journal
MENU ▼
Read by QxMD icon Read
search

Pediatric Critical Care Medicine

journal
https://www.readbyqxmd.com/read/30239389/picu-autopsies-rates-patient-characteristics-and-the-role-of-the-medical-examiner
#1
Sonali Basu, Richard Holubkov, J Michael Dean, Kathleen L Meert, Robert A Berg, Joseph Carcillo, Christopher J L Newth, Rick E Harrison, Murray M Pollack
OBJECTIVES: Autopsy rates in North American Children's hospitals have not been recently evaluated. Our objectives were 1) to determine the autopsy rates from patients cared for in PICUs during a portion of their hospital stay, 2) to identify patient characteristics associated with autopsies, and 3) to understand the relative role of medical examiner cases. DESIGN: Secondary analysis of data prospectively collected from a sample of patients (n = 10,078) admitted to PICUs affiliated with the Collaborative Pediatric Critical Care Research Network between December 2011 and April 2013...
September 19, 2018: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/30234742/external-validation-of-the-quick-pediatric-logistic-organ-dysfunction-2-score-using-a-large-north-american-cohort-of-critically-ill-children-with-suspected-infection
#2
Matthias Görges, Cheryl Peters, Srinivas Murthy, Shanshan Pi, Niranjan Kissoon
OBJECTIVES: A quick Pediatric Logistic Organ Dysfunction 2 score on day 1, consisting of tachycardia, hypotension, and altered mentation, was shown to predict mortality with an area under the receiver operating characteristic curve of 82% (95% CI, 76-87%) in children admitted to a PICU with suspected infection. We performed an external validation of the quick Pediatric Logistic Organ Dysfunction 2, including its performance in predicting mortality in specific age groups. DESIGN: Analysis of retrospective data obtained from the Virtual Pediatric Systems PICU registry...
September 18, 2018: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/30234741/correlation-of-bedside-pediatric-early-warning-system-score-to-interventions-during-peritransport-period
#3
Christopher K Page-Goertz, Mahua Dasgupta, Raymond G Hoffmann, Christopher Parshuram, Michael L Forbes, Michael T Meyer
BACKGROUND: The Bedside Pediatric Early Warning System score is a validated measure of severity of illness in acute care inpatient settings. Its potential as a remote assessment tool for interfacility transport has not been evaluated. We hypothesized that the Bedside Pediatric Early Warning System score was associated with need for intervention during the peritransport period and patient disposition. METHODS: We retrospectively evaluated children transported by a regional pediatric team during a 6-month period...
September 18, 2018: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/30234740/prevalence-and-prognostic-value-of-abnormal-liver-test-results-in-critically-ill-children-and-the-impact-of-delaying-parenteral-nutrition
#4
Marc Jenniskens, Fabian Güiza, Renata Haghedooren, Sascha Verbruggen, Koen Joosten, Lies Langouche, Greet Van den Berghe
OBJECTIVES: In the Early versus Late Parenteral Nutrition in the Pediatric ICU randomized controlled trial, delaying parenteral nutrition to beyond day 7 (late parenteral nutrition) was clinically superior to supplemental parenteral nutrition initiated within 24 hours (early parenteral nutrition), but resulted in a higher rise in bilirubin. We aimed to document prevalence and prognostic value of abnormal liver tests in the PICU and the impact hereon of withholding early parenteral nutrition...
September 18, 2018: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/30234739/pediatric-ventilator-associated-events-analysis-of-the-pediatric-ventilator-associated-infection-data
#5
Douglas F Willson, Mark Hall, Andrew Beardsley, Michelle Hoot, Aileen Kirby, Spencer Hays, Simon Erickson, Edward Truemper, Robinder Khemani
OBJECTIVES: To compare the prevalence of infection applying the proposed pediatric ventilator-associated events criteria versus clinician-diagnosed ventilator-associated infection to subjects in the pediatric ventilator-associated infection study. DESIGN: Analysis of prospectively collected data from the pediatric ventilator-associated infection study. SETTING: PICUs of 47 hospitals in the United States, Canada, and Australia. PATIENTS: Two-hundred twenty-nine children ventilated for greater than 48 hours who had respiratory secretion cultures performed to evaluate for suspected ventilator-associated infection...
September 18, 2018: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/30234738/implementation-and-evaluation-of-training-for-ultrasound-guided-vascular-access-to-small-vessels-using-a-low-cost-cadaver-model
#6
Michael Wagner, Kirstin Hauser, Francesco Cardona, Georg M Schmölzer, Angelika Berger, Monika Olischar, Tobias Werther
OBJECTIVES: Critically ill neonatal and pediatric patients often require central vascular access. Real-time ultrasound guidance for central venous catheterization is beneficial. Because the diameter of central veins is much smaller in neonates than in adults, extensive training is needed to master the visualization and catheterization of central veins in neonates. This study assessed the learning effect of a standardized simulation-based teaching program on ultrasound-guided cannulation in a low-cost cadaver tissue model...
September 18, 2018: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/30234678/impact-of-synchronous-telemedicine-models-on-clinical-outcomes-in-pediatric-acute-care-settings-a-systematic-review
#7
Mahmoud Nadar, Philippe Jouvet, Marisa Tucci, Baruch Toledano, Claude Sicotte
OBJECTIVES: To evaluate the impact of synchronous telemedicine models on the clinical outcomes in pediatric acute care settings. DATA SOURCES: Citations from EBM Reviews, MEDLINE, EMBASE, Global Health, PubMed, and CINAHL. STUDY SELECTION: We identified studies that evaluated the impact of synchronous telemedicine on clinical outcomes between January 2000 and April 2018. All studies involving acutely ill children in PICUs, pediatric cardiac ICUs, neonatal ICUs, and pediatric emergency departments were included...
September 17, 2018: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/30234677/analysis-of-patient-characteristics-and-risk-factors-for-thrombosis-after-surgery-for-congenital-heart-disease
#8
Lee D Murphy, Brian D Benneyworth, Elizabeth A S Moser, Kerry M Hege, Kevin M Valentine, Christopher W Mastropietro
OBJECTIVES: Thrombosis is a cause of morbidity in 4-15% of children who undergo pediatric cardiac surgery. Data on how to prevent this complication are sorely needed. We aimed to identify risk factors for thrombosis following pediatric cardiac surgery and determine if use of low molecular weight heparin prophylaxis is associated with a reduction in thrombosis risk. DESIGN: Retrospective cohort study. SETTING: Tertiary pediatric cardiovascular ICU...
September 17, 2018: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/30234676/ventilator-associated-pneumonia-and-events-in-pediatric-intensive-care-a-single-center-study
#9
Maryline Chomton, David Brossier, Michaël Sauthier, Emilie Vallières, Josée Dubois, Guillaume Emeriaud, Philippe Jouvet
OBJECTIVES: Ventilator-associated pneumonia is the second most common nosocomial infection in pediatric intensive care. The Centers for Disease Control and Prevention recently issued diagnosis criteria for pediatric ventilator-associated pneumonia and for ventilator-associated events in adults. The objectives of this pediatric study were to determine the prevalence of ventilator-associated pneumonia using these new Centers for Disease Control and Prevention criteria, to describe the risk factors and management of ventilator-associated pneumonia, and to assess a simpler method to detect ventilator-associated pneumonia with ventilator-associated event in critically ill children...
September 17, 2018: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/30234675/development-and-implementation-of-a-bedside-peripherally-inserted-central-catheter-service-in-a-picu
#10
Thomas W Conlon, Adam S Himebauch, Anne Marie Cahill, Blair M Kraus, Chinonyerem R Madu, Mark D Weber, Carol A Czajka, Ruby L Baker, Torron M Brinkley, Melanie D Washington, Anne Marie Frey, Eileen M Nelson, Cara T Jefferies, Charlotte Z Woods-Hill, Heather A Wolfe, Daniela H Davis
OBJECTIVES: To create a bedside peripherally inserted central catheter service to increase placement of bedside peripherally inserted central catheter in PICU patients. DESIGN: Two-phase observational, pre-post design. SETTING: Single-center quaternary noncardiac PICU. PATIENTS: All patients admitted to the PICU. INTERVENTIONS: From June 1, 2015, to May 31, 2017, a bedside peripherally inserted central catheter service team was created (phase I) and expanded (phase II) as part of a quality improvement initiative...
September 17, 2018: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/30234674/implementation-of-a-risk-stratified-opioid-and-benzodiazepine-weaning-protocol-in-a-pediatric-cardiac-icu
#11
Rambod Amirnovin, L Nelson Sanchez-Pinto, Carol Okuhara, Phuong Lieu, Joyce Y Koh, John W Rodgers, Lara P Nelson
OBJECTIVES: Opioids and benzodiazepines are commonly used to provide analgesia and sedation for critically ill children with cardiac disease. These medications have been associated with adverse effects including delirium, dependence, withdrawal, bowel dysfunction, and potential neurodevelopmental abnormalities. Our objective was to implement a risk-stratified opioid and benzodiazepine weaning protocol to reduce the exposure to opioids and benzodiazepines in pediatric patients with cardiac disease...
September 17, 2018: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/30199511/safety-of-tranexamic-acid-during-pediatric-trauma-a-nationwide-database-study
#12
Takuma Maeda, Nobuaki Michihata, Yusuke Sasabuchi, Hiroki Matsui, Yoshihiko Ohnishi, Shigeki Miyata, Hideo Yasunaga
OBJECTIVES: The present study aimed to examine the association between tranexamic acid use and adverse effects (seizures, thromboembolism, and renal dysfunction) in a pediatric trauma population using a national inpatient database in Japan. We also assessed the association between tranexamic acid use and in-hospital mortality. DESIGN: A nationwide, retrospective cohort study using propensity score analyses. SETTING: Japanese Diagnosis Procedure Combination inpatient database...
September 7, 2018: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/30142121/comparison-of-complication-rates-of-central-venous-catheters-versus-peripherally-inserted-central-venous-catheters-in-pediatric-patients
#13
Patrick J Noonan, Sheila J Hanson, Pippa M Simpson, Mahua Dasgupta, Tara L Petersen
OBJECTIVES: The purpose of our study is to compare the rate of central line-associated blood stream infections and venous thromboembolism in central venous catheters versus peripherally inserted central catheters in hospitalized children. There is a growing body of literature in adults describing an increased rate of venous thromboembolisms and similar rates of central line-associated blood stream infection associated with peripherally inserted central catheters versus central venous catheters...
August 23, 2018: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/30134362/pediatric-neurocritical-care-evolution-of-a-new-clinical-service-in-picus-across-the-united-states
#14
Kerri L LaRovere, Sarah A Murphy, Robin Horak, Patrick Vittner, Kush Kapur, Mark Proctor, Robert C Tasker
OBJECTIVES: Pediatric neurocritical care as a conceptual service is relatively new, and implementation of such specialized services may improve outcomes for children with disorders of the brain or spinal cord. How many pediatric neurocritical care services currently exist in the United States, and attitudes about such a service are unknown. DESIGN: Web-based survey, distributed by e-mail. SETTING: Survey was sent to PICU Medical Directors and Program Directors of Pediatric Neurosurgery fellowship and Child Neurology residency programs...
August 21, 2018: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/30134361/use-of-telemedicine-during-interhospital-transport-of-children-with-operative-intracranial-hemorrhage
#15
Eric M Jackson, Philomena M Costabile, Aylin Tekes, Katherine M Steffen, Edward S Ahn, Susanna Scafidi, Corina Noje
OBJECTIVES: To analyze the impact of an intervention of using telemedicine during interhospital transport on time to surgery in children with operative intracranial hemorrhage. DESIGN: We performed a retrospective chart review of children with intracranial hemorrhage transferred for emergent neurosurgical intervention between January 1, 2011 and December 31, 2016. We identified those patients whose neuroimaging was transmitted via telemedicine to the neurosurgical team prior to arrival at our center and then compared the telemedicine and nontelemedicine groups...
August 21, 2018: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/30119094/the-association-between-the-functional-status-scale-and-the-pediatric-functional-independence-measure-in-children-who-survive-traumatic-brain-injury
#16
Aline B Maddux, Matthew Cox-Martin, Michael Dichiaro, Tellen D Bennett
OBJECTIVES: To determine the association between the Functional Status Scale and Pediatric Functional Independence Measure scores during the rehabilitation stay in children who survive traumatic brain injury. DESIGN: Secondary analysis of a prospective observational cohort study. SETTING: Tertiary care children's hospital with a level 1 trauma center and inpatient rehabilitation service. PATIENTS: Sixty-five children less than 18 years old admitted to an ICU with acute traumatic brain injury and subsequently transferred to the inpatient rehabilitation service...
August 16, 2018: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/30113519/hepatobiliary-dysfunction-and-disseminated-intravascular-coagulation-increase-risk-of-mortality-in-pediatric-hemophagocytic-lymphohistiocytosis
#17
Jordana Goldman, Moreshwar S Desai, Kenneth L McClain, M Hossein Tcharmtchi, Curtis E Kennedy, Kathleen Thompson, Fong Lam, Dalia A Bashir, Ivan K Chinn, Baruch R Goldberg, Carl E Allen, Trung C Nguyen
OBJECTIVES: Hemophagocytic lymphohistiocytosis poses significant challenges due to limited tools to guide clinical decisions in a population at high risk of death. We sought to assess whether disseminated intravascular coagulation and hepatobiliary dysfunction, significant comorbidities seen in critical care settings, would identify hemophagocytic lymphohistiocytosis patients with increased risk of mortality. DESIGN: Retrospective chart review. SETTING: Single-center PICU...
August 14, 2018: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/30113518/diagnostic-bedside-ultrasound-program-development-in-pediatric-critical-care-medicine-results-of-a-national-survey
#18
Thomas W Conlon, David B Kantor, Erik R Su, Sonali Basu, Donald L Boyer, Bereketeab Haileselassie, Tara L Petersen, Felice Su, Akira Nishisaki
OBJECTIVES: To assess current diagnostic bedside ultrasound program core element (training, credentialing, image storage, documentation, and quality assurance) implementation across pediatric critical care medicine divisions in the United States. DESIGN: Cross-sectional questionnaire-based needs assessment survey. SETTING: Pediatric critical care medicine divisions with an Accreditation Council of Graduate Medical Education-accredited fellowship...
August 14, 2018: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/30106767/hemolysis-during-pediatric-extracorporeal-membrane-oxygenation-associations-with-circuitry-complications-and-mortality
#19
Heidi J Dalton, Katherine Cashen, Ron W Reeder, Robert A Berg, Thomas P Shanley, Christopher J L Newth, Murray M Pollack, David Wessel, Joseph Carcillo, Rick Harrison, J Michael Dean, Kathleen L Meert
OBJECTIVES: To describe factors associated with hemolysis during pediatric extracorporeal membrane oxygenation and the relationships between hemolysis, complications, and mortality. DESIGN: Secondary analysis of data collected prospectively by the Collaborative Pediatric Critical Care Research Network between December 2012 and September 2014. SETTING: Three Collaborative Pediatric Critical Care Research Network-affiliated hospitals. PATIENTS: Age less than 19 years and treated with extracorporeal membrane oxygenation...
August 13, 2018: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/30106766/inflammatory-and-comorbid-features-of-children-admitted-to-a-picu-for-status-asthmaticus
#20
Jocelyn R Grunwell, Curtis Travers, Anne M Fitzpatrick
OBJECTIVES: To determine risk factors associated with admission to a PICU with or without endotracheal intubation for an asthma exacerbation. We hypothesized that children with critical and near-fatal asthma would have distinguishing clinical features but varying degrees of asthma severity and measures of type 2 inflammation. DESIGN: Retrospective analysis of prospectively collected data of children with asthma recruited into outpatient asthma clinical research studies at Emory University between 2004 and 2015...
August 13, 2018: Pediatric Critical Care Medicine
journal
journal
20299
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"