scholarly journals A National Survey of Pediatric Intensive Care Units in Pakistan

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Anwarul Haque ◽  
Laila A. Ladak ◽  
Muhammad H. Hamid ◽  
Sadiq Mirza ◽  
Naveed R. Siddiqui ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Response Rate ◽  
Pediatric Population ◽  
Pediatric Intensive Care ◽  
Pediatric Intensive Care Units ◽  
Large Cities ◽  
Academic Activities ◽  
The Mean ◽  
Cardiac Intensive Care

Purpose. To describe the structure, staffing resources, equipment, academic activities, and characteristics of pediatric population of pediatric intensive care units across the country. Material & Method. This was a prospective, descriptive, and observational survey of pediatric intensive care units from January to December 2009 across Pakistan. A questionnaire survey was emailed to director of each unit. Results. 16 PICUs were participated in this survey (100% response rate). A total of units with 155 beds were identified (1.1 bed /500,000 children). Regarding the categories, 12 (75%) were medical, 3 (19%) were pure cardiac intensive care units, and one unit (6%) was combined multidisciplinary cardiothoracic unit. 13 (81%) units were in public sector as compared to 3 (19%) were in private sector. The mean unit size was 9.7 (range 4–28) beds. Twelve (75%) units were located in three large cities. Only 3 (19%) units have trained intensivist. 37% (6/16) had nurse to patient ratio of 1 : 1-1 : 2 while others had ratios of 1 : 3–1 : 5 with all nurses specialized trained for pediatric intensive care units with bachelor degree or diploma in nursing. Only 50% had capacity for invasive monitoring. Conclusion. We found inadequacies in several aspects of PICUs in Pakistan including fewer PICUs, inadequate PICU beds, and lack of trained personal to look after critically ill pediatric population.

Abstract 285: Resuscitation Practices of Cardiac Arrest in Children with Cardiac Disease in Cardiac Intensive Care Units Compared to Pediatric Intensive Care Units

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_4) ◽  
Author(s):  
Tanya Perry ◽  
Tia T Raymond ◽  
Joanna Fishbein ◽  
Michael G Gaies ◽  
Todd Sweberg ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Cardiac Disease ◽  
Univariate Analysis ◽  
Pediatric Intensive Care ◽  
Heart Association ◽  
Pediatric Intensive Care Units ◽  
Achievement Measures ◽  
Cardiac Intensive Care

Introduction: Hospitalized children with critical cardiac disease experience cardiac arrest more than any other disease type. Varying models are devoted to caring for this population, including pediatric intensive care units (PICU) and dedicated cardiac intensive care units (CICU). The process of CPR delivery has not been evaluated in CICUs in comparison to PICUs. Hypothesis: There will be no difference in cardiac arrest resuscitation practices between unit types. Methods: We analyzed patients <18 years from the American Heart Association Get with the Guidelines-Resuscitation database (GWTG-R) with an illness category of medical or surgical cardiac disease who received CPR in a CICU or PICU from 2014 to 2018. Events were assessed for compliance with GWTG-R achievement measures of time to first chest compressions ≤ 1 minute, time to IV/IO epinephrine ≤ 5 minutes, time to first shock ≤ 2 minutes for VF/pulseless VT first documented rhythm, and confirmation of endotracheal tube (ETT) placement in trachea. Results: CPR practices were evaluated on 866 patients, 687 CICU and 179 PICU (55% male and 65% neonatal). Surgical cardiac disease was present in 56%. Cardiac malformations were present in 81% (45% cyanotic 29% acyanotic). Pulseless arrest was the initial event in 41% with a shockable rhythm in 14%. Return of spontaneous circulation occurred in 86% and survival to hospital discharge in 58%. Univariate analysis comparing resuscitation practice is shown in Table 1. ECPR use was the only variable noted to be significantly different between units (CICU 22% vs PICU 6%, P<0.01). On multivariate analysis, there were no differences in GWTG-R achievement measures between ICU types for ETT placement confirmation, time to IV/IO epinephrine dose, time to first chest compression to first shock (P>0.05). Conclusion: Despite differences in infrastructure, process, and provider expertise, there were no differences in cardiac arrest resuscitation practice between CICUs and PICUs.

scholarly journals Diagnostic considerations regarding pediatric delirium: a review and a proposal for an algorithm for pediatric intensive care units

2009 ◽  
Vol 35 (11) ◽  
pp. 1843-1849 ◽  
Author(s):  
Jan N. M. Schieveld ◽  
Judith A. van der Valk ◽  
Inge Smeets ◽  
Eline Berghmans ◽  
Renske Wassenberg ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Pediatric Intensive Care ◽  
Pediatric Intensive Care Units

scholarly journals An outbreak due to a norovirus GII.Pe-GII.4 Sydney_2012 recombinant in neonatal and pediatric intensive care units

2020 ◽  
Vol 13 (1) ◽  
pp. 89-93
Author(s):  
Lays P.B. Volpini ◽  
Débora M.P.G. Barreira ◽  
Priscila L. da Silva Almeida ◽  
Liliana C. Spano
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Pediatric Intensive Care ◽  
Pediatric Intensive Care Units
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