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Total 108509 results found since Jan 2013.

Bridging the Stressful Gap Between ICU and Home: Medical Simulation for Pediatric Patients and Their Families*
Conclusions: In accordance with new care models and patient need, critical care requires parallel evolution of care practices, including new educational and care models, in order to maximally reduce risk, fear, and anxiety and to insure quality and consistent care in the community for patients and families transitioning between the ICU and home environments.
Source: Pediatric Critical Care Medicine - April 1, 2019 Category: Pediatrics Tags: Online PCCM Perspectives Source Type: research

Survey of Sedation and Analgesia Practice Among Canadian Pediatric Critical Care Physicians*
Conclusion: Our survey demonstrates great variation in practice in the management of pain and anxiety in Canadian PICUs. Standardized strategies for sedation, delirium and withdrawal, and sleep promotion are lacking. There is a need for research in this field and the development of evidence-based, pediatric sedation and analgesia guidelines.
Source: Pediatric Critical Care Medicine - September 1, 2016 Category: Pediatrics Tags: Feature Articles Source Type: research

Society of Critical Care Medicine’s International Consensus Conference on Prediction and Identification of Long-Term Impairments After Critical Illness
Conclusions: Beginning with an assessment of a patient’s pre-ICU functional abilities at ICU admission, clinicians have a care coordination strategy to identify and manage impairments across the continuum. As hospital discharge approaches, clinicians should use brief, standardized assessments and compare these results to patient’s pre-ICU functional abilities (“functional reconciliation”). We recommend serial assessments for post-intensive care syndrome-related problems continue within 2–4 weeks of hospital discharge, be prioritized among high-risk patients, using the identified screening tools to prompt referr...
Source: Critical Care Medicine - October 14, 2020 Category: Emergency Medicine Tags: Review Articles Source Type: research

Symptoms of Anxiety, Depression and Peritraumatic Dissociation in Critical Care Clinicians Managing COVID-19 Patients: A Cross-Sectional Study.
CONCLUSIONS: HCPs experience high levels of psychological burden during the COVID-19 epidemic. Hospitals, ICU directors, and ICU staff must devise strategies to overcome the modifiable determinants of adverse mental illness symptoms. This article is open access and distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License 4.0 (http://creativecommons.org/licenses/by-nc-nd/4.0/). PMID: 32866409 [PubMed - as supplied by publisher]
Source: American Journal of Respiratory and Critical Care Medicine - August 30, 2020 Category: Respiratory Medicine Authors: Azoulay E, Cariou A, Bruneel F, Demoule A, Kouatchet A, Reuter D, Souppart V, Combes A, Klouche K, Argaud L, Barbier F, Jourdain M, Reignier J, Papazian L, Guidet B, Géri G, Resche-Rigon M, Guisset O, Labbé V, Mégarbane B, Van Der Meersch G, Guitton C, Tags: Am J Respir Crit Care Med Source Type: research

Health-related quality of life following pediatric critical illness
Conclusions Validated pediatric HRQL instruments are now available. Significant impact on HRQL has been demonstrated in acute and acute on chronic critical illness. Future pediatric critical care interventional trials should include both mortality as well as long-term HRQL measurements to truly ascertain the full impact of critical illness in children.
Source: Intensive Care Medicine - April 8, 2015 Category: Intensive Care Source Type: research

Coping With Staff Burnout and Work-Related Posttraumatic Stress in Intensive Care*
Objectives: To examine the associations with symptoms of 1) burnout and 2) work-related posttraumatic stress, in adult and pediatric intensive care staff, focusing on the particular contributions of resilience and coping strategies. Design: Point prevalence cross-sectional study. Setting: Three adult ICUs and four PICUs. Subjects: Three hundred seventy-seven ICU staff. Interventions: None. Measurements and Main Results: Brief Resilience Scale, abbreviated Maslach Burnout Inventory, Trauma Screening Questionnaire, and Hospital Anxiety and Depression Scale. Prevalence of burnout (defined as high emotional exhaustion or ...
Source: Pediatric Critical Care Medicine - July 1, 2017 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

Involvement of Parents in the Care of Preterm Infants: A Pilot Study Evaluating a Family-Centered Care Intervention in a Chinese Neonatal ICU
Objectives: To evaluate the effectiveness and safety of a family-centered care intervention in a Chinese neonatal ICU. Design: Pilot study using a randomized controlled trial design to inform a main randomized controlled trial study. Setting: Stand-alone tertiary children’s hospital in China with a 60-bed neonatal ICU serving as a regional neonatal ICU center. Patients: Premature infants (n = 61) and their parents (n = 110). Interventions: Parent education program followed by parents’ participation in care as primary caregiver until discharge for a minimum of 4 hours per day. Measurements and Main Result...
Source: Pediatric Critical Care Medicine - August 1, 2018 Category: Pediatrics Tags: Neonatal Intensive Care Source Type: research

Enhancing hospital well-being and minimizing intensive care unit trauma: Cushioning effects of psychosocial care
Conclusions: Although psychosocial care was not a component of hospital well-being and had a negative correlation with ICU trauma, it contributed significantly with a cushioning effect to minimize trauma and helped enhance the feelings and experiences of well-being among patients in ICU.
Source: Indian Journal of Critical Care Medicine - October 17, 2017 Category: Intensive Care Authors: Usha Chivukula Meena Hariharan Suvashisa Rana Marlyn Thomas Asher Andrew Source Type: research

Comparison of clonidine and dexmedetomidine for short-term sedation of intensive care unit patients
Conclusion: Both clonidine and dexmedetomidine produced effective sedation; however, the hemodynamic stability provided by dexmedetomidine gives it an edge over clonidine for short-term sedation of ICU patients.
Source: Indian Journal of Critical Care Medicine - July 5, 2014 Category: Intensive Care Authors: Uma SrivastavaMita Eunice SarkarAditya KumarAmrita GuptaArchana AgarwalTapas Kumar SinghVivek BadadaYogita Dwivedi Source Type: research

COVID-19 Accelerated Psych Problems for Critical Care Clinicians COVID-19 Accelerated Psych Problems for Critical Care Clinicians
Snapshot survey data from critical care workers showed significant increases in depression, anxiety, and somatic symptoms during the pandemic.Medscape Medical News
Source: Medscape Emergency Medicine Headlines - April 20, 2022 Category: Emergency Medicine Tags: Critical Care News Source Type: news

Using Critical Care Simulations to Prepare Nursing Students for Capstone Clinical Experiences.
Authors: Smallheer B, Hunt J, Smith J Abstract The purpose of this innovative learning strategy was to decrease students' fear and anxiety within the critical care environment before the initiation of a critical care capstone clinical experience by enhancing their familiarity of the critical care environment through deliberate practice and experiential learning. This will in turn increase student knowledge and competence in the critical care setting.Critical care units are often used during a capstone clinical experience to enhance critical thinking and clinical reasoning. Student preparation for these rotations, h...
Source: Dimensions in Critical Care Nursing - February 1, 2018 Category: Nursing Tags: Dimens Crit Care Nurs Source Type: research

The Impact of Massage and Reading on Children’s Pain and Anxiety After Cardiovascular Surgery: A Pilot Study*
Conclusions: Our pilot study demonstrated the safety and feasibility of implementing massage therapy in the immediate postoperative period in pediatric heart surgery patients. We found decreased State-Trait Anxiety scores at discharge and lower total exposure to benzodiazepines. Preventing postoperative complications such as delirium through nonpharmacologic interventions warrants further evaluation.
Source: Pediatric Critical Care Medicine - August 1, 2018 Category: Pediatrics Tags: Cardiac Intensive Care Source Type: research

Mediators of Initial Acute and Later Posttraumatic Stress in Youth in a PICU*
Conclusions: Youth in a pediatric intensive care unit are at increased risk for posttraumatic stress disorder and should be screened for acute stress disorder. (Pediatr Crit Care Med 2015; 16:e113–e118)
Source: Pediatric Critical Care Medicine - May 1, 2015 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

Parental Mental Health Care After Their Child’s Pediatric Intensive Care Hospitalization*
Conclusions: After their child’s PICU hospitalization, the proportion of parents with a new mental health diagnosis nearly doubled. Mothers were at nearly twice the risk of receiving a new mental health diagnosis and receiving a new mental health medication compared with fathers. The proportion of parents receiving mental healthcare is much lower than the proportion reporting mental health symptoms in long-term outcomes studies. Whether this indicates a gap in healthcare delivery for parents with mental health symptoms remains unknown.
Source: Pediatric Critical Care Medicine - November 1, 2020 Category: Pediatrics Tags: Feature Articles Source Type: research

Opioid Analgesia in Mechanically Ventilated ChildrenOpioid Analgesia in Mechanically Ventilated Children
Opioid analgesics help to reduce pain, anxiety, and agitation, but may also lead to opioid tolerance, dependence, and more . . . Pediatric Critical Care Medicine
Source: Medscape Today Headlines - February 4, 2013 Category: Consumer Health News Tags: Critical Care Journal Article Source Type: news