1. Long-term follow-up in pediatric intensive care—a narrative review
1 jul 2024 · This narrative review explores pediatric post-intensive care syndrome and summarizes the multifactorial deficits and morbidity that can occur in these patients.
Pediatric intensive care is a rapidly developing medical specialty and with evolving understanding of pediatric pathophysiology and advances in technology, m...
2. [PDF] Physical functioning in pediatric intensive care survivors and its ...
The objective of this scoping review is threefold: (1) to describe outcomes of and determinants for physical functioning in pediatric intensive care unit (PICU) ...
3. PICU mortality of children with cancer admitted to pediatric intensive care ...
Conclusions: PICU mortality rates of pediatric cancer patients are far higher when compared to current mortality rates of the general PICU population. PICU ...
Background: Outcomes for children diagnosed with cancer have improved dramatically over the past 20 years. However, although 40% of pediatric cancer patients require at least one intensive care admission throughout their disease course, PICU outcomes and resource utilization by this population have not been rigorously studied in this specific group. Methods: Using a systematic strategy, we searched Medline, Embase, and CINAHL databases for articles describing PICU mortality of pediatric cancer patients admitted to PICU. Two investigators independently applied eligibility criteria, assessed data quality, and extracted data. We pooled PICU mortality estimates using random-effects models and examined mortality trends over time using meta-regression models. Results: Out of 1218 identified manuscripts, 31 studies were included covering 16,853 PICU admissions with the majority being retrospective in nature. Overall pooled weighted mortality was 27.8% (95% confidence interval (CI), 23.7–31.9%). Mortality decreased slightly over time when post-operative patients were excluded. The use of mechanical ventilation (odds ratio (OR): 18.49 [95% CI 13.79–24.78], p < 0.001), inotropic support (OR: 14.05 [95% CI 9.16–21.57], p < 0.001), or continuous renal replacement therapy (OR: 3.24 [95% CI 1.31–8.04], p = 0.01) was significantly associated with PICU mortality. Conclusions: PICU mortality rates of pediatric cancer patients are far higher when compared to current mortality rates of the gene...
4. a comprehensive narrative review - Archives of Pediatric Critical Care
28 jun 2024 · This narrative review explores the need for and implementation of palliative care for PHO patients in the PICU.
1. Zeppetella G. Introduction to palliative care. In: Zeppetella G, editor. Palliative care in clinical practice. Springer London; 2012. p. 1-10.
5. [PDF] Paediatric Critical Care and Specialised Surgery in Children ...
Paediatric critical care is a highly valued specialised service that saves the lives of children, costing around. £230m per year. It delivers high quality ...
6. Pediatric palliative care in the intensive care unit and questions of ...
PICU physicians speak 50% more than PC providers on average. Pediatric intensivists often poorly balance speech dedicated to benefits versus risks of ...
This article reviews the state and practice of pediatric palliative care (PC) within the pediatric intensive care unit (PICU) with specific consideration of quality issues. This includes defining PC and end of life (EOL) care. We will also describe PC as it pertains to alleviating children’s suffering through the provision of “concurrent care” in the ICU environment. Modes of care, and attendant strengths, of both the consultant and integrated models will be presented. We will review salient issues related to the provision of PC in the PICU, barriers to optimal practice, parental, and staff perceptions. Opportunity areas for quality improvement and the role of initiatives and measures such as education, family-based initiatives, staff needs, symptom recognition, grief, and communication follow. To conclude, we will look to the literature for PC resources for pediatric intensivists and future directions of study.
7. Impact of adapting paediatric intensive care units for adult ... - BMJ Open
Overall, PICUs were collectively well equipped to care for adult patients, with care enhanced by implementing elements of holistic, family-centred PICU ...
Objectives The objectives were to categorise the evidence, map out the existing studies and explore what was known about the organisation of paediatric intensive care units (PICUs) during the first 18 months of the COVID-19 pandemic. Additionally, this review set out to identify any knowledge gaps in the literature and recommend areas for future research. Design Scoping review. Methods This study used Arksey and O’Malley’s six-stage scoping review framework. A comprehensive search was conducted using the following databases, CINAHL Complete; MEDLINE; PsycINFO; PsycARTICLES and EMBASE and grey literature search engines. A search strategy with predefined inclusion criteria was used to uncover relevant research in this area. Screening and data collection were done in duplicate. Results 47 631 articles were obtained through searching. However, only 25 articles met the inclusion criteria and were included in the analysis. Three dominant themes emerged from the literature: (1) the reorganisation of space for managing increased capacity; (2) increased staffing and support; and (3) the resulting challenges. Conclusion COVID-19 has strained institutional resources across the globe. To relieve the burden on intensive care units (ICUs), some PICUs adjusted their units to care for critically ill adults, with other PICUs making significant changes, including the redeployment of staff to adult ICUs to provide extra care for adults. Overall, PICUs were collectively well equipped to care...
8. Narrative review of pediatric critical care humanization: Where we are?
Such development has improved the care of the critically ill patient in quantitative terms, but has perhaps caused the emotional needs of patients, families and ...
The humanization of care emerges as a response to something that seems indisputable: the
9. Transitions from short to long-term outcomes in pediatric critical care
Contemporary pediatric intensive care units (PICU) now report low mortality rates (2–4%) (1). Declining mortality rates have led to a new health care need: an ...
Transitions from short to long-term outcomes in pediatric critical care: considerations for clinical practice
10. Pediatric Critical Care in Resource-Limited Settings ... - Frontiers
16 mrt 2018 · PICU can improve the quality of pediatric care in general and, if properly organized, can effectively treat the severe complications of high ...
See AlsoWells Fargo Okta Qr CodePediatric critical care is an important component of reducing morbidity and mortality globally. Currently, pediatric critical care in low middle-income count...
11. Pediatric palliative care in the intensive care unit and questions of ...
This article reviews the state and practice of pediatric palliative care within the pediatric intensive care unit (PICU) with specific consideration of ...
This article reviews the state and practice of pediatric palliative care within the pediatric intensive care unit (PICU) with specific consideration of quality issues, including defining PC and end of life (EOL) care. This article reviews the state and practice of pediatric palliative care (PC) within the pediatric intensive care unit (PICU) with specific consideration of quality issues. This includes defining PC and end of life (EOL) care. We will also describe PC as it pertains to alleviating children's suffering through the provision of "concurrent care" in the ICU environment. Modes of care, and attendant strengths, of both the consultant and integrated models will be presented. We will review salient issues related to the provision of PC in the PICU, barriers to optimal practice, parental, and staff perceptions. Opportunity areas for quality improvement and the role of initiatives and measures such as education, family-based initiatives, staff needs, symptom recognition, grief, and communication follow. To conclude, we will look to the literature for PC resources for pediatric intensivists and future directions of study.
12. PICU mortality of children with cancer admitted to pediatric intensive care ...
19 aug 2019 · Conclusions: PICU mortality rates of pediatric cancer patients are far higher when compared to current mortality rates of the general PICU ...
Background: Outcomes for children diagnosed with cancer have improved dramatically over the past 20 years. However, although 40% of pediatric cancer patients require at least one intensive care admission throughout their disease course, PICU outcomes and resource utilization by this population have not been rigorously studied in this specific group. Methods: Using a systematic strategy, we searched Medline, Embase, and CINAHL databases for articles describing PICU mortality of pediatric cancer patients admitted to PICU. Two investigators independently applied eligibility criteria, assessed data quality, and extracted data. We pooled PICU mortality estimates using random-effects models and examined mortality trends over time using meta-regression models. Results: Out of 1218 identified manuscripts, 31 studies were included covering 16,853 PICU admissions with the majority being retrospective in nature. Overall pooled weighted mortality was 27.8% (95% confidence interval (CI), 23.7-31.9%). Mortality decreased slightly over time when post-operative patients were excluded. The use of mechanical ventilation (odds ratio (OR): 18.49 [95% CI 13.79-24.78], p < 0.001), inotropic support (OR: 14.05 [95% CI 9.16-21.57], p < 0.001), or continuous renal replacement therapy (OR: 3.24 [95% CI 1.31-8.04], p = 0.01) was significantly associated with PICU mortality. Conclusions: PICU mortality rates of pediatric cancer patients are far higher when compared to current mortality rates of th...
13. Pediatric Intensive Care Unit (PICU): Providing Critical Care for Children
15 jul 2023 · A pediatric intensive care unit (PICU) is a specialized unit within a hospital that provides the highest level of care to critically ill infants, children, ...
Pediatric Intensive Care Units (PICUs): Providing Critical Care for Infants, Children, and Young Adults A pediatric intensive care unit (PICU) is a specialized unit within a hospital that provides the highest level of care to critically ill infants, children, teenagers, and young adults aged 0-21. T
14. LearnPICU
The site is also known as Custer's Core Curriculum and was named in honor of Dr. Joseph Custer, founder of the pediatric intensive care unit at C.S. Mott ...
"One of the top ten websites in critical care medicine education today" (Wolbrink et al, Journal of Intensive Care Medicine 2018)
15. Pediatric Intensive Care Unit (PICU) - IWK Health
The Pediatric Intensive Care Unit (PICU) helps by caring for critically ill and injured children who require intensive care monitoring.
The Pediatric Intensiv
16. Out of the PICU and Beyond! | Jornal de Pediatria
Nowadays the authors can give more and more assurance to highly stressed families who have a child suddenly admitted to a Pediatric Intensive Care Unit ...
Nowadays the authors can give more and more assurance to highly stressed families who have a child suddenly admitted to a Pediatric Intensive Care
17. The elements of end-of-life care provision in paediatric intensive ...
25 jul 2024 · Tailoring end-of-life care to families' beliefs and rituals was acknowledged as important by PICU HCPs. This review also emphasises the ...
Deaths in paediatric intensive care units (PICUs) are not uncommon. End-of-life care in PICUs is generally considered more challenging than other settings since it is framed within a context where care is focused on curative or life-sustaining treatments for children who are seriously ill. This review aimed to identify and synthesise literature related to the essential elements in the provision of end-of-life care in the PICU from the perspectives of both healthcare professionals (HCPs) and families. A systematic integrative review was conducted by searching EMBASE, CINAHL, MEDLINE, Nursing and Allied Health Database, PsycINFO, Scopus, Web of Science, and Google Scholar databases. Grey literature was searched via Electronic Theses Online Service (EthOS), OpenGrey, Grey literature report. Additionally, hand searches were performed by checking the reference lists of all included papers. Inclusion and exclusion criteria were used to screen retrieved papers by two reviewers independently. The findings were analysed using a constant comparative method. Twenty-one studies met the inclusion criteria. Three elements in end-of-life care provision for children in the PICUs were identified: 1) Assessment of entering the end-of-life stage; 2) Discussion with parents and decision making; 3) End of life care processes, including care provided during the dying phase, care provided at the time of death, and care provided after death. The focus of end-of-life care in PICUs varies depending on...
