Search Tag: PICU

ICU Management

Long-term-home-ventilation-in-children-facing-the-challenge

2023 30 Nov

Discharging ventilated children home is a difficult challenge in which the training of families is essential. We present our hospital's transition programme for ventilated children going home, which is based on a family-centred model.     Introduction The progressive improvement of neonatal intensive care (NICU) and paediatric intensive...Read more

ICU Management

Transforming-a-picu-in-the-digital-age

2023 13 Oct

Digitalisation is ultimately the driving force behind digital transformation. It will take us from a reactive healthcare system to a proactive one that focuses on prediction and prevention.     Introduction The digital transformation has left a few things untouched in recent years, radically changing healthcare management for citizens,...Read more

ICU Management

Picu-patients-at-risk-for-pards

2022 01 Mar

Approximately 2-4% of patients admitted to PICUs suffer from paediatric acute respiratory distress syndrome (PARDS). PARDS has a mortality rate of nearly 20% and has no specific treatment. Identifying children at risk of developing PARDS could potentially result in more targeted therapies to prevent disease progression and improve patient outcomes. ...Read more

ICU Management

Post-intensive-care-syndrome-the-paediatric-perspective

2020 24 Nov

This article outlines the current understanding, prevalence, risk factors and management of the post-intensive care syndrome in paediatrics. Introduction Persistent critical illness acquired morbidities have been well known to affect adults since our attention was drawn to this in the landmark publication by Herridge et al. in 2003....Read more

ICU Management

Icu-management-practice-2019-subject-index

2020 15 Jan

Subject Index for Volume 19, issues 1-4, 2019. Issue    Pages Link Issue 1  1-64 https://iii.hm/10cv Issue 2 65-128 https://iii.hm/10cw Issue 3 129-192 https://iii.hm/10cx Issue 4  193-256 https://iii.hm/10cy   Acute Respiratory Distress Syndrome Use of sedation...Read more

ICU Management

Transfusions-using-fresh-red-blood-cells-vs-older-cells

2019 16 Dec

In critically ill children, transfusion is quite frequent. A 2009-2010 study reports that approximately 10 to 20% of critically ill children received a blood cell transfusion. The primary goal of transfusions in critically ill patients is to improve oxygen delivery and to prevent shock, organ failure, and death. Hospitals store red blood cells...Read more

ICU Management

Severe-hyperoxaemia-events-and-mortality-among-patients-in-picu

2019 30 Aug

The paediatric management of hyperoxaemia (also defined as high PaO 2 or arterial oxygenation of greater or equal to 300mmHg) has so far yielded conflicting results. For multiple studies in adults, hyperoxaemia has been shown as an independent risk factor for mortality after cardiac arrest.   It was the purpose of a recent study to analyse the relationship...Read more

ICU Management

Quality-improvement-in-the-picu-a-primer-for-intensivists

2019 30 May

Quality improvement provides tools that help the transformation of an intensive care unit into a highly reliable and safe environment, that nurtures continuous learning and delivery of high-quality care that improves patient experience and outcomes.   Despite advances in healthcare and dramatic improvements in survival across the spectrum of...Read more

ICU Management

Infographic

2019 30 May

Caring for the critically ill child   Read more

ICU Management

Picu-acquired-complications-the-new-marker-of-the-quality-of-care

2019 30 May

This article describes the rise in PICU-acquired morbidities and its impact on patient outcomes. It discusses early rehabilitation strategies to improve patient outcomes in PICU.  Introduction Critical care has traditionally been focused on early recognition of life-threatening conditions, resuscitation, and stabilisation of organ...Read more

ICU Management

Caring-for-children-in-the-picu

2019 30 May

From novel technology to family-centred care: new challenges for old needs Challenges and opportunities to improve care and practice in the PICU. “Martin, 2 years old. Sepsis and pneumoniae. High monitoring systems and modern therapies. A nurse is talking to his parents. A smile and a kind gesture help them in this overwhelming...Read more

ICU Management

Virtual-reality-experience-in-the-picu

2019 30 May

A pilot study at the Ann & Robert H. Lurie Children's Hospital of Chicago An overview of the virtual reality programme at the Ann & Robert H. Lurie Children’s Hospital of Chicago and its potential benefits on patient outcomes. Ann & Robert H. Lurie Children's Hospital of Chicago has introduced virtual reality into their paediatric intensive...Read more

ICU Management

Metabolic-based-biomarkers-have-potential-to-triage-children-with-sepsis

2018 14 Nov

A new study has validated potential biomarkers for a sepsis-triage model to distinguish sepsis patients requiring care in the paediatric intensive care unit (PICU) from sepsis identified in the paediatric emergency department (PED) that does not require ICU admission. The study, led by Beata Mickiewicz and colleagues from the University of Calgary...Read more

ICU Management

Study-paediatric-aki-diagnosis-not-following-guidelines

2016 01 Nov

A survey of paediatric intensivists in the U.S. has found that around half are not using current guidelines to diagnose acute kidney injury (AKI) in critically ill children, and over 70 percent are using serum creatinine and urine output only. Only one-third refer children with AKI to a kidney specialist after they are discharged. The study is published...Read more

ICU Management

Early-mobilisation-programme-for-kids-safe-effective

2016 19 Oct

Evaluation of a pilot mobilisation programme in the paediatric critical care unit at Johns Hopkins University found that it is effective and safe in reducing sedation and boosting early mobility. The most commonly reported barrier to early mobilisation after PICU Up! implementation was availability of appropriate equipment. But a change in mindset...Read more