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Total 109271 results found since Jan 2013.

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

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

Intensive Care Mortality Prognostic Model for Pediatric Pulmonary Hypertension*
Objectives: The disease burden and mortality of children with pulmonary hypertension are significantly higher than for the general PICU population. We aimed to develop a risk-adjustment tool predicting PICU mortality for pediatric pulmonary hypertension patients: the Pediatric Index of Pulmonary Hypertension Intensive Care Mortality score. Design: Retrospective analysis of prospectively collected multicenter pediatric critical care data. Setting: One-hundred forty-three centers submitting data to Virtual Pediatric Systems database between January 1, 2009, and December 31, 2015. Patients: Patients 21 years old or...
Source: Pediatric Critical Care Medicine - August 1, 2018 Category: Pediatrics Tags: Cardiac Intensive Care Source Type: research

High-Dose Barbiturates in Children With Severe TBIHigh-Dose Barbiturates in Children With Severe TBI
Find out more about second-tier therapy for managing pediatric refractory intracranial hypertension associated with severe traumatic brain injury. Pediatric Critical Care Medicine
Source: Medscape Critical Care Headlines - April 15, 2013 Category: Intensive Care Tags: Critical Care Journal Article Source Type: news

Inhaled Nitric Oxide Use in Pediatric Hypoxemic Respiratory Failure*
Conclusions: Clinician responsiveness to improved oxygenation was associated with less ventilator days. Algorithms to standardize ventilator management may improve signal to noise ratios in future trials enabling better assessment of the effect of inhaled nitric oxide on patient outcomes. Additionally, confining studies to more selective patient populations such as those with right ventricular dysfunction may be required.
Source: Pediatric Critical Care Medicine - August 1, 2020 Category: Pediatrics Tags: Feature Articles Source Type: research

Characterization of Inhaled Nitric Oxide Use for Cardiac Indications in Pediatric Patients*
OBJECTIVES: Characterize the use of inhaled nitric oxide (iNO) for pediatric cardiac patients and assess the relationship between patient characteristics before iNO initiation and outcomes following cardiac surgery. DESIGN: Observational cohort study. SETTING: PICU and cardiac ICUs in seven Collaborative Pediatric Critical Care Research Network hospitals. PATIENTS: Consecutive patients, less than 18 years old, mechanically ventilated before or within 24 hours of iNO initiation. iNO was started for a cardiac indication and excluded newborns with congenital diaphragmatic hernia, meconium aspiration s...
Source: Pediatric Critical Care Medicine - April 1, 2022 Category: Pediatrics Tags: Feature Articles Source Type: research

Critically ill obstetric patients in a general critical care unit: A 5 years ' retrospective study in a public teaching hospital of Eastern India
Conclusions: Adequate number of critical care beds, a dedicated obstetric high dependency unit, and effective coordination between critical care and maternity services may prove helpful in high volume obstetric centers.
Source: Indian Journal of Critical Care Medicine - May 16, 2017 Category: Intensive Care Authors: Sugata Dasgupta Tulika Jha Priyojit Bagchi Shipti Sradha Singh Ramprasad Gorai Sourav Das Choudhury Source Type: research

Paroxysmal sympathetic hyperactivity in neurological critical care
Conclusion: PSH is an unusual complication in neurocritical care. It prolonged the hospitalization and hampers recovery. The other life-threatening conditions that mimic PSH should be excluded. The association with JE and tuberculous meningitis was not previously described in literature.
Source: Indian Journal of Critical Care Medicine - January 6, 2015 Category: Intensive Care Authors: Rajesh VermaPrithvi GiriImran Rizvi Source Type: research

SCCM Pod-87 Managing Pulmonary Hypertension
Roham T. Zamanian, MD, discusses an article published in the September 2007 issue of Critical Care Medicine, titled "Management strategies for patients with pulmonary hypertension in the ICU." Dr. Zamanian is acting assistant professor of medicine at Stanford University Medical Center. (Crit Care Med. 2007;35[9]:2037)
Source: SCCM PodCast - iCritical Care - October 29, 2007 Category: Intensive Care Authors: The Society of Critical Care Medicine (SCCM) Tags: Medicine Source Type: podcasts

Critical Care Management of Pulmonary Hypertension Critical Care Management of Pulmonary Hypertension
How should patients with pulmonary hypertension in the critical care setting be approached? This overview highlights key points in diagnosis and management of this challenging disorder.BJA Education
Source: Medscape Critical Care Headlines - November 28, 2017 Category: Intensive Care Tags: Critical Care Journal Article Source Type: news

Low Predictability of Three Different Noninvasive Methods to Determine Fluid Responsiveness in Critically Ill Children
Conclusions: Dynamic preload variables such as stroke volume variation or respiratory variations in vena cava inferior diameter may not be useful for predicting fluid responsiveness in certain pediatric patient populations. Esophageal Doppler peak velocity was predictive of fluid responsiveness where a target value of more than 135,5 cm/s may be a signal to terminate further fluid challenges. This target value may be different in different age groups, as esophageal Doppler peak velocity varies with age.
Source: Pediatric Critical Care Medicine - March 1, 2015 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

Intracranial Pressure, Cerebral Perfusion in Pediatric TBIIntracranial Pressure, Cerebral Perfusion in Pediatric TBI
What is the relationship between intracranial hypertension and cerebral hypoperfusion in pediatric traumatic brain injury patients? Pediatric Critical Care Medicine
Source: Medscape Today Headlines - July 11, 2016 Category: Consumer Health News Tags: Critical Care Journal Article Source Type: news

Executive Summary of the American Heart Association and American Thoracic Society Joint Guidelines for Pediatric Pulmonary Hypertension.
Abstract Although pulmonary hypertension (PH) contributes significantly to poor outcomes in diverse pediatric diseases, approaches toward the care of children with PH have been limited by the lack of consensus guidelines from experts in the field. In a joint effort from the American Heart Association and American Thoracic Society, a committee of experienced clinicians was formed to systematically identify, synthesize, and appraise relevant evidence and then to formulate evidence-based recommendations regarding the diagnosis and management of pediatric PH. This brief report is an executive summary of the officially...
Source: American Journal of Respiratory and Critical Care Medicine - September 30, 2016 Category: Respiratory Medicine Authors: Abman SH, Ivy DD, Archer SL, Wilson K, AHA/ATS Joint Guidelines for Pediatric Pulmonary Hypertension Committee Tags: Am J Respir Crit Care Med Source Type: research

The Use of Pediatric Ventricular Assist Devices in Children’s Hospitals From 2000 to 2010: Morbidity, Mortality, and Hospital Charges*
Objective: The use of ventricular assist devices has increased dramatically in adult heart failure patients. However, the overall use, outcome, comorbidities, and resource utilization of ventricular assist devices in pediatric patients have not been well described. We sought to demonstrate that the use of ventricular assist devices in pediatric patients has increased over time and that mortality has decreased. Design: A retrospective study of the Pediatric Health Information System database was performed for patients 20 years old or younger undergoing ventricular assist device placement from 2000 to 2010. Interventions: No...
Source: Pediatric Critical Care Medicine - July 1, 2015 Category: Pediatrics Tags: Cardiac Intensive Care Source Type: research