about the consultation, decision-making, and triage outcomes. We estimate a logit model to predict triage location as a function of telemedicine consult age and sex. For telemedicine patients, the odds of triage to a non-ICU level of care are 2.55 times larger than the odds for patients receiving telephone consultations (p = 0.0005). Providers rated the accuracy of their assessments higher when consultations were provided via telemedicine. When patients were transferred to a non-ICU location following a telemedicine consultation, providers indicated that the use of tel...
Source: Pediatric Critical Care Medicine - November 1, 2017 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

Epidemiology of Pediatric Critical Care Transport in Northern Alberta and the Western Arctic
Conclusions: The current transport system has multiple priorities with regard to efficiency and quality. The medical services at referral hospitals may affect the likelihood of PICU admission and subsequent PICU length of stay; however, no negative impact was observed in other outcomes including mortality.
Source: Pediatric Critical Care Medicine - June 1, 2018 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

Applying Machine Learning to Pediatric Critical Care Data*
Objectives: To explore whether machine learning applied to pediatric critical care data could discover medically pertinent information, we analyzed clinically collected electronic medical record data, after data extraction and preparation, using k-means clustering. Design: Retrospective analysis of electronic medical record ICU data. Setting: Tertiary Children’s Hospital PICU. Patients: Anonymized electronic medical record data from PICU admissions over 10 years. Interventions: None. Measurements and Main Results: Data from 11,384 PICU episodes were cleaned, and specific features were generated. A k-mean...
Source: Pediatric Critical Care Medicine - July 1, 2018 Category: Pediatrics Tags: Feature Article Source Type: research

Ability to Assent in Pediatric Critical Care Research: A Prospective Environmental Scan of Two Canadian PICUs
Conclusions: Very few patients were considered approachable for assent during the first 24 hours of PICU admission. Those who were considered appropriate to approach were less ill, spent less time in PICU, and were unlikely to be considered for enrollment in pediatric critical care research.
Source: Pediatric Critical Care Medicine - August 1, 2018 Category: Pediatrics Tags: Online Brief Report Source Type: research

Consensus Recommendations for RBC Transfusion Practice in Critically Ill Children From the Pediatric Critical Care Transfusion and Anemia Expertise Initiative
Conclusions: The Transfusion and Anemia Expertise Initiative recommendations provide important clinical guidance and applicable tools to avoid unnecessary RBC transfusions. Research recommendations identify areas of focus for future investigation to improve outcomes and safety for RBC transfusion.
Source: Pediatric Critical Care Medicine - September 1, 2018 Category: Pediatrics Tags: Special Article Source Type: research

Advancing Randomized Controlled Trials in Pediatric Critical Care: The Perspectives of Trialists
Conclusions: Coordinated, deliberate actions to build community and ensure key training and practical experiences for new investigators may strengthen the research enterprise in pediatric critical care. These strategies, potentially in combination with other novel approaches, may vitalize clinical research in this field.
Source: Pediatric Critical Care Medicine - November 1, 2018 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

Abstracts from the 25th Pediatric Critical Care Colloquium: Baltimore, Maryland October 5–7, 2018
No abstract available
Source: Pediatric Critical Care Medicine - February 1, 2019 Category: Pediatrics Tags: Online Pediatric Critical Care Colloquium Abstracts Source Type: research

A Cross-Sectional Analysis of Compassion Fatigue, Burnout, and Compassion Satisfaction in Pediatric Critical Care Physicians in the United States*
Conclusions: In our population, chronic exposure to distress in patients and families puts pediatric critical care physicians at risk for compassion fatigue and low compassion satisfaction. Awareness of compassion fatigue, burnout, and compassion satisfaction and their predictors may benefit providers both personally and professionally by allowing them to proactively manage their distress.
Source: Pediatric Critical Care Medicine - March 1, 2019 Category: Pediatrics Tags: Feature Articles Source Type: research

The Fragility of Statistically Significant Findings in Pediatric Critical Care Randomized Controlled Trials*
This study aimed to assess the robustness of statistically significant results from pediatric critical care randomized controlled trials with dichotomous outcomes. Data Sources: A previously published scoping review of pediatric critical care randomized controlled trials (www.PICUtrials.net). Study Selection: A total of 342 trials were screened for inclusion. After applying inclusion/exclusion criteria, 43 fulfilled eligibility criteria and were included in the analysis. Data Extraction: Calculation of Fragility Index for trials reporting a statistically significant dichotomous outcome, and analysis of the relatio...
Source: Pediatric Critical Care Medicine - June 1, 2019 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

PICU-Based Rehabilitation and Outcomes Assessment: A Survey of Pediatric Critical Care Physicians*
Conclusions: Physicians lack PICU-based rehabilitation guidelines despite great interest and current practices involving a high degree of PICU-based rehabilitation consultation. Data are needed to identify best practices and necessary resources in the delivery of ICU-based multidisciplinary rehabilitation and long-term functional outcomes assessment to optimize recovery of children and families affected by critical illness.
Source: Pediatric Critical Care Medicine - June 1, 2019 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

Seizure Detection by Critical Care Providers Using Amplitude-Integrated Electroencephalography and Color Density Spectral Array in Pediatric Cardiac Arrest Patients
Conclusions: Amplitude-integrated electroencephalography and aEEG + CDSA offer reasonable sensitivity and negative predictive value for seizure detection by critical care medicine providers. aEEG + CDSA did not improve seizure detection over amplitude-integrated electroencephalography alone although critical care medicine providers felt more confident using both tools combined. Amplitude-integrated electroencephalography and color density spectral array require further evaluation as a tool for screening for seizures and should only be used in conjunction with professional continuous electroencephalography review.
Source: Pediatric Critical Care Medicine - April 1, 2017 Category: Pediatrics Tags: Neurocritical Care Source Type: research

SCCM Pod-209: ECMO in Pediatric Critical Care
Margaret Parker, MD, FCCM, speaks with Heidi J. Dalton, MD, FCCM, about extracorporeal membrane oxygenation (ECMO) in pediatric critical care.
Source: SCCM PodCast - iCritical Care - March 28, 2013 Category: Intensive Care Authors: The Society of Critical Care Medicine (SCCM) Tags: Medicine Source Type: podcasts

An official american thoracic society/international society for heart and lung transplantation/society of critical care medicine/association of organ and procurement organizations/united network of organ sharing statement: ethical and policy considerations in organ donation after circulatory determination of death.
Conclusions: The information presented in this Statement is based on the current evidence, experience, and clinical rationale. New clinical research and the development and dissemination of new technologies will eventually necessitate an update of this Statement. PMID: 23815722 [PubMed - in process]
Source: American Journal of Respiratory and Critical Care Medicine - July 1, 2013 Category: Respiratory Medicine Authors: Gries CJ, White DB, Truog RD, Dubois J, Cosio CC, Dhanani S, Chan KM, Corris P, Dark J, Fulda G, Glazier AK, Higgins R, Love R, Mason DP, Nakagawa TA, Shapiro R, Shemie S, Tracy MF, Travaline JM, Valapour M, West L, Zaas D, Halpern SD, American Thoracic S Tags: Am J Respir Crit Care Med Source Type: research

Pediatric Index of Cardiac Surgical Intensive Care Mortality Risk Score for Pediatric Cardiac Critical Care*
Conclusions: This newly developed mortality score, PICSIM, consisting of 13 risk variables encompassing physiology, cardiovascular condition, and time of admission to the ICU showed better discrimination than Pediatric Index of Mortality-2, Pediatric Risk of Mortality-3, and STAT score and category for mortality in a multisite cohort of pediatric cardiac surgical patients. The introduction of the variable “admission time with respect to cardiac surgery” allowed prediction of mortality when patients are admitted to the ICU either before or after the index surgical procedure.
Source: Pediatric Critical Care Medicine - November 1, 2015 Category: Pediatrics Tags: Cardiac Intensive Care Source Type: research

American College of Critical Care Medicine Clinical Practice Parameters for Hemodynamic Support of Pediatric and Neonatal Septic Shock
Conclusions: The major new recommendation in the 2014 update is consideration of institution—specific use of 1) a “recognition bundle” containing a trigger tool for rapid identification of patients with septic shock, 2) a “resuscitation and stabilization bundle” to help adherence to best practice principles, and 3) a “performance bundle” to identify and overcome perceived barriers to the pursuit of best practice principles.
Source: Critical Care Medicine - May 17, 2017 Category: Emergency Medicine Tags: Special Article Source Type: research