Do Infants Less than 12 Months of Age with an Apparent Life-Threatening Event Need Transport to a Pediatric Critical Care Center?

Drug dosing during life-threatening pediatric emergencies is a source of stress for most physicians and nurses. This can be attributed to the lack of standardized drug doses for most pediatric medications, thus requiring time-consuming calculations with small margins of error. Anxiety may be further heightened by the infrequent occurrence of pediatric emergencies, resulting in a staffs limited experience with such crises. In an effort to reduce the potential for error and anxiety during administration of these pediatric critical care drugs, a majority of the major medical centers are currently using medication tables. Many prototypes have been published in the literature, but most require calculations and are incomplete in their content.

Download Full-text

Myasthenia gravis: the patient in crisis

Critical Care Nurse ◽

10.4037/ccn1991.11.7.18 ◽

1991 ◽

Vol 11 (7) ◽

pp. 18-26 ◽

Cited By ~ 2

Author(s):

E Chipps

Keyword(s):

Critical Care ◽

Myasthenia Gravis ◽

Functional Capacity ◽

Care Nurse ◽

Critical Care Nurse ◽

Myasthenic Patient ◽

Life Threatening ◽

Life Threatening Event

Crisis in the myasthenic patient is a life-threatening event. The expertise of the critical care nurse is crucial to the prevention of complications and the return of the patient to a functional capacity.

Download Full-text

Parental coping and activities during pediatric critical care

American Journal of Critical Care ◽

10.4037/ajcc1992.1.2.76 ◽

1992 ◽

Vol 1 (2) ◽

pp. 76-80 ◽

Cited By ~ 21

Author(s):

LL LaMontagne ◽

JT Hepworth ◽

R Pawlak ◽

M Chiafery

Keyword(s):

Critical Care ◽

Child Care ◽

Locus Of Control ◽

Coping Strategies ◽

Care Center ◽

Coping Mechanisms ◽

Parental Age ◽

Parental Coping ◽

Convenience Sample ◽

Pediatric Critical Care

OBJECTIVE: To investigate the relationship of locus of control, parental age, and state anxiety to parental coping and activities performed during hospitalization of a child in a pediatric critical care center. DESIGN: Cross-sectional. SETTING: Pediatric critical care center at a university medical center. PARTICIPANTS: A convenience sample of 47 parents of 47 children hospitalized in a critical care center. MAIN OUTCOME MEASURES: Parental coping strategies and activities performed during hospitalization in a critical care center. RESULTS: Older, more self-directed and less anxious parents were found to use coping strategies focusing on problem solving rather than on their emotional response to a child's hospitalization. Further, those who used the problem-focused coping modes were more likely to be involved in caring for the child, while parents who used emotion-focused coping modes participated less in care activities. CONCLUSIONS: Appropriate strategies to bolster coping and reduce stress of parents need to be constantly reassessed because coping mechanisms vary according to parental age, locus of control, anxiety level, and parental involvement in child-care activities. More research is needed in the changes of parental coping mechanisms with time and child-care activity, to assess the benefits of interventions planned to encourage a problem-focused approach.

Download Full-text

DYSNATREMIAS;

The Professional Medical Journal ◽

10.29309/tpmj/2017.24.07.1015 ◽

2017 ◽

Vol 24 (07) ◽

pp. 1076-1080

Author(s):

Riffat Omer ◽

Muhammad Khalid Masood ◽

Saima Asghar ◽

Muhammad Jawad ◽

Amir Afzal ◽

...

Keyword(s):

Intensive Care Unit ◽

Critical Care ◽

Intensive Care ◽

Serum Sodium ◽

Prospective Observational Study ◽

Pediatric Intensive Care ◽

Pediatric Critical Care ◽

Life Threatening ◽

Study Setting ◽

Critical Care Patients

Dysnatremias (hyponatremia and hypernatremia) are common electrolytedisorders encountered in pediatric critical care patients. The spectrum of both hypo- andhypernatremia varies from mild to severe, being life threatening occasionally. We carried outa study to determine the etiology, epidemiology and effect of dysnatremias on outcomes ofpediatric critical care patients. Objectives: To determine the etiology, epidemiology and effectof dysnatremias on outcomes of pediatric critical care patients. Study Design: Prospective,observational study. Setting: Paediatric Intensive Care Unit (PICU) Services Hospital Lahore.Period: October 2014 to March 2015. Results: 185 patients were included. 19 (10.3%) patientshad hyponatremia and 22 (11.9%) patients had hypernatremia. A weak but significant inverserelationship between presentation serum sodium and mortality was observed (r = - 0.39,n=185, p= <0.001, two-tailed). Conclusions: Presentation serum sodium may influence theoutcomes of the patients admitted to the pediatric intensive care unit.

Download Full-text

Anemia among Pediatric Critical Care Survivors: Prevalence and Resolution

Critical Care Research and Practice ◽

10.1155/2013/684361 ◽

2013 ◽

Vol 2013 ◽

pp. 1-6

Author(s):

Quang N. Ngo ◽

Doreen M. Matsui ◽

Ram N. Singh ◽

Shayna Zelcer ◽

Alik Kornecki

Keyword(s):

Critical Care ◽

Observational Study ◽

Critical Care Unit ◽

Prospective Observational Study ◽

Care Center ◽

Tertiary Care ◽

Medical Intervention ◽

Tertiary Care Center ◽

Pediatric Critical Care ◽

Discharge From Hospital

To determine the incidence of anemia among pediatric critical care survivors and to determine whether it resolves within 6 months of discharge.Design. A prospective observational study. Patients with anemia upon discharge from the pediatric critical care unit (PCCU) underwent in hospital and post hospital discharge followup (4–6 months) for hemoglobin (Hb) levels.Setting. A medical-surgical PCCU in a tertiary care center.Patients. Patients aged 28 days to 18 years who were treated in the PCCU for over 24 hours.Measurements and Main Results. 94 (24%) out of 392 eligible patients were anemic at time of discharge. Patients with anemia were older, median 8.0 yrs [(IQR 1.0–14.4) versus 3.2 yrs (IQR 0.65–9.9) (P<0.001)], and had higher PeLOD [median 11 (IQR 10–12) versus 1.5 (1–4) (P<0.001)], and PRISM [median 5 (IQR 2–11) versus 3 (IQR 0–6) (P<0.001)] scores. The Hb level normalized in 32% of patients before discharge from hospital. Of the 28 patients who completed followup, all had normalization of their Hb in the absence of medical intervention.Conclusions. Anemia is not common among patients discharged from the PCCU and recovers spontaneously within 4–6 months.

Download Full-text

D106. PEDIATRIC CRITICAL CARE AND LIFE THREATENING DISEASE

10.1164/ajrccm-conference.2011.d106 ◽

2011 ◽

Keyword(s):

Critical Care ◽

Pediatric Critical Care ◽

Life Threatening

Download Full-text

Pediatric critical care nurses' knowledge of cardiac dysrhythmias

American Journal of Critical Care ◽

10.4037/ajcc1993.2.5.378 ◽

1993 ◽

Vol 2 (5) ◽

pp. 378-384 ◽

Cited By ~ 6

Author(s):

AM Pettinger ◽

SL Woods ◽

SP Herndon

Keyword(s):

Critical Care ◽

Life Support ◽

American Association ◽

Demographic Variables ◽

Critical Care Nurses ◽

Knowledge Level ◽

Pediatric Critical Care ◽

Life Threatening ◽

Total Test ◽

Nurses Knowledge

OBJECTIVE: To describe pediatric critical care nurses' knowledge of dysrhythmias in critically ill pediatric patients and relate this knowledge level to certain demographic variables (education, nursing experience, certification, supplemental training, area of employment and geographic region of residence). DESIGN: A descriptive survey. SETTING: American Association of Critical-Care Nurses' 19 geographic regions of the United States. PARTICIPANTS: Of 1000 questionnaires mailed to pediatric critical care nurses who were members of the American Association of Critical-Care Nurses in 1991, 356 responses were received (a response rate of 36%). INTERVENTION: A criterion-referenced, self-administered test regarding pediatric dysrhythmias and a demographic sheet randomly mailed to 1000 pediatric critical care nurses. Test results were analyzed and compared with demographic variables. RESULTS: The mean total test score was 66%. Significantly higher total test scores and selected subtest scores were demonstrated in relationship to the following variables: increased age; certification in pediatric advanced life support, advanced cardiac life support or adult critical care; increased years of adult critical care experience; advanced dysrhythmia courses and dysrhythmia self-study; and perceived knowledge level above that of the advanced beginner. CONCLUSIONS: Pediatric critical care nurses' overall knowledge of dysrhythmias was low. Knowledge strengths included recognition of basic and life-threatening dysrhythmias and calculation of basic ECG measurements. Knowledge deficits included importance of sinus bradycardia in the neonate, appropriate intervention for life-threatening dysrhythmias and calculation of an irregular heart rate. These deficits should be considered when planning continuing education programs for pediatric critical care nurses.

Download Full-text

Study examines the relevance and applications of the Institute of Medicine's quality aims on pediatric critical care

PsycEXTRA Dataset ◽

10.1037/e556152006-008 ◽

2006 ◽

Keyword(s):

Critical Care ◽

Pediatric Critical Care

Download Full-text

The Association of Pediatric Critical Care Medicine Training Programs with Research Publication Productivity and Employment Outcomes of Their Graduates

Journal of Pediatric Intensive Care ◽

10.1055/s-0040-1721732 ◽

2020 ◽

Author(s):

Sonali Basu ◽

Robin Horak ◽

Murray M. Pollack

Keyword(s):

Critical Care ◽

Intensive Care ◽

Medical School ◽

Training Programs ◽

Fellowship Training ◽

Publication Productivity ◽

Research Publication ◽

Pediatric Critical Care ◽

Publication Success ◽

Fellowship Programs

AbstractOur objective was to associate characteristics of pediatric critical care medicine (PCCM) fellowship training programs with career outcomes of PCCM physicians, including research publication productivity and employment characteristics. This is a descriptive study using publicly available data from 2557 PCCM physicians from the National Provider Index registry. We analyzed data on a systematic sample of 690 PCCM physicians representing 62 fellowship programs. There was substantial diversity in the characteristics of fellowship training programs in terms of fellowship size, intensive care unit (ICU) bed numbers, age of program, location, research rank of affiliated medical school, and academic metrics based on publication productivity of their graduates standardized over time. The clinical and academic attributes of fellowship training programs were associated with publication success and characteristics of their graduates' employment hospital. Programs with greater publication rate per graduate had more ICU beds and were associated with higher ranked medical schools. At the physician level, training program attributes including larger size, older program, and higher academic metrics were associated with graduates with greater publication productivity. There were varied characteristics of current employment hospitals, with graduates from larger, more academic fellowship training programs more likely to work in larger pediatric intensive care units (24 [interquartile range, IQR: 16–35] vs. 19 [IQR: 12–24] beds; p < 0.001), freestanding children's hospitals (52.6 vs. 26.3%; p < 0.001), hospitals with fellowship programs (57.3 vs. 40.3%; p = 0.01), and higher affiliated medical school research ranks (35.5 [IQR: 14–72] vs. 62 [IQR: 32, unranked]; p < 0.001). Large programs with higher academic metrics train physicians with greater publication success (H index 3 [IQR: 1–7] vs. 2 [IQR: 0–6]; p < 0.001) and greater likelihood of working in large academic centers. These associations may guide prospective trainees as they choose training programs that may foster their career values.

Download Full-text