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A Hybrid Model of Pediatric and Adult Critical Care During the Coronavirus Disease 2019 Surge: The Experience of Two Tertiary Hospitals in London and New York
Conclusions: This hybrid model successfully allowed for the expansion into adult critical care while maintaining essential services for critically ill children. Simultaneous care of adults and children in the ICU can be sustained if healthcare professionals work collaboratively, show proactive insight into anticipated issues, and exhibit clear leadership.
Source: Pediatric Critical Care Medicine - February 1, 2021 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

Critical care medicine for emerging Middle East respiratory syndrome: Which point to be considered?
Viroj WiwanitkitIndian Journal of Critical Care Medicine 2015 19(9):528-530The Middle East respiratory syndrome (MERS) is a new emerging respiratory tract infection. This coronavirus infection is firstly reported from the Middle East, and it becomes threat for the global public health at present due to its existence in a remote area such as USA and Korea. The concern on the management of the patients is very important. Since most of the patients can develop severe respiratory illness and critical care management is needed, the issue on critical care for MERS is the topic to be discussed in critical medicine.
Source: Indian Journal of Critical Care Medicine - September 8, 2015 Category: Intensive Care Authors: Viroj Wiwanitkit Source Type: research

Guiding Principles for the Conduct of Observational Critical Care Research for Coronavirus Disease 2019 Pandemics and Beyond: The Society of Critical Care Medicine Discovery Viral Infection and Respiratory Illness Universal Study Registry
Conclusions: Society of Critical Care Medicine Discovery Viral Infection and Respiratory Illness Universal Study coronavirus disease 2019 registry sought to develop and implement prespecified best practices combined with grassroots efforts from clinical sites worldwide in order to develop clinically useful knowledge in response to a pandemic.
Source: Critical Care Medicine - October 14, 2020 Category: Emergency Medicine Tags: Online Clinical Investigations Source Type: research

Acute Kidney Injury in Pediatric Inflammatory Multisystem Syndrome Temporally Associated With Severe Acute Respiratory Syndrome Coronavirus-2 Pandemic: Experience From PICUs Across United Kingdom*
Objectives: To study the prevalence, evolution, and clinical factors associated with acute kidney injury in children admitted to PICUs with pediatric inflammatory multisystem syndrome temporally associated with severe acute respiratory syndrome coronavirus-2. Design: Multicenter observational study. Setting: Fifteen PICUs across the United Kingdom. Patients: Patients admitted to United Kingdom PICUs with pediatric inflammatory multisystem syndrome temporally associated with severe acute respiratory syndrome coronavirus-2 between March 14, 2020, and May 20, 2020. Interventions: None. Measu...
Source: Critical Care Medicine - November 22, 2020 Category: Emergency Medicine Tags: Pediatric Critical Care Source Type: research

Coronavirus Disease 2019–Associated PICU Admissions: A Report From the Society of Critical Care Medicine Discovery Network Viral Infection and Respiratory Illness Universal Study Registry*
OBJECTIVES: To compare clinical characteristics and outcomes of children admitted to the PICU for severe acute respiratory syndrome coronavirus 2–related illness with or without multisystem inflammatory syndrome in children. The secondary objective was to identify explanatory factors associated with outcome of critical illness defined by a composite index of in-hospital mortality and organ system support requirement. DESIGN: Retrospective cohort study. SETTING: Thirty-eight PICUs within the Viral Infection and Respiratory Illness Universal Study registry from March 2020 to January 2021. PATIENTS: ...
Source: Pediatric Critical Care Medicine - July 1, 2021 Category: Pediatrics Tags: Feature Articles Source Type: research

Core outcomes sets for studies evaluating critical illness and patient recovery
This article provides an update on COS projects in critical care medicine, and related resources and tools for COS developers. Recent findings We identified 28 unique COS projects, of which 15 have published results as of May 2020. COS topics relevant to critical care medicine include mechanical ventilation, cardiology, stroke, rehabilitation, and long-term outcomes (LTOs) after critical illness. There are four COS projects for coronavirus disease 2019 (COVID-19), with a ‘meta-COS’ summarizing common outcomes across these projects. To help facilitate COS development, there are existing resources, standards, guidelin...
Source: Current Opinion in Critical Care - September 3, 2020 Category: Nursing Tags: CRITICAL CARE OUTCOMES: Edited by Stephen Brett Source Type: research

Rising to the Challenge of the Novel SARS-coronavirus-2 (SARS-CoV-2): Advice for Pulmonary and Critical Care and an Agenda for Research.
PMID: 32203671 [PubMed - as supplied by publisher]
Source: American Journal of Respiratory and Critical Care Medicine - March 22, 2020 Category: Respiratory Medicine Authors: Niederman MS, Richeldi L, Chotirmall SH, Bai C Tags: Am J Respir Crit Care Med Source Type: research

Rapid Transition of a PICU Space and Staff to Adult Coronavirus Disease 2019 ICU Care
Conclusions: During the current and potentially in future pandemics, where critical care resources are limited, pediatric intensivists and staff can be readily utilized to meaningfully contribute to the care of critically ill adults.
Source: Pediatric Critical Care Medicine - January 1, 2021 Category: Pediatrics Tags: Feature Articles Source Type: research

Using Social Media for Rapid Information Dissemination in a Pandemic: #PedsICU and Coronavirus Disease 2019
Objective: To describe the impact of a strategy for international collaboration and rapid information dissemination on Twitter among the pediatric critical care community during a global pandemic. Design: Analysis of #PedsICU and coronavirus disease 2019 Twitter data in the Symplur Signals Database between February 1, 2020, and May 1, 2020. Setting: Social media platform Twitter. Patients: None. Interventions: Promotion of the joint usage of #PedsICU and #COVID19 throughout the international pediatric critical care community in tweets relevant to the coronavirus disease 2019 pandemic and pediatric critical ca...
Source: Pediatric Critical Care Medicine - August 1, 2020 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

Readiness for and Response to Coronavirus Disease 2019 Among Pediatric Healthcare Providers: The Role of Simulation for Pandemics and Other Disasters*
CONCLUSIONS: The swift incorporation of disease-specific sessions and the transition of standard education to virtual or hybrid simulation training modes occurred frequently. The approach used, however, depended heavily on local requirements, limitations, and circumstances. In particular, the use of telesimulation allowed education to continue while maintaining social distancing requirements.
Source: Pediatric Critical Care Medicine - June 1, 2021 Category: Pediatrics Tags: Online Clinical Investigation Source Type: research

Children in Critical Care Due to Severe Acute Respiratory Syndrome Coronavirus 2 Infection: Experience in a Spanish Hospital
Conclusions: On the whole, the children were previously healthy and are more than 1 year old. Respiratory symptoms were the leading cause of PICU admission, making respiratory support the principal therapy. Patients requiring mechanical ventilation showed deterioration on the first day of admission. These children seemed to require close monitoring, and multicenter studies are necessary.
Source: Pediatric Critical Care Medicine - August 1, 2020 Category: Pediatrics Tags: Online Brief Reports Source Type: research

Coronavirus Disease 2019 in Critically Ill Children: A Narrative Review of the Literature*
Coronavirus disease 2019 has spread around the world. In the 3 months since its emergence, we have learned a great deal about its clinical management and its relevance to the pediatric critical care provider. In this article, we review the available literature and provide valuable insight into the clinical management of this disease, as well as information on preparedness activities that every PICU should perform.
Source: Pediatric Critical Care Medicine - July 1, 2020 Category: Pediatrics Tags: Special Articles Source Type: research

Postintensive Care Syndrome in Survivors of Critical Illness Related to Coronavirus Disease 2019: Cohort Study From a New York City Critical Care Recovery Clinic*
CONCLUSIONS: Survivors of critical illness related to coronavirus disease 2019 are at high risk of developing postintensive care syndrome. These findings highlight the importance of planning for appropriate post-ICU care to diagnose and treat this population.
Source: Critical Care Medicine - August 30, 2021 Category: Emergency Medicine Tags: Clinical Investigations Source Type: research

Improving Survival of Critical Care Patients With Coronavirus Disease 2019 in England: A National Cohort Study, March to June 2020*
Conclusions: There has been a substantial improvement in survival amongst people admitted to critical care with coronavirus disease 2019 in England, with markedly higher survival rates in people admitted in May and June compared with those admitted in March and April. Our analysis suggests this improvement is not due to temporal changes in the age, sex, ethnicity, or major comorbidity burden of admitted patients.
Source: Critical Care Medicine - January 16, 2021 Category: Emergency Medicine Tags: Feature Articles Source Type: research

Severe Acute Respiratory Syndrome Coronavirus-2 Infections in Critical Care Staff: Beware the Risks Beyond the Bedside
OBJECTIVES: Critical care workers were considered to be at high risk of severe acute respiratory syndrome coronavirus-2 infection from patients during the first wave of the pandemic. Staff symptoms, previous swab testing, and antibody prevalence were correlated with patient admissions to investigate this assumption. DESIGN: Cross-sectional study. SETTING: A large critical care department in a tertiary-care teaching hospital in London, United Kingdom. SUBJECTS: Staff working in critical care. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: Participants completed a questionnaire and...
Source: Critical Care Medicine - February 25, 2021 Category: Emergency Medicine Tags: Late Breaker Articles Source Type: research