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Central Venous Catheter Utilization and Complications in the Pediatric Cardiac ICU: A Report From the Pediatric Cardiac Critical Care Consortium (PC4)*
Conclusions: Utilization of central venous catheters in pediatric cardiac ICUs differs according to indication for hospitalization. Although thrombosis and central line–associated bloodstream infection are infrequent complications of central venous catheter use in cardiac ICU patients, these events can have important short- and long-term consequences for patients. Total central venous catheter line days were the only modifiable risk factor identified. Future study must focus on understanding central venous catheter practices in high-risk patient subgroups that reduce the prevalence of thrombosis and central line–asso...
Source: Pediatric Critical Care Medicine - August 1, 2020 Category: Pediatrics Tags: Cardiac Intensive Care Source Type: research

Critical Care Unit Organizational and Personnel Factors Impact Cardiac Arrest Prevention and Rescue in the Pediatric Cardiac Population
OBJECTIVES: Patient-level factors related to cardiac arrest in the pediatric cardiac population are well understood but may be unmodifiable. The impact of cardiac ICU organizational and personnel factors on cardiac arrest rates and outcomes remains unknown. We sought to better understand the association between these potentially modifiable organizational and personnel factors on cardiac arrest prevention and rescue. DESIGN: Retrospective analysis of the Pediatric Cardiac Critical Care Consortium registry. SETTING: Pediatric cardiac ICUs. PATIENTS: All cardiac ICU admissions were evaluated for cardi...
Source: Pediatric Critical Care Medicine - April 1, 2022 Category: Pediatrics Tags: Cardiac Intensive Care Source Type: research

SCCMPod-465 PCCM: Who's Got the Right Dose?
Pediatric advanced life support (PALS) guidelines include weight-based epinephrine dosing recommendations of 0.01 mg/kg with a maximum of 1 mg, which corresponds to a weight of 100 kg. But what are the actual practice patterns? Elizabeth H. Mack, MD, MS, FCCM, is joined by Martha Kienzle, MD, to discuss the article: Weight-Based Versus Flat Dosing of Epinephrine During Cardiac Arrest in the PICU: A Multicenter Survey, published in the October 2022 issue of Pediatric Critical Care Medicine. Dr. Kienzle is an attending physician in the Department of Anesthesiology and Critical Care Medicine at Children's Hospital of Philadelphia.
Source: SCCM PodCast - iCritical Care - December 6, 2022 Category: Intensive Care Authors: The Society of Critical Care Medicine (SCCM) Tags: Medicine Source Type: podcasts

SCCM Pod-465 PCCM: Who's Got the Right Dose?
Pediatric advanced life support (PALS) guidelines include weight-based epinephrine dosing recommendations of 0.01 mg/kg with a maximum of 1 mg, which corresponds to a weight of 100 kg. But what are the actual practice patterns? Elizabeth H. Mack, MD, MS, FCCM, is joined by Martha Kienzle, MD, to discuss the article: Weight-Based Versus Flat Dosing of Epinephrine During Cardiac Arrest in the PICU: A Multicenter Survey, published in the October 2022 issue of Pediatric Critical Care Medicine. Dr. Kienzle is an attending physician in the Department of Anesthesiology and Critical Care Medicine at Children's Hospital of Philadelphia.
Source: SCCM PodCast - iCritical Care - December 21, 2022 Category: Intensive Care Authors: The Society of Critical Care Medicine (SCCM) Tags: Medicine Source Type: podcasts

Understanding the Global Epidemiology of Pediatric Critical Illness: The Power, Pitfalls, and Practicalities of Point Prevalence Studies
Conclusions: Point prevalence studies in pediatric critical care can efficiently provide valuable insight on the global epidemiology of disease and practice patterns for critically ill children.
Source: Pediatric Critical Care Medicine - September 1, 2014 Category: Pediatrics Tags: Review Article Source Type: research

Management of the Potential Organ Donor in the ICU: Society of Critical Care Medicine/American College of Chest Physicians/Association of Organ Procurement Organizations Consensus Statement
This document was developed through the collaborative efforts of the Society of Critical Care Medicine, the American College of Chest Physicians, and the Association of Organ Procurement Organizations. Under the auspices of these societies, a multidisciplinary, multi-institutional task force was convened, incorporating expertise in critical care medicine, organ donor management, and transplantation. Members of the task force were divided into 13 subcommittees, each focused on one of the following general or organ-specific areas: death determination using neurologic criteria, donation after circulatory death determination, ...
Source: Critical Care Medicine - May 16, 2015 Category: Emergency Medicine Tags: Special Article Source Type: research

Complexity Assessment and Monitoring to Ensure Optimal Outcomes Tool for Measuring Pediatric Critical Care Nursing.
CONCLUSIONS: The CAMEO tool was comprehensive in describing and quantifying the cognitive workload of pediatric critical care nurses. The CAMEO classification process informs staffing needs that support synergy between the needs of patients and their families and nurses' knowledge and skill. Articulation of nursing care focused on informed clinical decision making is needed to justify the value of skilled nurses. PMID: 26134329 [PubMed - as supplied by publisher]
Source: American Journal of Critical Care - July 1, 2015 Category: Nursing Authors: Connor JA, LaGrasta C, Hickey PA Tags: Am J Crit Care Source Type: research

Simultaneous Prediction of New Morbidity, Mortality, and Survival Without New Morbidity From Pediatric Intensive Care: A New Paradigm for Outcomes Assessment*
Conclusions: New morbidities were associated with physiological status and can be modeled simultaneously with mortality. Trichotomous outcome models including both morbidity and mortality based on physiological status are suitable for research studies and quality and other outcome assessments. This approach may be applicable to other assessments presently based only on mortality.
Source: Critical Care Medicine - July 17, 2015 Category: Emergency Medicine Tags: Pediatric Critical Care Source Type: research

The Pediatric Risk of Mortality Score: Update 2015The Pediatric Risk of Mortality Score: Update 2015
Updates to the PRISM model include a new algorithm for predicting mortality in pediatric intensive care patients. Pediatric Critical Care Medicine
Source: Medscape Critical Care Headlines - February 22, 2016 Category: Intensive Care Tags: Critical Care Journal Article Source Type: news

Risk Factors for VTE in Pediatric Trauma Patients Risk Factors for VTE in Pediatric Trauma Patients
Could this new scoring system help identify venous thromboembolism risk factors among pediatric trauma patients? Pediatric Critical Care Medicine
Source: Medscape Critical Care Headlines - July 25, 2016 Category: Intensive Care Tags: Critical Care Journal Article Source Type: news

Screening Criteria Improve Access to Palliative Care in the PICU*
Conclusions: Palliative care screening criteria are effective tools for improving access to palliative care services in the PICU; however, widespread adoption may produce a significant increase in palliative care demand. The association between an existing palliative care relationship and reduction in resource utilization deserves further investigation as does the perceived benefit of palliative care involvement in the patient, family, and staff experience.
Source: Pediatric Critical Care Medicine - August 1, 2016 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

SCCM Pod-344 Developing an ICU Diary in the Pediatric ICU
Todd Fraser, MD, speaks with Jenny Tcharmtchi, BSN, RN, CCRN, about the article, "Pediatric Patient Engagement and the Integration of Diaries into the ICU," 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

SCCM Pod-47 2007 Congress Keynotes Up Close: Patrick Kochanek
Patrick Kochanek, MD, FCCM, is one of the prominent keynote speakers set to present during the 36th Critical Care Congress February 17 to 21, 2007. He discusses his presentation, "Emergency Preservation for Resuscitation: Beyond CPR," as well as his background and expertise in critical care. Dr. Kochanek is director of the Safar Center for Resuscitation Research and is a tenured professor in the department of critical care medicine with secondary appointments in pediatrics and anesthesiology as well as the editor of Pediatric Critical Care Medicine.
Source: SCCM PodCast - iCritical Care - October 30, 2006 Category: Intensive Care Authors: The Society of Critical Care Medicine (SCCM) Tags: Medicine Source Type: podcasts

Factors Associated With Mortality in Low-Risk Pediatric Critical Care Patients in The Netherlands*
Objective: To determine differences between survivors and nonsurvivors and factors associated with mortality in pediatric intensive care patients with low risk of mortality. Design: Retrospective cohort study. Setting: Patients were selected from a national database including all admissions to the PICUs in The Netherlands between 2006 and 2012. Patients: Patients less than 18 years old admitted to the PICU with a predicted mortality risk lower than 1% according to either the recalibrated Pediatric Risk of Mortality or the Pediatric Index of Mortality 2 were included. Interventions: None. Measurements and Main Results:...
Source: Pediatric Critical Care Medicine - April 1, 2017 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research