Pediatr Crit Care Me
-
Pediatr Crit Care Me · Jul 2017
Coping With Staff Burnout and Work-Related Posttraumatic Stress in Intensive Care.
To examine the associations with symptoms of 1) burnout and 2) work-related posttraumatic stress, in adult and pediatric intensive care staff, focusing on the particular contributions of resilience and coping strategies. ⋯ The use of particular coping strategies was systematically associated with symptoms of burnout and work-related posttraumatic stress in this group of intensive care staff, even after controlling for resilience and other factors. More research on how best to promote adaptive coping is needed in these challenging settings.
-
Pediatr Crit Care Me · Jul 2017
High Frequency of Neuroimaging Abnormalities Among Pediatric Patients With Sepsis Who Undergo Neuroimaging.
This study was intended to describe and correlate the neuroimaging findings in pediatric patients after sepsis. ⋯ The majority of pediatric patients with sepsis and concurrent or subsequent neuroimaging have abnormal neuroimaging findings. The implications of this high incidence for long-term neurologic outcomes and follow-up require further exploration.
-
High-flow nasal cannula use in the PICU continues to increase; however, a protocol for weaning patients has yet to be published. This study aimed to create an efficient and safe protocol for weaning high-flow nasal cannula. ⋯ Our study suggests that a high-flow nasal cannula "holiday" protocol is a safe and effective way to successfully wean PICU patients off high-flow nasal cannula. Additional investigation including validation of the scoring system used is warranted.
-
Pediatr Crit Care Me · Jul 2017
An Airway Risk Assessment Score for Unplanned Extubation in Intensive Care Pediatric Patients.
As a result of a workshop to identify common causes of unplanned extubation, Children's Healthcare of Atlanta developed a scoring tool (Risk Assessment Score) to stratify patients into groups of low, moderate, high, and extreme risk. This tool could be used to institute appropriate monitoring or interventions for patients with high risks of unplanned extubation to enhance safety. The objective of this study is to test the hypothesis that the Risk Assessment Score will correlate with the occurrence rate of unplanned extubation in pediatric patients. ⋯ Higher Risk Assessment Scores are associated with occurrence rates of unplanned extubation.
-
Pediatr Crit Care Me · Jul 2017
Evaluation of a Pediatric Early Warning Score Across Different Subspecialty Patients.
To evaluate the ability of a Pediatric Early Warning Score to predict deterioration in different subspecialty patient populations. ⋯ An elevated Pediatric Early Warning Score is associated with ICU transfer and receipt of ICU-specific interventions in patients across different pediatric subspecialty patient populations.