Pediatr Crit Care Me
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Pediatr Crit Care Me · Mar 2019
Evaluating the Need for Pediatric Procedural Sedation Training in Pediatric Critical Care Medicine Fellowship.
Pediatric procedural sedation has been increasingly performed by pediatric intensivists over the past decade. Pediatric Critical Care Medicine fellowship guidelines do not specify how fellows obtain proficiency in pediatric procedural sedation. We sought to survey the state of pediatric procedural sedation training during fellowship and whether fellows thought it was sufficient. ⋯ Pediatric procedural sedation lacks a clearly defined training pathway. Most fellows find pediatric procedural sedation a valuable skill set. We propose that all Pediatric Critical Care Medicine fellows receive training that includes pediatric procedural sedation critical incident simulation and cases performed outside the PICU to establish proficiency.
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Pediatr Crit Care Me · Mar 2019
Editorial CommentWhat Is in a Word?? Defining Bleeding as the First Step….
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Pediatr Crit Care Me · Mar 2019
Editorial CommentPediatric In-Hospital Cardiac Arrest-Can We Do Better?
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Pediatr Crit Care Me · Mar 2019
Multicenter StudyAssociation of Fluid Overload With Clinical Outcomes in Critically Ill Children With Bronchiolitis. BRUCIP study.
Increasing evidence supports the association of fluid overload with adverse outcomes in different diseases. To our knowledge, few studies have examined the impact of fluid balance on clinical outcome in severe bronchiolitis. Our aim was to determine whether fluid overload was associated with adverse clinical outcomes in critically ill children with severe bronchiolitis. ⋯ Critically ill patients with severe acute bronchiolitis who present a positive balance in the first 24 hours of PICU admission have poorer clinical outcomes with longer PICU and hospital length of stay and duration of invasive and noninvasive mechanical ventilation.