Telemedicine-guided thoracentesis of tension pneumothorax in a term newborn

2021 ◽  
pp. 1357633X2110343
Author(s):  
Ayman Abou Mehrem ◽  
Ashley Blagdon ◽  
Jaco Hoffman ◽  
Salma Dossani ◽  
Christine Anderson ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Rural Community ◽  
Community Hospital ◽  
Tension Pneumothorax ◽  
Pediatric Intensive Care ◽  
Tertiary Hospital ◽  
Healthcare Team ◽  
Intravenous Cannula ◽  
Life Saving ◽  
The Family

We describe a case of a term female infant born in a rural community hospital and who developed a left-sided spontaneous tension pneumothorax shortly after birth. We used telemedicine to guide the family physician and healthcare team at the referring hospital to perform a life-saving thoracentesis using an intravenous cannula. The cannula was kept in place to drain the persistent pneumothorax during transportation to the pediatric intensive care unit at the tertiary hospital.

scholarly journals The Process and Impact of Stakeholder Engagement in Developing a Pediatric Intensive Care Unit Communication and Decision-Making Intervention

2016 ◽  
Vol 3 (4) ◽  
pp. 108-118 ◽  
Author(s):  
Kelly N Michelson ◽  
Joel Frader ◽  
Lauren Sorce ◽  
Marla L Clayman ◽  
Stephen D Persell ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Decision Making ◽  
Intensive Care ◽  
Pediatric Intensive Care Unit ◽  
Stakeholder Engagement ◽  
Pediatric Intensive Care ◽  
Healthcare Team ◽  
Team Members ◽  
Core Elements ◽  
Stakeholder Input

Stakeholder-developed interventions are needed to support pediatric intensive care unit (PICU) communication and decision-making. Few publications delineate methods and outcomes of stakeholder engagement in research. We describe the process and impact of stakeholder engagement on developing a PICU communication and decision-making support intervention. We also describe the resultant intervention. Stakeholders included parents of PICU patients, healthcare team members (HTMs), and research experts. Through a year-long iterative process, we involved 96 stakeholders in 25 meetings and 26 focus groups or interviews. Stakeholders adapted an adult navigator model by identifying core intervention elements and then determining how to operationalize those core elements in pediatrics. The stakeholder input led to PICU-specific refinements, such as supporting transitions after PICU discharge and including ancillary tools. The resultant intervention includes navigator involvement with parents and HTMs and navigator-guided use of ancillary tools. Subsequent research will test the feasibility and efficacy of our intervention.

Visitation in the Pediatric Intensive Care Unit: Controversy and Compromise

1994 ◽  
Vol 5 (3) ◽  
pp. 289-295 ◽  
Author(s):  
Nancy E. Page ◽  
Nancy M. Boeing
Keyword(s):  
Health Care ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Pediatric Intensive Care Unit ◽  
Health Care Providers ◽  
Pediatric Intensive Care ◽  
Care Providers ◽  
The Family ◽  
Centered Care ◽  
Family Centered

Much controversy has arisen in the last few decades regarding parental and family visitation in the intensive care setting. The greatest needs of parents while their child is in an intensive care unit include: to be near their child, to receive honest information, and to believe their child is receiving the best care possible. The barriers that exist to the implementation of open visitation mostly are staff attitudes and misconceptions of parental needs. Open visitation has been found in some studies to make the health-care providers’ job easier, decrease parental anxiety, and increase a child’s cooperativeness with procedures. To provide family-centered care in the pediatric intensive care unit, the family must be involved in their child’s care from the day of admission. As health-care providers, the goal is to empower the family to be able to advocate and care for their child throughout and beyond the life crisis of a pediatric intensive care unit admission

Life-saving dogs

Open Medicine ◽  
2012 ◽  
Vol 7 (3) ◽  
pp. 327-328 ◽  
Author(s):  
Holger Fischer ◽  
Claudia Stöllberger ◽  
Josef Finsterer
Keyword(s):  
Intensive Care Unit ◽  
Emotional Support ◽  
Domestic Dogs ◽  
Beneficial Effects ◽  
Companion Dogs ◽  
Alarm Systems ◽  
Life Saving ◽  
The Family ◽  
Medical Emergencies

AbstractDogs can play an important role in their owners’ lives. As well as providing a source of comfort, emotional support, and entertainment, there is now evidence suggesting that dogs may promote their owners’ health. The mechanisms of these beneficial effects, however, are unclear. The important role of dogs in their owners’ medical emergencies is illustrated by two cases of patients admitted to our intensive care unit, in whom untrained domestic dogs saved lives by alerting the family. Companion dogs may react to emergencies of their owners and save lives. Clarifying how dogs perceive medical emergencies might stimulate design of emergency alarm systems.

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