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The Current State of the Diagnosis and Management of Acute Kidney Injury by Pediatric Critical Care Physicians*
Conclusions: Half of PICU attending physicians surveyed are not using recent acute kidney injury guidelines or diagnostic criteria in their practice. There is a positive association between awareness and clinical use of acute kidney injury guidelines. Serum creatinine and urine output are still the primary diagnostics; novel biomarkers are frequently unavailable.
Source: Pediatric Critical Care Medicine - August 1, 2016 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

Frequency, Composition, and Predictors of In-Transit Critical Events During Pediatric Critical Care Transport*
Conclusions: Using new consensus definitions of transport-related critical events, we found critical events occurred in almost one in eight transports, and were strongly associated with pretransport cardiovascular instability. Transport Pediatric Early Warning Score was poorly predictive of in-transit critical events, and was not superior to the presence of pretransport mechanical ventilation and cardiovascular instability. Future prospective studies are required to elucidate the optimal matching of transport resources to patients, in particular those with both pretransport cardiovascular instability and mechanical ventilation.
Source: Pediatric Critical Care Medicine - October 1, 2016 Category: Pediatrics Tags: Quality and Safety Source Type: research

SCCM Pod-26 PCCM: Assessing Sedation Levels of Mechanically Ventilated Pediatric Patients
Martha Curley, RN, PhD, discusses her article in the Mar 2006 issue of Pediatric Critical Care Medicine, titled "State Behavioral Scale: A Sedation Assessment Instrument for Infants and Young Children Supported on Mechanical Ventilation." Dr. Curley, director of nursing research in critical care and cardiovascular nursing research at The Children's Hospital in Boston, Massachusetts, is a recognized expert in pediatric critical care nursing. She discusses the development and validation of the State Behavioral Scale, a tool used in the evaluation of the level of sedation in pediatric patients requiring mechanical ventilation...
Source: SCCM PodCast - iCritical Care - March 27, 2006 Category: Intensive Care Authors: The Society of Critical Care Medicine (SCCM) Tags: Medicine Source Type: podcasts

Pediatric Critical Care Nursing Research Priorities—Initiating International Dialogue
Conclusions: The consensus meeting was effective in organizing pediatric critical care nursing knowledge, identifying knowledge gaps and in prioritizing nursing research initiatives that could be used to advance nursing science across world regions.
Source: Pediatric Critical Care Medicine - July 1, 2015 Category: Pediatrics Tags: Online Review Article Source Type: research

Pilot Randomized Trials in Pediatric Critical Care: A Systematic Review
Conclusions: Published pilot trials in pediatric critical care often focus on clinical outcomes. They uncommonly report explicit feasibility outcomes, criteria for success, or rationale for the pilot sample size. These pilot trials infrequently lead to larger trials. Understanding and addressing the reasons for this are key to the success of pediatric critical care research.
Source: Pediatric Critical Care Medicine - September 1, 2015 Category: Pediatrics Tags: Online Review Article Source Type: research

Strategic Planning for Research in Pediatric Critical Care
Conclusions: Of the many pathophysiologic conditions discussed, the multiple organ dysfunction syndrome emerged as a topic in need of more study that is most relevant to the field. Additionally, the experts offered that the interrelationship and impact of critical illness on child development and family functioning are important research priorities. Consequently, long-term outcomes research was encouraged. The expert group also suggested that multidisciplinary conferences are needed to help identify key knowledge gaps to advance and direct research in the field. The Pediatric Critical Care and Trauma Scientist Development ...
Source: Pediatric Critical Care Medicine - November 1, 2016 Category: Pediatrics Tags: Online PCCM Perspectives Source Type: research

A Cross-Sectional Analysis of Compassion Fatigue, Burnout, and Compassion Satisfaction in Pediatric Critical Care Physicians in the United States*
Conclusions: In our population, chronic exposure to distress in patients and families puts pediatric critical care physicians at risk for compassion fatigue and low compassion satisfaction. Awareness of compassion fatigue, burnout, and compassion satisfaction and their predictors may benefit providers both personally and professionally by allowing them to proactively manage their distress.
Source: Pediatric Critical Care Medicine - March 1, 2019 Category: Pediatrics Tags: Feature Articles Source Type: research

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

Functional Outcomes and Physical Impairments in Pediatric Critical Care Survivors: A Scoping Review*
Conclusions: Functional impairment may be persistent in pediatric survivors of critical care. Unfortunately, studies varied largely in measurement timing and tools used. The lack of differentiation between impairment in different functional domains limited the generalizability of data. Further studies using a combination of standardized measures at various time points of the disease process can help establish more comprehensive rates of physical impairment.
Source: Pediatric Critical Care Medicine - May 1, 2016 Category: Pediatrics Tags: Online Review Article Source Type: research

Pediatric Critical Care Transport as a Conduit to Terminal Extubation at Home: A Case Series*
Conclusions: Although a relatively infrequent practice in pediatric critical care, transport home for terminal extubation represents a feasible alternative for families seeking out-of-hospital end-of-life care for their critically ill technology-dependent children. Our single-center experience supports the need for development of formal programs for end-of-life critical care transports to include patient screening tools, palliative care home discharge algorithms, transport protocols, and resource utilization and cost analyses.
Source: Pediatric Critical Care Medicine - January 1, 2017 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

Epidemiology of Pediatric Critical Care Transport in Northern Alberta and the Western Arctic
Conclusions: The current transport system has multiple priorities with regard to efficiency and quality. The medical services at referral hospitals may affect the likelihood of PICU admission and subsequent PICU length of stay; however, no negative impact was observed in other outcomes including mortality.
Source: Pediatric Critical Care Medicine - June 1, 2018 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

SCCM Pod-72 PCCM: Family Presence During Pediatric CPR
Susan Bratton, MD, MPH, discusses an editorial published in the September 2006 issue of Pediatric Critical Care Medicine, "Physician Experience with Family Presence During Pediatric Cardiopulmonary Resuscitation." Dr. Bratton is professor of pediatric critical care medicine at the University of Utah. (Niranjan K. Ped Crit Care Med. 2006;7:505)
Source: SCCM PodCast - iCritical Care - April 27, 2007 Category: Intensive Care Authors: The Society of Critical Care Medicine (SCCM) Tags: Medicine Source Type: podcasts

Advancing Randomized Controlled Trials in Pediatric Critical Care: The Perspectives of Trialists
Conclusions: Coordinated, deliberate actions to build community and ensure key training and practical experiences for new investigators may strengthen the research enterprise in pediatric critical care. These strategies, potentially in combination with other novel approaches, may vitalize clinical research in this field.
Source: Pediatric Critical Care Medicine - November 1, 2018 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

Research Collaboration in Pediatric Critical Care Randomized Controlled Trials: A Social Network Analysis of Coauthorship*
Conclusions: Pediatric critical care has made considerable progress in the number of trialists and randomized controlled trials, but the research enterprise remains highly clustered and fragmented, particularly geographically. Efforts to further increase the quantity and quality of research in the field should include steps to increase the level and range of collaboration.
Source: Pediatric Critical Care Medicine - January 1, 2020 Category: Pediatrics Tags: Feature Articles Source Type: research