Pediatr Crit Care Me
-
Pediatr Crit Care Me · Dec 2017
Critical Care Resource Utilization and Outcomes of Children With Moderate Traumatic Brain Injury.
To characterize admission patterns, critical care resource utilization, and outcomes in moderate pediatric traumatic brain injury. ⋯ Critical care resources are used in more than half of all moderate pediatric traumatic brain injury, and many receive care at nontrauma hospitals. Up to one third of moderate pediatric traumatic brain injury have poor outcomes, risk factors for which include age greater than 10 years, lower admission Glasgow Coma Scale, higher Injury Severity Score, and polytrauma. There is urgent need to optimize triage, care, and outcomes in this vulnerable population.
-
Pediatr Crit Care Me · Dec 2017
Discussing Benefits and Risks of Tracheostomy: What Physicians Actually Say.
When contemplating tracheostomy placement in a pediatric patient, a family-physician conference is often the setting for the disclosure of risks and benefits of the procedure. Our objective was to compare benefits and risks of tracheostomy presented during family-physician conferences to an expert panel's recommendations for what should be presented. ⋯ When discussing tracheostomy placement, physicians emphasized benefits that are shared by physicians and families while minimizing the risks. The expert panel recommended a balanced approach by equally weighing risks and benefits. To facilitate educated decision making, physicians should present a more extensive range of risks and benefits to families making this critical decision.
-
Pediatr Crit Care Me · Dec 2017
Enteral Nutrition Practices in Critically Ill Children Requiring Noninvasive Positive Pressure Ventilation.
Evaluate the practice of providing enteral nutrition in critically ill children requiring noninvasive positive pressure ventilation. ⋯ A majority of patients requiring noninvasive positive pressure ventilation received enteral nutrition within 24 hours. However, less than half achieved caloric and protein goals during their PICU admission. Further investigation is warranted to determine the safety and effectiveness of early enteral nutrition in this population.