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Developing Physician-Scientists in the Fields of Neonatology and Pediatric Critical Care Medicine: An Effort to Formulate a Departmental Policy
Both patient care and research are fundamental to the missions of academic pediatric medical centers in the US. The value of training physicians to perform basic science, clinical, and translational research is well recognized, and it is supported by the National Institutes of Health (NIH) through several mechanisms, including mentored career development awards (K awards). These awards most often are used to provide physicians the opportunity to develop their scientific skills under the supervision of a mentor at the start of their academic careers. Such time, protected from the burden of clinical duties, is invaluable, gi...
Source: The Journal of Pediatrics - August 24, 2013 Category: Pediatrics Authors: Peter E. Oishi, Ophir D. Klein, Roberta L. Keller, University of California San Francisco Neonatology and Pediatric Critical Care Early Faculty Development Committee Tags: Notes from the Association of Medical School Pediatric Department Chairs, Inc. Source Type: research

Detection of Electrographic Seizures by Critical Care Providers Using Color Density Spectral Array After Cardiac Arrest Is Feasible*
Conclusion: Determining which post–cardiac arrest patients experience electrographic seizures by critical care providers is feasible after a brief training. There is moderate sensitivity for seizure and status epilepticus detection and a high negative predictive value.
Source: Pediatric Critical Care Medicine - June 1, 2015 Category: Pediatrics Tags: Neurocritical Care Source Type: research

Pediatric Index of Cardiac Surgical Intensive Care MortalityPediatric Index of Cardiac Surgical Intensive Care Mortality
This editorial explores a newly developed severity of illness scoring system for children admitted to the ICU following cardiac surgery for congenital heart disease. Pediatric Critical Care Medicine
Source: Medscape Critical Care Headlines - December 16, 2015 Category: Intensive Care Tags: Critical Care Journal Article Source Type: news

Differentiating Delirium From Sedative/Hypnotic-Related Iatrogenic Withdrawal Syndrome: Lack of Specificity in Pediatric Critical Care Assessment Tools*
Conclusions: Although important studies have demonstrated apparent high prevalence of iatrogenic withdrawal syndrome and delirium in the PICU population, the overlap in these scoring systems presents potential difficulty in distinguishing syndromes, both clinically and for research purposes.
Source: Pediatric Critical Care Medicine - June 1, 2017 Category: Pediatrics Tags: Review Article Source Type: research

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

Protocol for a Randomized Multiple Center Trial of Conservative Versus Liberal Oxygenation Targets in Critically Ill Children (Oxy-PICU): Oxygen in Pediatric Intensive Care
OBJECTIVES: Oxygen administration is a fundamental part of pediatric critical care, with supplemental oxygen offered to nearly every acutely unwell child. However, optimal targets for systemic oxygenation are unknown. Oxy-PICU aims to evaluate the clinical effectiveness and cost-effectiveness of a conservative peripheral oxygen saturation (Spo2) target of 88–92% compared with a liberal target of more than 94%. DESIGN: Pragmatic, open, multiple-center, parallel group randomized control trial with integrated economic evaluation. SETTING: Fifteen PICUs across England, Wales, and Scotland. PATIENTS: ...
Source: Pediatric Critical Care Medicine - September 1, 2022 Category: Pediatrics Tags: PCCM Trials Source Type: research

Implementation of a Pediatric Neurocritical Care Program for Children With Status Epilepticus: Adherence to Continuous Electroencephalogram Monitoring
CONCLUSIONS: The implementation of a PNCC program with initiatives in care delivery, allocation of resources, and education was associated with increased adherence to best care practices for the management of SE.
Source: Pediatric Critical Care Medicine - December 1, 2022 Category: Pediatrics Tags: Neurocritical Intensive Care 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

A Case for Change in Adult Critical Care Training for Physicians in the United States: A White Paper Developed by the Critical Care as a Specialty Task Force of the Society of Critical Care Medicine*
Conclusions: 1) Changing the current Critical Care Medicine training paradigms may benefit trainees and patient care. 2) Multiple pathways into critical care training for all interested trainees are desirable for meeting future intensivist workforce demands. 3) The current subspecialties within separate boards are not “distinct and well-defined field[s] of medical practice” per the American Board of Medical Specialties. Recommendations for first steps are as follows: 1) as the society representing multidisciplinary critical care, the Society of Critical Care Medicine has an opportunity to organize a meeting of all st...
Source: Critical Care Medicine - September 15, 2018 Category: Emergency Medicine Tags: Feature Articles Source Type: research