Sedation in the Pediatric Intensive Care Unit: Challenges, Outcomes, and Future Strategies in the United States

2014 ◽  
pp. 275-328
Author(s):  
Joseph D. Tobias
Keyword(s):  
United States ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Pediatric Intensive Care Unit ◽  
Pediatric Intensive Care ◽  
The United States

A national point-prevalence survey of pediatric intensive care unit-acquired infections in the United States

2002 ◽  
Vol 140 (4) ◽  
pp. 432-438 ◽  
Author(s):  
Lisa A. Grohskopf ◽  
Ronda L. Sinkowitz-Cochran ◽  
Denise O. Garrett ◽  
Annette H. Sohn ◽  
Gail L. Levine ◽  
...  
Keyword(s):  
United States ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Pediatric Intensive Care Unit ◽  
Pediatric Intensive Care ◽  
The United States ◽  
Point Prevalence ◽  
Prevalence Survey ◽  
Point Prevalence Survey

1285: BURNOUT AMONG NURSES IN THE PEDIATRIC INTENSIVE CARE UNIT IN THE UNITED STATES

2018 ◽  
Vol 46 (1) ◽  
pp. 626-626 ◽  
Author(s):  
Jessica Lawrence ◽  
Kathleen Yoder ◽  
Aric Schadler ◽  
Asha Shenoi
Keyword(s):  
United States ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Pediatric Intensive Care Unit ◽  
Pediatric Intensive Care ◽  
The United States

Impact of Pediatric Intensive Care Unit Admission on Family Financial Status and Productivity: A Pilot Study

2017 ◽  
Vol 34 (11-12) ◽  
pp. 973-977 ◽  
Author(s):  
Maureen E. Clark ◽  
Brian M. Cummings ◽  
Karen Kuhlthau ◽  
Natalie Frassica ◽  
Natan Noviski
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pediatric Intensive Care Unit ◽  
Work Productivity ◽  
Pediatric Intensive Care ◽  
The United States ◽  
Mitigation Strategies ◽  
Annual Income ◽  
Normal Life ◽  
The Impact

Objective: A child’s pediatric intensive care unit (PICU) admission may have wide-ranging family implications. We assessed nonmedical out-of-pocket expenses (NMOOPEs) and disruptions in work and normal life for parents with a child admitted to the PICU for at least 2 days with acute, new onset, or exacerbation of a critical condition. Design: We conducted a prospective, single-center study; administered a daily verbal response survey on NMOOPEs; stratified families by annual income (<$50 999, $51-99 000, >$100 000); and calculated daily expenditures (DEs), estimated daily budgets (DBs), and percentage of NMOOPEs (%DE/DB). We used a modified caregiver version of the Work Productivity and Activity Impairment Scale to assess the impact of PICU admission on work-related and normal life activities. Setting: The PICU in an academic, tertiary medical center in the United States. Patients: Patients admitted to PICU. Interventions: None. Measurements and Main Results: The study included 38 families, with median length of PICU stay of 3 days (range 3-13). The mean total NMOOPE was $127 ± $107 (range $5-$511). Financial impact of DB in the 3 annual income groups ranged from 0% to 136% (median 36%), 5% to 18% (median 10%), and 4% to 39% (median 16%), respectively. Total work absenteeism for cohort was 78 days. High levels of distraction were reported in working families, and normal daily activities were interrupted or suspended. Conclusions: PICU hospitalization results in a range of direct NMOOPEs of varying burden on families and additional work productivity impact. Further research to understand the array of financial implications on families and additional mitigation strategies are needed.

scholarly journals Botulism in the Pediatric Intensive Care Units in the United States: Interrogating a National Database

2019 ◽  
Vol 09 (01) ◽  
pp. 012-015
Author(s):  
Cynthia Howes ◽  
Kerith Hiatt ◽  
Katherine Turlington ◽  
Cortney Foster ◽  
Adrian Holloway ◽  
...  
Keyword(s):  
United States ◽  
Intensive Care Unit ◽  
Mechanical Ventilation ◽  
Intensive Care ◽  
Los Angeles ◽  
Retrospective Cohort ◽  
Pediatric Intensive Care ◽  
The United States ◽  
National Database ◽  
Improved Outcomes

AbstractBotulism in children can have severe complications necessitating intensive care. The current literature lacks data of children with botulism requiring critical care. We aim to describe the outcomes of pediatric botulism in the pediatric intensive care unit (PICU). Retrospective cohort data from Virtual Pediatric Systems (VPS, LLC, Los Angeles, California), from 2009 to 2016 including all PICU admissions among children with botulism, were analyzed. Characteristics and outcomes were compared with similar studies. A total of 380 children were identified over 8 years. Our cohort had the shortest length of stay (median 4.6 days), the smallest percent requiring mechanical ventilation (40%), and the highest median age (120 days) amongst comparable studies. Length of mechanical ventilation and PICU stay has decreased among children with botulism. Advances in PICU care may have contributed to these improved outcomes.

Prospective Evaluation of Propofol Anesthesia in the Pediatric Intensive Care Unit for Elective Oncology Procedures in Ambulatory and Hospitalized Children

PEDIATRICS ◽  
2000 ◽  
Vol 106 (4) ◽  
pp. 742-747 ◽  
Author(s):  
J. H. Hertzog ◽  
H. J. Dalton ◽  
B. D. Anderson ◽  
A. T. Shad ◽  
J. E. Gootenberg ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pediatric Intensive Care Unit ◽  
Pediatric Intensive Care ◽  
Hospitalized Children ◽  
Prospective Evaluation

Economic Burdens Compel Parents to Withdraw Care in a Pediatric Intensive Care Unit in China

PEDIATRICS ◽  
2016 ◽  
Vol 137 (Supplement 3) ◽  
pp. 366A-366A
Author(s):  
Shirley Chen ◽  
Kiti Ho ◽  
Xia Wang
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pediatric Intensive Care Unit ◽  
Pediatric Intensive Care
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