Journal of Pediatric Intensive Care最新文献

Contributing Reviewers in 2023. 2023 年的特约评论员。

IF 0.7

Journal of Pediatric Intensive Care Pub Date : 2024-04-02 eCollection Date: 2024-03-01 DOI: 10.1055/s-0044-1779501

引用次数: 0

Retraction Note: The Effects of Quran Recitation on Sedation and Pain in Children. 撤回注：诵读古兰经对儿童镇静和疼痛的影响。

IF 0.5

Journal of Pediatric Intensive Care Pub Date : 2024-01-19 eCollection Date: 2024-12-01 DOI: 10.1055/s-0044-1779441

Hüseyin Çaksen

引用次数: 0

Retraction Note: The Spiritual Dimension of Death: A Mini Review. 撤稿说明：死亡的精神维度：小型评论。

IF 0.5

Journal of Pediatric Intensive Care Pub Date : 2024-01-05 eCollection Date: 2024-06-01 DOI: 10.1055/s-0043-1774713

Hüseyin Çaksen

引用次数: 0

Erratum: A Clinical Mathematical Model Estimating Postoperative Urine Output in Children Underwent Cardiopulmonary By-pass for Congenital Heart Surgery 勘误：估算先天性心脏病心肺旁路手术患儿术后尿量的临床数学模型

IF 0.7

Journal of Pediatric Intensive Care Pub Date : 2023-12-12 DOI: 10.1055/s-0043-1776409

O. Baloglu, Shawn D Ryan, Ali M. Onder, David Rosen, Charles J. Mullett, Daniel S Munther

引用次数: 0

A Multicenter Retrospective Evaluation of Social Determinant of Health Z Code Usage among Pediatric Patients with Critical Care Visits during Pediatric Critical Care 儿童重症监护期间就诊的儿童患者健康Z码使用的社会决定因素的多中心回顾性评估

Journal of Pediatric Intensive Care Pub Date : 2023-09-19 DOI: 10.1055/s-0043-1774719

Lisa Yoder, Duane Williams, Zizhong Tian, Chan Shen, Shouhao Zhou, Neal J. Thomas, Conrad Krawiec

{"title":"A Multicenter Retrospective Evaluation of Social Determinant of Health Z Code Usage among Pediatric Patients with Critical Care Visits during Pediatric Critical Care","authors":"Lisa Yoder, Duane Williams, Zizhong Tian, Chan Shen, Shouhao Zhou, Neal J. Thomas, Conrad Krawiec","doi":"10.1055/s-0043-1774719","DOIUrl":"https://doi.org/10.1055/s-0043-1774719","url":null,"abstract":"Abstract Social determinants of health (SDOH) diagnostic codes may facilitate the deployment of appropriate resources to improve patient outcomes, but their use in critically ill pediatric populations is unknown. Our study aims to examine SDOH codes usage hypothesizing that it is underutilized. This is a retrospective observational cohort study utilizing the TriNetX electronic health record database. We included subjects aged less than 18 years with critical care services billing codes and analyzed demographics, International Classification of Diseases, 10th edition diagnostic codes, and SDOH diagnostic codes 1 year before, during (7 days before and after), and 1 year after critical care services. We included 73,444 subjects (1,150 [1.6%] SDOH codes present during; 1,015 [1.4%] 1 year before; and 1,710 [2.3%] 1 year after critical care services) from 39 health care organizations. The most common SDOH diagnostic code utilized was “problems related to upbringing” (50.4%). SDOH diagnostic codes were consistently significantly associated with diagnostic codes related to seizures. SDOH diagnostic code presence was infrequent in critically ill pediatric patients. These findings may indicate not only the underutilization of SDOH diagnostic code but also the underrepresentation of SDOH prevalence in this patient population.","PeriodicalId":44426,"journal":{"name":"Journal of Pediatric Intensive Care","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135059277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Central Venous Catheter Placement Skill Acquisition Through Apprenticeship Training in Clinical Context during Pediatric Critical Care Medicine Fellowship: A Longitudinal Study 中心静脉置管技能习得通过学徒培训在临床背景下在儿科重症医学奖学金:一项纵向研究

Journal of Pediatric Intensive Care Pub Date : 2023-09-19 DOI: 10.1055/s-0043-1775567

Ryan J. Good, Kristen R. Miller, John L. Kendall, Angela S. Czaja

{"title":"Central Venous Catheter Placement Skill Acquisition Through Apprenticeship Training in Clinical Context during Pediatric Critical Care Medicine Fellowship: A Longitudinal Study","authors":"Ryan J. Good, Kristen R. Miller, John L. Kendall, Angela S. Czaja","doi":"10.1055/s-0043-1775567","DOIUrl":"https://doi.org/10.1055/s-0043-1775567","url":null,"abstract":"Abstract Pediatric critical care medicine (PCCM) fellows must develop competence in central venous catheter (CVC) placement. The impact of experiential learning opportunities in the clinical context on PCCM fellow CVC placement skill acquisition remains unknown. We sought to measure femoral CVC placement skill acquisition during fellowship and compare fellow to attending skill. We performed a prospective observational cohort study of PCCM fellows at the University of Colorado from 2019 to 2021. Femoral CVC placement skill was measured by attending evaluation of level of the supervision (LOS) required for the fellow, and hand motion analysis (HMA) on simulation task trainer. Competence in femoral CVC placement was defined as LOS ≥ 4 (can perform this skill independently) on a 5-point Likert scale. We compared fellow skill in femoral CVC placement to years of training and number of femoral CVCs placed. We also compared third-year fellow and attending HMA measurements. We recruited 13 fellows and 6 attendings. Fellows placed a median of 8 (interquartile range 7, 11) femoral CVCs during the study period. All fellows who reached third-year of fellowship during the study period achieved competence. Longitudinal analysis demonstrated improvement in CVC placement skill by both LOS and HMA as years of fellowship and number of femoral CVCs placed increased. Few third-year fellows achieved attending level skill in femoral CVC placement as measured by HMA. PCCM fellows acquired skill in CVC placement during fellowship and achieved competence in the procedure, but most did not reach attending level of skill.","PeriodicalId":44426,"journal":{"name":"Journal of Pediatric Intensive Care","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135059279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effect of Target-Driven Sedation Protocol to Ventilator Liberation in Pediatric Intensive Care Unit: Pre- and Postimplementation Single-Center Study 目标驱动镇静方案对儿童重症监护病房呼吸机解放的影响:实施前后单中心研究

Journal of Pediatric Intensive Care Pub Date : 2023-09-19 DOI: 10.1055/s-0043-1774306

Abdulla Alfraij, Ahmed Abdelmoniem, Mohammad Surour, Mohamed Basuni, Mohamed Elseadawy

{"title":"Effect of Target-Driven Sedation Protocol to Ventilator Liberation in Pediatric Intensive Care Unit: Pre- and Postimplementation Single-Center Study","authors":"Abdulla Alfraij, Ahmed Abdelmoniem, Mohammad Surour, Mohamed Basuni, Mohamed Elseadawy","doi":"10.1055/s-0043-1774306","DOIUrl":"https://doi.org/10.1055/s-0043-1774306","url":null,"abstract":"Abstract Oversedation of mechanically ventilated children is common in many pediatric intensive care units (PICUs). This practice is driven by the challenges of dealing with children of different ages as they have different behavioral, mental, and emotional statuses. We aimed to evaluate the effect of implementing a target-driven sedation protocol in the PICU on ventilator-free days (VFDs), PICU stays, and hospitalization. A 2-year retrospective cohort study was performed in our PICU between October 1, 2018, and October 1, 2020. All intubated children up to 12 years of age were included. Descriptive analyses and a pre- and postintervention comparison of VFDs and length of stay were used to assess the protocol's effectiveness. A total of 134 patients were studied. There was a significant increase in VFDs in cases with respiratory illness requiring mechanical ventilation after implementing this protocol (19.9 vs. 22.3, respectively, with a p-value of 0.031). Also, there was a trend of reduction in the length of PICU stay (median of 9 vs. 8 days, p = 0.816), post-PICU length of stay (median of 4 vs. 3 days, p = 0.055), and hospitalization duration (median of 16 vs. 13 days, p = 0.062) though not statistically significant. Implementing a target-driven sedation protocol in the PICU significantly affects VFDs in mechanically ventilated respiratory cases. Though inconclusive in our study, implementing such a protocol will influence patients' care and reduce unnecessary sedation uses that will reduce sedation hazards.","PeriodicalId":44426,"journal":{"name":"Journal of Pediatric Intensive Care","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135059281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Response to the Letter to the Editor: Inborn Errors in Pediatric Intensive Care Unit: Much More to Understand. 给编辑的信的回应:儿科重症监护病房的先天性错误:更多的了解。

IF 0.7

Journal of Pediatric Intensive Care Pub Date : 2023-09-01 DOI: 10.1055/s-0041-1731023

Patrícia Lipari Pinto, Zakhar Shchomak, Leonor Boto, Patrícia Janeiro, Oana Moldovan, Francisco Abecasis, Ana Gaspar, Marisa Vieira

引用次数: 0

Perioperative Management of Pediatric Patients with Moyamoya Arteriopathy. 小儿烟雾动脉病的围手术期处理。

IF 0.7

Journal of Pediatric Intensive Care Pub Date : 2023-09-01 DOI: 10.1055/s-0041-1731667

Sarah E Gardner Yelton, Monica A Williams, Mollie Young, Jennifer Fields, Monica S Pearl, James F Casella, Courtney E Lawrence, Ryan J Felling, Eric M Jackson, Courtney Robertson, Susanna Scafidi, Jennifer K Lee, Alan R Cohen, Lisa R Sun

{"title":"Perioperative Management of Pediatric Patients with Moyamoya Arteriopathy.","authors":"Sarah E Gardner Yelton, Monica A Williams, Mollie Young, Jennifer Fields, Monica S Pearl, James F Casella, Courtney E Lawrence, Ryan J Felling, Eric M Jackson, Courtney Robertson, Susanna Scafidi, Jennifer K Lee, Alan R Cohen, Lisa R Sun","doi":"10.1055/s-0041-1731667","DOIUrl":"https://doi.org/10.1055/s-0041-1731667","url":null,"abstract":"Pediatric patients with moyamoya arteriopathy are at high risk for developing new onset transient or permanent neurologic deficits secondary to cerebral hypoperfusion, particularly in the perioperative period. It is therefore essential to carefully manage these patients in a multidisciplinary, coordinated effort to reduce the risk of new permanent neurologic deficits. However, little has been published on perioperative management of pediatric patients with moyamoya, particularly in the early postoperative period during intensive care unit admission. Our pediatric neurocritical care team sought to create a multidisciplinary periprocedural evidence- and consensus-based care pathway for high-risk pediatric patients with moyamoya arteriopathy undergoing anesthesia for any reason to decrease the incidence of periprocedural stroke or transient ischemic attack (TIA). We reviewed the literature to identify risk factors associated with perioperative stroke or TIA among patients with moyamoya and to gather data supporting specific perioperative management strategies. A multidisciplinary team from pediatric anesthesia, neurocritical care, nursing, child life, neurosurgery, interventional neuroradiology, neurology, and hematology created a care pathway for children with moyamoya undergoing anesthesia, classifying them as either high or standard risk, and applying an individualized perioperative management plan to high-risk patients. The incidence of neurologic sequelae before and after pathway implementation will be compared in future studies.","PeriodicalId":44426,"journal":{"name":"Journal of Pediatric Intensive Care","volume":"12 3","pages":"159-166"},"PeriodicalIF":0.7,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10411150/pdf/10-1055-s-0041-1731667.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10033153","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 10

Safety and Feasibility of Long-Distance Aeromedical Transport of Neonates and Children in Fixed-Wing Air Ambulance. 固定翼空中救护新生儿和儿童远程医疗运输的安全性和可行性。

IF 0.7

Journal of Pediatric Intensive Care Pub Date : 2023-09-01 DOI: 10.1055/s-0041-1731681

Alex Veldman, Stefanie Krummer, Dirk Schwabe, Michael Diefenbach, Doris Fischer, Sophie Schmitt-Kästner, Cornelia Rohrbeck, Ruby Pannu

{"title":"Safety and Feasibility of Long-Distance Aeromedical Transport of Neonates and Children in Fixed-Wing Air Ambulance.","authors":"Alex Veldman, Stefanie Krummer, Dirk Schwabe, Michael Diefenbach, Doris Fischer, Sophie Schmitt-Kästner, Cornelia Rohrbeck, Ruby Pannu","doi":"10.1055/s-0041-1731681","DOIUrl":"https://doi.org/10.1055/s-0041-1731681","url":null,"abstract":"In cases of critical injury or illness abroad, fixed-wing air ambulance aircraft is employed to repatriate children to their home country. Air ambulance aircraft also transport children to foreign countries for treatment not locally available and newborns back home that have been born prematurely abroad. In this retrospective observational study, we investigated demographics, feasibility, and safety and outcomes of long-distance and international aeromedical transport of neonates and children. The study included 167 pediatric patients, 56 of those preterm neonates. A total of 41 patients were ventilated, 45 requiring oxygen prior to the transport, 57 transferred from an intensive care unit (ICU), and 48 to an ICU. Patients were transported by using Learjet 31A, Learjet 45, Learjet 55, and Bombardier Challenger 604, with a median transport distance of 1,008 nautical miles (NM), median transport time of 04:45 hours (median flight time = 03:00 hours), flight time ≥8 hours in 15 flights, and transport time ≥8 hours in 29 missions. All transports were accompanied by a pediatric physician/nurse team. An increase in FiO 2 during the transport was documented in 47/167 patients (28%). Therapy escalation (other than increased oxygen) was reported in 18 patients, and technical adverse events in 3 patients. No patient required CPR or died during the transport. Clinical transport outcome was rated by the accompanying physician as unchanged in 163 transports, improved in 4, and deteriorated in none. In summary, international, long-distance transport of neonatal and pediatric patients performed by experienced and well-equipped transport teams is feasible. Neither major adverse events nor physician-rated clinical deteriorations were observed in this group of patients.","PeriodicalId":44426,"journal":{"name":"Journal of Pediatric Intensive Care","volume":"12 3","pages":"235-242"},"PeriodicalIF":0.7,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/60/00/10-1055-s-0041-1731681.PMC10411161.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9979474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1