keyword
https://read.qxmd.com/read/38651577/rehabilitation-for-adult-patients-undergoing-extracorporeal-membrane-oxygenation
#1
JOURNAL ARTICLE
Massimiliano Polastri, Allaina Eden, Justyna Swol
BACKGROUND AND PURPOSE: Current information on the latest rehabilitative practices is limited, with previous reviews only covering data up to October 2021, and some considering only patients on awake ECMO or with COVID-19. This review aims to present a concise overview of the latest findings on rehabilitation and highlight emerging trends for patients undergoing ECMO support. METHODS: This integrative review was conducted by searching the National Library of Medicine - PubMed database...
April 2024: Perfusion
https://read.qxmd.com/read/38648186/exhaled-volatile-organic-compounds-for-asthma-control-classification-in-children-with-moderate-to-severe-asthma-results-from-the-syspharmpedia-study
#2
JOURNAL ARTICLE
Shahriyar Shahbazi Khamas, Yoni Van Dijk, Mahmoud I Abdel-Aziz, Anne H Neerincx, Jelle Blankestijn, Susanne J H Vijverberg, Simone Hashimoto, Andrew Bush, Aletta D Kraneveld, Anna M Hedman, Antoaneta A Toncheva, Catarina Almqvist, Christine Wolff, Clare S Murray, Gunilla Hedlin, Graham Roberts, Ian M Adcock, Javier Korta-Murua, Klaus Bønnelykke, Louise J Fleming, Maria Pino-Yanes, Mario Gorenjak, Michael Kabesch, Olaia Sardón-Prado, Paolo Montuschi, Florian Singer, Paula Corcuera-Elosegui, Stephen J Fowler, Susanne Brandstetter, Susanne Harner, Sven-Erik Dahlén, Uroš Potočnik, Urs Frey, Wim van Aalderen, Paul Brinkman, Anke H Maitland-van der Zee
RATIONALE: Early identification of children with poorly controlled asthma is imperative for optimizing treatment strategies. The analysis of exhaled volatile organic compounds (VOCs) is an emerging approach to identify prognostic and diagnostic biomarkers in pediatric asthma. OBJECTIVES: To assess the accuracy of gas chromatography-mass spectrometry based exhaled metabolite analysis to differentiate between controlled and uncontrolled pediatric asthma. METHODS: This study encompassed a discovery (SysPharmPediA) and validation phase (U-BIOPRED, PANDA)...
April 22, 2024: American Journal of Respiratory and Critical Care Medicine
https://read.qxmd.com/read/38648043/developmental-milestone-attainment-in-us-children-before-and-during-the-covid-19-pandemic
#3
JOURNAL ARTICLE
Sara B Johnson, Molly Kuehn, Jennifer O Lambert, J Paul Spin, Lauren M Klein, Barbara Howard, Raymond Sturner, Eliana M Perrin
IMPORTANCE: Restrictions related to the COVID-19 pandemic disrupted the lives of young children, but the association between the pandemic and any changes in early childhood developmental milestone achievement in the US remains unclear. OBJECTIVES: To determine the association between the COVID-19 pandemic and changes in developmental screening scores among US children aged 0 to 5 years and to investigate whether caregivers self-reported more worries about their children or concerns about children's behavior during the pandemic, regardless of milestone achievement...
April 22, 2024: JAMA Pediatrics
https://read.qxmd.com/read/38644149/-latent-safety-threats-in-a-pediatric-emergency-department-using-in-situ-simulation-to-test-a-new-trauma-room-concept
#4
JOURNAL ARTICLE
Anja Große Lordemann, Dirk Sommerfeldt, Lukas Mileder
INTRODUCTION: Structured emergency room concepts have been shown to contribute to patient safety. Until now there has been no uniform emergency room concept for critically ill and seriously injured children and adolescents in the emergency room at the Altona Children's Hospital in Hamburg. This concept has been newly developed in interdisciplinary cooperation and includes the use of new clinical premises as well as new responsibilities and team compositions. The introduction of new processes and rooms for handling emergencies is associated with a risk of overlooking latent safety deficiencies or detecting them only after the process has been implemented...
April 20, 2024: Zeitschrift Für Evidenz, Fortbildung und Qualität Im Gesundheitswesen
https://read.qxmd.com/read/38639564/high-flow-nasal-cannula-versus-nasal-prong-bubble-continuous-positive-airway-pressure-in-children-with-moderate-to-severe-acute-bronchiolitis-a-randomized-controlled-trial
#5
JOURNAL ARTICLE
Malini Maya, Ramachandran Rameshkumar, Tamil Selvan, Chinnaiah Govindhareddy Delhikumar
OBJECTIVES: To compare high-flow nasal cannula (HFNC) versus nasal prong bubble continuous positive airway pressure (b-CPAP) in children with moderate to severe acute bronchiolitis. DESIGN: A randomized controlled trial was carried out from August 2019 to February 2022. (Clinical Trials Registry of India number CTRI/2019/07/020402). SETTING: Pediatric emergency ward and ICU within a tertiary care center in India. PATIENTS: Children 1-23 months old with moderate to severe acute bronchiolitis...
April 19, 2024: Pediatric Critical Care Medicine
https://read.qxmd.com/read/38633186/antimicrobial-resistance-from-one-health-perspective-in-the-middle-east-a-systematic-review
#6
JOURNAL ARTICLE
Khalid A Alkheraije
BACKGROUND: Antimicrobial resistance (AMR) is recognized globally as a significant health challenge, but its extent remains unclear in many regions. It is crucial to prioritize a foundational evaluation of AMR prevalence to facilitate the implementation of laboratory-based surveillance. Adopting a One Health perspective, this study outlines the present AMR status in the Middle East. AIM: To synthesize the current state of knowledge on AMR in the Middle East, delineate the contributions of different sectors (human health, animal health, and environment), and discern the effectiveness of One Health interventions in mitigating AMR...
January 2024: Open Veterinary Journal
https://read.qxmd.com/read/38629921/skeletal-muscle-mass-assessment-in-pediatric-patients-development-of-a-normative-equation-and-assessment-of-factors-associated-with-a-low-skeletal-muscle-mass-in-picu-patients
#7
JOURNAL ARTICLE
Wakato Matsuoka, Soichi Mizuguchi, Noriyuki Kaku, Kanako Higashi, Kenichi Tetsuhara, Tomohiko Akahoshi, Shouichi Ohga
OBJECTIVES: To develop an equation for defining a low skeletal muscle mass (SMM) in children and to investigate risk factors and outcomes associated with low SMM in critically ill pediatric patients. DESIGN: Single-center retrospective pediatric cohorts, 2011-2018. SETTING: Tertiary Emergency and Critical Care Center of Kyushu University Hospital in Japan. PATIENTS: We studied two cohorts of pediatric patients 1-15 years old who underwent abdominal CT at the level of the third lumbar vertebra (L3)...
April 17, 2024: Pediatric Critical Care Medicine
https://read.qxmd.com/read/38629915/protocol-for-a-randomized-controlled-trial-to-evaluate-a-permissive-blood-pressure-target-versus-usual-care-in-critically-ill-children-with-hypotension-pressure
#8
JOURNAL ARTICLE
Robert Darnell, Alanna Brown, Emma Laing, Julia Edwards, David A Harrison, Joseph C Manning, Mark J Peters, Padmanabhan Ramnarayan, Samiran Ray, Zia Sadique, Barnaby R Scholefield, Dermot Shortt, Lamprini Lampro, Carly Au, Kathy M Rowan, Paul Mouncey, David P Inwald
OBJECTIVES: Management of hypotension is a fundamental part of pediatric critical care, with cardiovascular support in the form of fluids or vasoactive drugs offered to every hypotensive child. However, optimal blood pressure (BP) targets are unknown. The PRotocolised Evaluation of PermiSSive BP Targets Versus Usual CaRE (PRESSURE) trial aims to evaluate the clinical and cost-effectiveness of a permissive mean arterial pressure (MAP) target of greater than a fifth centile for age compared with usual care...
April 17, 2024: Pediatric Critical Care Medicine
https://read.qxmd.com/read/38628286/determination-categorization-and-hierarchy-of-content-for-a-pediatric-emergency-medicine-curriculum-designed-for-emergency-medicine-residents
#9
JOURNAL ARTICLE
Sarah C Cavallaro, Sara Schutzman, Joyce Li, Martin Pusic
BACKGROUND: Currently, the Accreditation Council of Graduate Medical Education requires time-based pediatric experiences for emergency medicine (EM) residents in both pediatric emergency medicine (PEM) and critical care settings. The American Board of Emergency Medicine has published the Model of the Clinical Practice of Emergency Medicine, which is a list of content an EM resident should learn. However, this list is large and without prioritization and therefore can be difficult to incorporate into time-limited curricula...
April 2024: AEM Education and Training
https://read.qxmd.com/read/38619346/near-infrared-spectroscopy-in-pediatric-cardiac-arrest-a-piece-of-the-clinical-picture
#10
EDITORIAL
Gurpreet S Dhillon, Marc D Berg
No abstract text is available yet for this article.
May 1, 2024: Critical Care Medicine
https://read.qxmd.com/read/38619330/mechanical-ventilation-and-outcomes-of-children-who-undergo-ventricular-assist-device-placement-2014-2020-linked-analysis-from-the-advanced-cardiac-therapies-improving-outcomes-network-and-pediatric-cardiac-critical-care-consortium-registries
#11
JOURNAL ARTICLE
Tanya Perry, David N Rosenthal, Angela Lorts, Farhan Zafar, Wenying Zhang, Christina VanderPluym, Aaron G Dewitt, Garrett Reichle, Mousumi Banerjee, Kurt R Schumacher
OBJECTIVES: Placement of a ventricular assist device (VAD) improves outcomes in children with advanced heart failure, but adverse events remain important consequences. Preoperative mechanical ventilation (MV) increases mortality, but it is unknown what impact prolonged postoperative MV has. DESIGN: Advanced Cardiac Therapies Improving Outcomes Network (ACTION) and Pediatric Cardiac Critical Care Consortium (PC4) registries were used to identify and link children with initial VAD placement admitted to the cardiac ICU (CICU) from August 2014 to July 2020...
April 15, 2024: Pediatric Critical Care Medicine
https://read.qxmd.com/read/38614026/predicting-adverse-long-term-neurocognitive-outcomes-after-pediatric-intensive-care-unit-admission
#12
JOURNAL ARTICLE
Felipe Kenji Nakano, Karolijn Dulfer, Ilse Vanhorebeek, Pieter J Wouters, Sascha C Verbruggen, Koen F Joosten, Fabian Güiza Grandas, Celine Vens, Greet Van den Berghe
BACKGROUND AND OBJECTIVE: Critically ill children may suffer from impaired neurocognitive functions years after ICU (intensive care unit) discharge. To assess neurocognitive functions, these children are subjected to a fixed sequence of tests. Undergoing all tests is, however, arduous for former pediatric ICU patients, resulting in interrupted evaluations where several neurocognitive deficiencies remain undetected. As a solution, we propose using machine learning to predict the optimal order of tests for each child, reducing the number of tests required to identify the most severe neurocognitive deficiencies...
April 10, 2024: Computer Methods and Programs in Biomedicine
https://read.qxmd.com/read/38602435/a-critique-of-the-conservative-versus-liberal-oxygenation-targets-in-critically-ill-children-multicenter-randomized-clinical-trial-published-in-the-lancet-2024-more-on-less-is-more
#13
JOURNAL ARTICLE
Rebeca Mozun, Luregn J Schlapbach
No abstract text is available yet for this article.
April 11, 2024: Pediatric Critical Care Medicine
https://read.qxmd.com/read/38602434/the-oxy-picu-conservative-versus-liberal-oxygenation-target-trial-in-critically-ill-children-a-changed-world-or-a-so-what-result
#14
JOURNAL ARTICLE
Doug W Gould, Mark J Peters
No abstract text is available yet for this article.
April 11, 2024: Pediatric Critical Care Medicine
https://read.qxmd.com/read/38602429/chest-compression-depth-targets-in-critically-ill-infants-and-children-measured-with-a-laser-distance-meter-single-center-retrospective-study-from-japan-2019-2022
#15
JOURNAL ARTICLE
Takanari Ikeyama, Takunori Hozumi, Kazuki Kikuyama, Dana Niles, Vinay Nadkarni, Komei Ito
OBJECTIVES: Current resuscitation guidelines recommend target chest compression depth (CCd) of approximately 4cm for infants and 5cm for children. Previous reports based on chest CT suggest these recommended CCd targets might be too deep for younger children. Our aim was to examine measurements of anterior-posterior chest diameter (APd) with a laser distance meter and calculate CCd targets in critically ill infants and children. DESIGN: A retrospective descriptive study...
April 11, 2024: Pediatric Critical Care Medicine
https://read.qxmd.com/read/38596925/national-characteristics-of-emergency-care-for-children-with-neurologic-complex-chronic-conditions
#16
JOURNAL ARTICLE
Kaileen Jafari, Kristen Carlin, Derya Caglar, Eileen J Klein, Tamara D Simon
INTRODUCTION: Most pediatric emergency care occurs in general emergency departments (GED), where less pediatric experience and lower pediatric emergency readiness may compromise care. Medically vulnerable pediatric patients, such as those with chronic, severe, neurologic conditions, are likely to be disproportionately affected by suboptimal care in GEDs; however, little is known about characteristics of their care in either the general or pediatric emergency setting. In this study our objective was to compare the frequency, characteristics, and outcomes of ED visits made by children with chronic neurologic diseases between general and pediatric EDs (PED)...
March 2024: Western Journal of Emergency Medicine
https://read.qxmd.com/read/38594412/the-national-academies-of-sciences-engineering-and-medicine-recommendations-on-medicaid-parity-and-future-of-pediatric-subspecialty-workforce
#17
REVIEW
Satyan Lakshminrusimha, David A Lubarsky, Rhae Ana Gamber, Sherin U Devaskar
Medicaid supports 41% of all births in the US and nearly 347,580 admissions to neonatal intensive care units in 2022. Medicaid reimbursement is critical to child health inclusive of departments of Pediatrics and children's hospitals. Low Medicaid reimbursement is one of the causes for low pediatric subspecialist salaries and has led to workforce challenges. The National Academies of Science, Engineering, and Medicine (NASEM) recently suggested increased Medicaid reimbursement as a strategy to sustain pediatric subspecialist workforce...
April 9, 2024: Journal of Perinatology: Official Journal of the California Perinatal Association
https://read.qxmd.com/read/38591949/biomarker-based-risk-stratification-tool-in-pediatric-acute-respiratory-distress-syndrome-single-center-longitudinal-validation-in-a-2014-2019-cohort
#18
JOURNAL ARTICLE
Jane E Whitney, Grace M Johnson, Brian M Varisco, Benjamin A Raby, Nadir Yehya
OBJECTIVES: The Pediatric Acute Respiratory Distress Syndrome Biomarker Risk Model (PARDSEVERE) used age and three plasma biomarkers measured within 24 hours of pediatric acute respiratory distress syndrome (ARDS) onset to predict mortality in a pilot cohort of 152 patients. However, longitudinal performance of PARDSEVERE has not been evaluated, and it is unclear whether the risk model can be used to prognosticate after day 0. We, therefore, sought to determine the test characteristics of PARDSEVERE model and population over the first 7 days after ARDS onset...
April 9, 2024: Pediatric Critical Care Medicine
https://read.qxmd.com/read/38591948/management-changes-after-echocardiography-are-associated-with-improved-outcomes-in-critically-ill-children
#19
JOURNAL ARTICLE
Pui Yin Florence Ip, Uvaraj Periasamy, Steven J Staffa, David Zurakowski, David B Kantor
OBJECTIVES: To evaluate management changes and outcomes in critically ill children after formal echocardiography. DESIGN: Retrospective cohort study between January 1, 2011, and December 31, 2020. SETTING: Tertiary care children's hospital. PATIENTS: Patients from 1 to 18 years who had formal echocardiography within 72 hours of ICU admission and who were intubated and on vasoactive infusions at the time of the study...
April 9, 2024: Pediatric Critical Care Medicine
https://read.qxmd.com/read/38585579/pediatric-critical-care-fellow-perception-of-learning-through-virtual-reality-bronchoscopy
#20
JOURNAL ARTICLE
Liron Talmi, Sabine Nabecker, Dominique Piquette, Briseida Mema
BACKGROUND: Virtual reality (VR) simulators have revolutionized training in bronchoscopy, offering unrestricted availability in a low-stakes learning environment and frequent assessments represented by automatic scoring. The VR assessments can be used to monitor and support learners' progression. How trainees perceive these assessments needs to be clarified. OBJECTIVE: The objective of this study was to examine what assessments learners select to document and receive feedback on and what influences their decisions...
March 2024: ATS scholar
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