Search Tag: PICU
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
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 & 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
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
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
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
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
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
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