Alice Walz, Marguerite Orsi Canter, Kristina Betters
{"title":"The ICU Liberation Bundle and Strategies for Implementation in Pediatrics.","authors":"Alice Walz, Marguerite Orsi Canter, Kristina Betters","doi":"10.1007/s40124-020-00216-7","DOIUrl":"10.1007/s40124-020-00216-7","url":null,"abstract":"<p><strong>Purpose of review: </strong>We briefly review post-intensive care syndrome (PICS) and the morbidities associated with critical illness that led to the intensive care unit (ICU) liberation movement. We review each element of the ICU liberation bundle, including pediatric support data, as well as tips and strategies for implementation in a pediatric ICU (PICU) setting.</p><p><strong>Recent findings: </strong>Numerous studies have found children have cognitive, physical, and psychiatric deficits after a PICU stay. The effects of the full ICU liberation bundle in children have not been published, but in adults, bundle implementation (even partial) resulted in significant improvement in survival, mechanical ventilation use, coma, delirium, restraint-free care, ICU readmissions, and post-ICU discharge disposition.</p><p><strong>Summary: </strong>Although initially described in adults, children also suffer from PICS. The ICU liberation bundle is feasible in children and may ameliorate the effects of a PICU stay. Further studies are needed to characterize the benefits of the ICU liberation bundle in children.</p>","PeriodicalId":72740,"journal":{"name":"Current pediatrics reports","volume":"8 3","pages":"69-78"},"PeriodicalIF":3.6,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7229434/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37952730","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}
Evelyn Eisenstein, Cristiane Kopacek, Suzy Santana Cavalcante, Almir C Neves, Gustavo P Fraga, Luiz Ary Messina
{"title":"Telemedicine: a Bridge Over Knowledge Gaps in Healthcare.","authors":"Evelyn Eisenstein, Cristiane Kopacek, Suzy Santana Cavalcante, Almir C Neves, Gustavo P Fraga, Luiz Ary Messina","doi":"10.1007/s40124-020-00221-w","DOIUrl":"https://doi.org/10.1007/s40124-020-00221-w","url":null,"abstract":"<p><strong>Purpose of the review: </strong>The purpose of the review is to describe the Brazilian Telemedicine University Network RUTE concerning the Special Interest Group of Children and Adolescents, the new SIG-COVID19-BR activities for continuing medical education, and to update relevant information regarding diagnosis and treatment, using digital technologies.</p><p><strong>Recent findings: </strong>A total of 145 sessions of video and webconferences were held with the participation of 6575 health professionals, including medical students, interns, and residents. Major topics involved the healthcare of children and adolescents were combined with the emergence of a new pandemic plus the need to decrease the professional knowledge gaps in geographically distant hospitals.</p><p><strong>Summary: </strong>Telemedicine is a cost-effective tool and a bridge to decrease health disparities access for proper care and assistance for any population. RUTE is a Brazilian model of telemedicine which has a positive impact attracting the participation of health professionals, and even more so, during the Covid-19 virus pandemic outbreak.</p>","PeriodicalId":72740,"journal":{"name":"Current pediatrics reports","volume":"8 3","pages":"93-98"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s40124-020-00221-w","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38302592","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}
Ilana Harwayne-Gidansky, Rahul Panesar, Tensing Maa
{"title":"Recent Advances in Simulation for Pediatric Critical Care Medicine.","authors":"Ilana Harwayne-Gidansky, Rahul Panesar, Tensing Maa","doi":"10.1007/s40124-020-00226-5","DOIUrl":"10.1007/s40124-020-00226-5","url":null,"abstract":"<p><strong>Purpose of review: </strong>This review highlights the emerging fields of simulation research by tying innovation into principles of learning and process improvement.</p><p><strong>Recent findings: </strong>Advances have been made in both educational simulation and simulation for quality improvement, allowing this versatile modality to be more broadly applied to healthcare and systems.</p><p><strong>Summary: </strong>Simulation in pediatric critical care medicine continues to evolve. Although the majority of simulation is focused on learner education, emerging research has broadened to focus on patient- and system-centered outcomes, leading to improvement in the quality of care delivered in the ICU.</p>","PeriodicalId":72740,"journal":{"name":"Current pediatrics reports","volume":"8 4","pages":"147-156"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7453067/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38335199","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}
{"title":"Focus on Chronic Variable Immunodeficiency for Primary Care Practitioners, the Gatekeepers to Optimal Health Outcomes for Primary Immunodeficiency Syndromes","authors":"William A. Gerber","doi":"10.1007/s40124-019-00202-8","DOIUrl":"https://doi.org/10.1007/s40124-019-00202-8","url":null,"abstract":"","PeriodicalId":72740,"journal":{"name":"Current pediatrics reports","volume":"1 1","pages":"1 - 15"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s40124-019-00202-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42883101","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}
{"title":"Communication in the PICU: Handoffs of Care","authors":"Alice Walz, Elizabeth Emrath, E. Mack","doi":"10.1007/s40124-019-00201-9","DOIUrl":"https://doi.org/10.1007/s40124-019-00201-9","url":null,"abstract":"","PeriodicalId":72740,"journal":{"name":"Current pediatrics reports","volume":"1 1","pages":"1 - 7"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s40124-019-00201-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49026362","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}
A. Joong, S. Derrington, Angira Patel, P. Thrush, Kiona Y Allen, B. Marino
{"title":"Providing Compassionate End of Life Care in the Setting of Mechanical Circulatory Support","authors":"A. Joong, S. Derrington, Angira Patel, P. Thrush, Kiona Y Allen, B. Marino","doi":"10.1007/s40124-019-00206-4","DOIUrl":"https://doi.org/10.1007/s40124-019-00206-4","url":null,"abstract":"","PeriodicalId":72740,"journal":{"name":"Current pediatrics reports","volume":"1 1","pages":"1 - 8"},"PeriodicalIF":0.0,"publicationDate":"2019-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s40124-019-00206-4","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44681776","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}
{"title":"Consent for Conducting Evaluations to Determine Death by Neurologic Criteria: a Legally Permissible and Ethically Required Approach to Addressing Current Controversies","authors":"Mary Leemputte, E. Paquette","doi":"10.1007/s40124-019-00204-6","DOIUrl":"https://doi.org/10.1007/s40124-019-00204-6","url":null,"abstract":"","PeriodicalId":72740,"journal":{"name":"Current pediatrics reports","volume":"1 1","pages":"1 - 11"},"PeriodicalIF":0.0,"publicationDate":"2019-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s40124-019-00204-6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42134833","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}
{"title":"Bedside Ultrasound in the Pediatric Intensive Care Unit: Newer Uses","authors":"Y. Shiomi, H. Kurosawa","doi":"10.1007/s40124-019-00203-7","DOIUrl":"https://doi.org/10.1007/s40124-019-00203-7","url":null,"abstract":"","PeriodicalId":72740,"journal":{"name":"Current pediatrics reports","volume":" ","pages":"1 - 7"},"PeriodicalIF":0.0,"publicationDate":"2019-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s40124-019-00203-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49139334","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}
{"title":"Neurodevelopmental Outcomes After Neonatal and Pediatric ECMO","authors":"Anna P. Silberman, E. Cheung","doi":"10.1007/s40124-019-00194-5","DOIUrl":"https://doi.org/10.1007/s40124-019-00194-5","url":null,"abstract":"","PeriodicalId":72740,"journal":{"name":"Current pediatrics reports","volume":"1 1","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s40124-019-00194-5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41768325","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}