Pediatric ICU Management

2005 ◽  
pp. 141-152
Keyword(s):  
Icu Management ◽  
Pediatric Icu

Pediatric ICU management

2017 ◽  
pp. 121-136 ◽  
Author(s):  
Jason O. Robertson ◽  
Adam M. Vogel
Keyword(s):  
Icu Management ◽  
Pediatric Icu

scholarly journals Understanding Suicide in Our Community through the Lens of the Pediatric ICU: An Epidemiological Review (2011–2017) of One Midwestern City in the US

Children ◽  
2021 ◽  
Vol 8 (2) ◽  
pp. 59
Author(s):  
Andrew Kampfschulte ◽  
Matthew Oram ◽  
Alejandra M. Escobar Vasco ◽  
Brittany Essenmacher ◽  
Amy Herbig ◽  
...  
Keyword(s):  
Local Community ◽  
Hospital Admissions ◽  
Age Groups ◽  
Care Facility ◽  
Pediatric Intensive Care ◽  
High Volume ◽  
Temporal Variables ◽  
Geographical Regions ◽  
Icd 10 ◽  
Pediatric Icu

Suicide frequency has tripled for some pediatric age groups over the last decade, of which, serious attempts result in pediatric intensive care unit (PICU) admissions. We paired clinical, aggregate geospatial, and temporal demographics to understand local community variables to determine if epidemiological patterns emerge that associate with risk for PICU admission. Data were extracted at an urban, high-volume, quaternary care facility from January 2011 to December 2017 via ICD 10 codes associated with suicide. Clinical, socioeconomic, geographical, and temporal variables were reviewed. In total, 1036 patients over the age of 9 were included, of which n = 161 were PICU admissions. Females represented higher proportions of all suicide-related hospital admissions (67.9%). Looking at race/ethnicity, PICU admissions were largely Caucasian (83.2%); Blacks and Hispanics had lower odds of PICU admissions (OR: 0.49; 0.17, respectively). PICU-admitted patients were older (16.0 vs. 15.5; p = 0.0001), with lower basal metabolic index (23.0 vs. 22.0; p = 0.0013), and presented in summer months (OR: 1.51, p = 0.044). Time-series decomposition showed seasonal peaks in June and August. Local regions outside the city limits identified higher numbers of PICU admissions. PICUs serve discrete geographical regions and are a source of information, when paired with clinical geospatial/seasonal analyses, highlighting clinical and societal risk factors associated with PICU admissions.

1289: THE PEDIATRIC ICU LIBERATION PROJECT IMPACT ON PATIENT OUTCOMES: THE MAYO EXPERIENCE

2018 ◽  
Vol 46 (1) ◽  
pp. 628-628 ◽  
Author(s):  
Grace Arteaga ◽  
Yu Kawai ◽  
Debra Rowekamp ◽  
Gina Rohlik ◽  
Nanette Matzke ◽  
...  
Keyword(s):  
Patient Outcomes ◽  
Project Impact ◽  
Pediatric Icu

1344: STANDARDIZATION OF ENDOTRACHEAL TUBE SECUREMENT TO REDUCE UNPLANNED EXTUBATIONS IN THE PEDIATRIC ICU

2018 ◽  
Vol 46 (1) ◽  
pp. 655-655
Author(s):  
Heda Dapul ◽  
Tiffany Folks ◽  
Mary Rose ◽  
Stacy Pantor ◽  
Joelle Pierre-Louis ◽  
...  
Keyword(s):  
Endotracheal Tube ◽  
Unplanned Extubations ◽  
Pediatric Icu

Challenging Convention: Daytime Versus Nighttime Extubation in the Pediatric ICU

2021 ◽  
pp. respcare.08494
Author(s):  
Jeremy M Loberger ◽  
Ryan M Jones ◽  
Amy M Hill ◽  
Shannon E O’Sheal ◽  
Christy L Thomas ◽  
...  
Keyword(s):  
Pediatric Icu

scholarly journals Children hospitalized due to maltreatment in the ICU of a Public Health Service

2018 ◽  
Vol 71 (suppl 3) ◽  
pp. 1420-1427
Author(s):  
Letícia Medeiros Santomé ◽  
Sandra Maria Cezar Leal ◽  
Joel Rolim Mancia ◽  
Antônio Marcos Freire Gomes
Keyword(s):  
Medical Records ◽  
Relative Frequency ◽  
Life Histories ◽  
Public Health Service ◽  
Physical Violence ◽  
First Aid ◽  
Porto Alegre ◽  
Chi Square ◽  
Pediatric Icu

ABSRACT Objective: to characterize children hospitalized due to violence in a pediatric ICU in 2011; to relate violence and the mechanisms of trauma with death; to know the contextualization of violence, from the records in the medical records. Method: retrospective cohort, performed in a first aid hospital, Porto Alegre city, in the records of 22 children hospitalized in the ICU due to violence. Quantitative analysis was performed by absolute and relative frequency rates, chi-square and relative risk. Results: 54.5% were boys, 81.8% were white and 50% were up to three years old. Physical violence 50% and neglect 36.4%, family of children (77.3%), highlighting the mother (35.3%). Mechanisms of aggression: fall (22.7%), burns (18.2%). Burns were at high risk for death. Discharge to go home after ICU admission (59.1%). Conclusion: It is considered that the characterization of the cases of violence reflects the complexity of the theme, mainly, in face of the life histories that surround each case of children hospitalized by this aggravation.

Purulent Otitis Media—A “Silent” Source of Sepsis in the Pediatric Intensive Care Unit

1985 ◽  
Vol 93 (3) ◽  
pp. 330-334 ◽  
Author(s):  
Michael Persico ◽  
Geoffrey A. Barker ◽  
David P. Mitchell
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pediatric Intensive Care Unit ◽  
Middle Ear ◽  
Nasotracheal Intubation ◽  
Pediatric Intensive Care ◽  
Nasogastric Tubes ◽  
High Incidence ◽  
Risk Patients ◽  
Pediatric Icu

Septicemia is common in patients in the pediatric intensive care unit (ICU) who have nasotracheal tubes. Although it is frequently caused by middle ear effusion (MEE), pneumatic otoscopy is not routinely performed in these patients. To demonstrate the value of this procedure, 46 pediatric ICU patients with nasotracheal tubes were followed daily with pneumatic otoscopy for 11 to 98 days and compared with 25 controls without nasotracheal tubes, 12 of whom had nasogastric tubes. Myringotomy was performed whenever blood culture became positive. MEE was significantly more frequent in patients with nasotracheal tubes (87%) than in patients with controls (23%) and occurred first on the side of intubation. Blood bacteria were identical to middle ear pathogens in 80% of patients. Nasogastric tubes were not significant in causing MEE. The high incidence of MEE resulting from nasotracheal intubation indicates the importance of including pneumatic otoscopy in the daily examination of these high-risk patients.

Comment: Sedative Efficacy of Midazolam in a Pediatric ICU

1993 ◽  
Vol 27 (12) ◽  
pp. 1543-1544 ◽  
Author(s):  
Celeste M. Marx ◽  
Michael D. Reed
Keyword(s):  
Pediatric Icu
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