Response Time in the Transport of Critically Ill Pediatric Patients to a Tertiary Critical Care Unit

PEDIATRICS ◽  
2016 ◽  
Vol 137 (Supplement 3) ◽  
pp. 633A-633A
Author(s):  
Sindy Villacres ◽  
Chhavi Katyal
Keyword(s):  
Critical Care ◽  
Response Time ◽  
Critically Ill ◽  
Critical Care Unit ◽  
Pediatric Patients

scholarly journals Emergency department critical care unit for critically ill cardiovascular patients: An observation study

2017 ◽  
Vol 80 (4) ◽  
pp. 233-244 ◽  
Author(s):  
Ken-Hui Fu ◽  
Yin-Ru Chen ◽  
Ju-Shin Fan ◽  
Yen-Chia Chen ◽  
Hsien-Hao Huang ◽  
...  
Keyword(s):  
Emergency Department ◽  
Critical Care ◽  
Critically Ill ◽  
Critical Care Unit ◽  
Observation Study ◽  
Cardiovascular Patients

Monitoring of the kidneys, liver, and other vital organs

2015 ◽  
Author(s):  
K Werdan ◽  
B Patel ◽  
M Girndt ◽  
H Ebelt ◽  
J Schröder ◽  
...  
Keyword(s):  
Critical Care ◽  
Organ Failure ◽  
Critically Ill ◽  
Cardiac Disease ◽  
Critical Care Unit ◽  
Cardiac Patients ◽  
Cardiac Care ◽  
Close Monitoring ◽  
Cardiac Care Unit ◽  
Organ Complications

The prognosis of critically ill cardiac patients in the critical care unit and intensive cardiac care unit depends not only on the underlying cardiac disease, but also on the development of secondary organ complications and failures. Therefore, close monitoring of vital organs is mandatory in all critically ill cardiac patients to detect the development of non-cardiac organ failure as early as possible.

scholarly journals Epidemiology of Bleeding in Critically Ill Children

2021 ◽  
Vol 9 ◽  
Author(s):  
Jake Sequeira ◽  
Marianne E. Nellis ◽  
Oliver Karam
Keyword(s):  
Critical Care ◽  
Critically Ill ◽  
Critical Care Unit ◽  
Critically Ill Children ◽  
Pediatric Critical Care ◽  
Risk Of Mortality ◽  
Increased Risk ◽  
Duration Of Surgery ◽  
The Impact ◽  
Bleeding Severity

Objective: Bleeding can be a severe complication of critical illness, but its true epidemiologic impact on children has seldom been studied. Our objective is to describe the epidemiology of bleeding in critically ill children, using a validated clinical tool, as well as the hemostatic interventions and clinical outcomes associated with bleeding.Design: Prospective observational cohort study.Setting: Tertiary pediatric critical care unitPatients: All consecutive patients (1 month to 18 years of age) admitted to a tertiary pediatric critical care unitMeasurements and Main Results: Bleeding events were categorized as minimal, moderate, severe, or fatal, according to the Bleeding Assessment Scale in Critically Ill Children. We collected demographics and severity at admission, as evaluated by the Pediatric Index of Mortality. We used regression models to compare the severity of bleeding with outcomes adjusting for age, surgery, and severity. Over 12 months, 902 critically ill patients were enrolled. The median age was 64 months (IQR 17; 159), the median admission predicted risk of mortality was 0.5% (IQR 0.2; 1.4), and 24% were post-surgical. Eighteen percent of patients experienced at least one bleeding event. The highest severity of bleeding was minimal for 7.9% of patients, moderate for 5.8%, severe for 3.8%, and fatal for 0.1%. Adjusting for age, severity at admission, medical diagnosis, type of surgery, and duration of surgery, bleeding severity was independently associated with fewer ventilator-free days (p < 0.001) and fewer PICU-free days (p < 0.001). Adjusting for the same variables, bleeding severity was independently associated with an increased risk of mortality (adjusted odds ratio for each bleeding category 2.4, 95% CI 1.5; 3.7, p < 0.001).Conclusion: Our data indicate bleeding occurs in nearly one-fifth of all critically ill children, and that higher severity of bleeding was independently associated with worse clinical outcome. Further multicenter studies are required to better understand the impact of bleeding in critically ill children.

scholarly journals Liver Damage in Pediatric Critically Ill COVID-19 Patients: Brazilian Case-Series

2020 ◽  
pp. 1-6
Author(s):  
Michele Luglio ◽  
Uenis Tannuri ◽  
Werther Brunow de Carvalho ◽  
Maria Fernanda Badue Pereira ◽  
Isadora Souza Rodrigues ◽  
...  
Keyword(s):  
Critical Care ◽  
Inflammatory Response ◽  
Critically Ill ◽  
Liver Damage ◽  
Pediatric Patients ◽  
Case Series ◽  
Critical Care Admission ◽  
Inflammatory Syndrome ◽  
Brazilian Case

Coronavirus disease 2019 (COVID-19) has become an important cause critical care admission worldwide. In the context of newly described multisystem inflammatory syndrome temporally related to SARS-CoV-2 (PIM-TS), the question of liver compromise came into evidence. Our group summarized a case series of 6 critically ill COVID-19 pediatric patients that presented some degree of liver damage, as demonstrated by liver and/or canalicular enzymes elevation, a yet not fully explored characteristic of the infection in the pediatric patient, that may indicate a more severe progression. Observations regarding the role of systemic inflammatory response can be taken from the described cases.

Professional nurse caring as perceived by critically ill patients: a phenomenologic study

1993 ◽  
Vol 2 (6) ◽  
pp. 489-499 ◽  
Author(s):  
SN Burfitt ◽  
DS Greiner ◽  
LJ Miers ◽  
MR Kinney ◽  
ME Branyon
Keyword(s):  
Critical Care ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Critical Care Unit ◽  
Healing Process ◽  
Personal Attributes ◽  
Shared Experience ◽  
Caring Behaviors ◽  
Nurse Caring ◽  
Professional Nurses

BACKGROUND: Critically ill patients have received little attention in the caring literature and yet are a population for whom caring behaviors are particularly important. OBJECTIVES: To describe patients' perceptions of caring exhibited by professional nurses in a critical care unit and to describe the meaning to the patients of these demonstrations of caring. METHODS: We used a phenomenologic approach for this descriptive study, which was conducted on 13 patients hospitalized in a critical care unit for at least 48 hours within 48 hours of their transfer from the unit. We asked them to respond to two open-ended questions and recorded all interviews on audio tapes that were transcribed verbatim. RESULTS: Caring in a critical care unit is attentive, vigilant behavior on the part of the nurse. This vigilance embodies nurturance and incorporates highly skilled, technical practices, as well as basic nursing care and beyond. Caring is a healing process of which lifesaving actions by the nurse are a part. Identifying the characteristics of the individuals involved in this healing process was one way of describing caring. Personal attributes of nurses, family members, and patients themselves are important in the descriptions of the caring process. These attributes are incorporated into the concept of mutuality. CONCLUSIONS: Caring is descriptive of a mutual process in which intentions are joined to form a shared experience. In this mutual process, healing is an outcome that might otherwise be elusive.

Sign in / Sign up

Export Citation Format

Share Document