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Total 4073171 results found since Jan 2013.

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

Efficacy and Safety of Pediatric Critical Care Physician Telemedicine Involvement in Rapid Response Team and Code Response in a Satellite Facility*
Conclusions: Telemedicine can provide reliable, timely, and effective critical care involvement in rapid response team and Code Teams at satellite facilities.
Source: Pediatric Critical Care Medicine - February 1, 2019 Category: Pediatrics Tags: Quality and Safety Source Type: research

Simulation-Based Palliative Care Communication for Pediatric Critical Care Fellows.
We describe a simulation-based PPC communication series for PCCM fellows, including presimulation session, simulation session, debriefing, and evaluation methods. From 2011 to 2017, 28 PCCM fellows participated in a biannual half-day simulation session. Each session included 3 scenarios (allowing for participation in up to 18 scenarios over 3 years). Standardized patients portrayed the child's mother. PCCM and interprofessional PPC faculty cofacilitated, evaluated, and debriefed the fellows after each scenario. Fellows were evaluated in 4 communication categories (general skills, breaking bad news, goals of care, and resus...
Source: The American Journal of Hospice and Palliative Care - April 10, 2019 Category: Palliative Care Authors: Brock KE, Tracewski M, Allen KE, Klick J, Petrillo T, Hebbar KB Tags: Am J Hosp Palliat Care Source Type: research

Developing Pediatric Critical Care in Kenya*
Conclusions: Caring for critically ill children in resource-limited setting presents many challenges. The stepwise approach described here has led to a nearly 50% reduction in mortality among critically ill children at Kenyatta National Hospital. It is a viable strategy to begin to address the disproportionate number of critically ill and injured children in resource-limited setting.
Source: Pediatric Critical Care Medicine - December 1, 2019 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

Pediatric Neurocritical Care: A Neurology Consultation Model and Implication for Education and Training
We describe a model of service using a Neurology Consulting Team in the intensive care unit setting. Medical records were reviewed from a 32-month cohort of Neurology Consulting Team referrals. Six hundred eighty-nine (19%) of 3719 patients admitted to the intensive care unit were assessed by the team. The most common diagnostic categories were seizures, neurosurgical, cerebrovascular, or central nervous system infection. Fifty-seven percent (350 of 615 patients) required mechanical ventilation. Cohort mortality was 7% vs 2% for the general intensive care population (P
Source: Pediatric Neurology - February 18, 2013 Category: Neurology Authors: Kerri L. LaRovere, Robert J. Graham, Robert C. Tasker, The Pediatric Critical Nervous System Program (pCNSp) Tags: Original Articles Source Type: research

Unplanned Admissions to a Pediatric Cardiac Critical Care Unit: A Review of 2 Years’ Experience
Conclusions: Unplanned admissions accounted for over one third of all admissions and had a high mortality rate. The majority of these occur at night, which may affect staffing models. Acute deterioration leading to unplanned admission, rather than readmission status, may be the driving factor in increased mortality. However, the risk of readmission, lower renal function, or other indices may identify patients at higher risk of an unplanned admission. Continued efforts to identify patients at risk for unplanned admissions are warranted given the outcomes in this cohort.
Source: Pediatric Critical Care Medicine - February 1, 2015 Category: Pediatrics Tags: Cardiac Intensive Care Source Type: research

Developing a Family-Centered Care Model for Critical Care After Pediatric Traumatic Brain Injury*
Conclusions: This study presents a family-centered traumatic brain injury care model based on family perspectives. In addition to communication and coordination strategies, the model offers methods to address cultural and structural barriers to meeting the needs of non–English-speaking families. Given the stress experienced by families of children with traumatic brain injury, careful consideration of the model themes identified here may assist in improving overall quality of care to families of hospitalized children with traumatic brain injury.
Source: Pediatric Critical Care Medicine - October 1, 2015 Category: Pediatrics Tags: Neurocritical Care Source Type: research

Guidelines for the Diagnosis and Management of Critical Illness-Related Corticosteroid Insufficiency (CIRCI) in Critically Ill Patients (Part I): Society of Critical Care Medicine (SCCM) and European Society of Intensive Care Medicine (ESICM) 2017
Objective: To update the 2008 consensus statements for the diagnosis and management of critical illness-related corticosteroid insufficiency (CIRCI) in adult and pediatric patients. Participants: A multispecialty task force of 16 international experts in critical care medicine, endocrinology, and guideline methods, all of them members of the Society of Critical Care Medicine and/or the European Society of Intensive Care Medicine. Design/Methods: The recommendations were based on the summarized evidence from the 2008 document in addition to more recent findings from an updated systematic review of relevant studies f...
Source: Critical Care Medicine - November 18, 2017 Category: Emergency Medicine Tags: Special Articles Source Type: research

SCCM Pod-88 PCCM: Organ Donation After Cardiac Death - Part 2
Martha A.Q. Curley, RN, PhD, associate professor of nursing, anesthesia and critical care medicine at the University of Pennsylvania and nurse scientist at Children ’s Hospital in Boston, discusses an article published in the May 2007 issue of Pediatric Critical Care Medicine, "Pediatric staff perspectives on organ donation after cardiac death in children." (Ped. Crit. Care Med. 2007;8[3]:212).
Source: SCCM PodCast - iCritical Care - January 17, 2008 Category: Intensive Care Authors: The Society of Critical Care Medicine (SCCM) Tags: Medicine Source Type: podcasts

Regulating Critical Care Ultrasound, It Is All in the Interpretation
Point-of-care ultrasound (POCUS) use is rapidly expanding as a practice in adult and pediatric critical care environments. In January 2020, the Joint Commission endorsed a statement from the Emergency Care Research Institute citing point-of-care ultrasound as a potential hazard to patients for reasons related to training and skill verification, oversight of use, and recordkeeping and accountability mechanisms for clinical use; however, no evidence was presented to support these concerns. Existing data on point-of-care ultrasound practices in pediatric critical care settings verify that point-of-care ultrasound use continue...
Source: Pediatric Critical Care Medicine - April 1, 2021 Category: Pediatrics Tags: Online PCCM Perspectives Source Type: research

Higher Dead Space Is Associated With Increased Mortality in Critically Ill Children*
Objective: Elevated dead space has been consistently associated with increased mortality in adults with respiratory failure. In children, the evidence for this association is more limited. We sought to investigate the association between dead space and mortality in mechanically ventilated children. Design: Single-center retrospective review. Setting: Tertiary care pediatric critical care unit. Patients: Seven hundred twelve mechanically ventilated children with an arterial catheter. Interventions: None. Measurements and Main Results: The end-tidal alveolar dead space fraction ((PaCO2 – PETCO2)/PaCO2), a dead space marker...
Source: Critical Care Medicine - October 16, 2015 Category: Emergency Medicine Tags: Pediatric Critical Care Source Type: research

Alpha2-Agonists for Sedation in Pediatric Critical CareAlpha2-Agonists for Sedation in Pediatric Critical Care
Are these sedative agents a safe and effective option for critically ill children in the pediatric intensive care unit? Pediatric Critical Care Medicine
Source: Medscape Today Headlines - April 4, 2016 Category: Consumer Health News Tags: Critical Care Journal Article Source Type: news

Sustaining Careers of Physician-Scientists in Neonatology and Pediatric Critical Care Medicine: Formulating Supportive Departmental Policies.
Abstract Understanding mechanisms of childhood disease and development of rational therapeutics are fundamental to progress in pediatric intensive care specialties. However, Division Chiefs and Department Chairs face unique challenges when building effective laboratory-based research programs in Neonatal and Pediatric Intensive Care, owing to high clinical demands necessary to maintain competence as well as financial pressures arising from fund flow models and the current extramural funding climate. Given these factors, the role of institutional support that could facilitate successful transition of promising juni...
Source: Pediatric Research - July 18, 2016 Category: Pediatrics Authors: Christou H, Dizon ML, Farrow KN, Jadcherla SR, Leeman KT, Maheshwari A, Rubin LP, Stansfield BK, Rowitch DH Tags: Pediatr Res Source Type: research

Sustaining careers of physician-scientists in neonatology and pediatric critical care medicine: formulating supportive departmental policies.
Abstract Understanding mechanisms of childhood disease and development of rational therapeutics are fundamental to progress in pediatric intensive care specialties. However, Division Chiefs and Department Chairs face unique challenges when building effective laboratory-based research programs in Neonatal and Pediatric Intensive Care, owing to high clinical demands necessary to maintain competence as well as financial pressures arising from fund flow models and the current extramural funding climate. Given these factors, the role of institutional support that could facilitate successful transition of promising juni...
Source: Pediatric Research - October 31, 2016 Category: Pediatrics Authors: Christou H, Dizon ML, Farrow KN, Jadcherla SR, Leeman KT, Maheshwari A, Rubin LP, Stansfield BK, Rowitch DH Tags: Pediatr Res Source Type: research