Pediatr Crit Care Me
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Pediatr Crit Care Me · Sep 2020
Pediatric Cardiac Intensive Care Distribution, Service Delivery, and Staffing in the United States in 2018.
To assess the distribution, service delivery, and staffing of pediatric cardiac intensive care in the United States. ⋯ Mixed ICUs and cardiac ICUs have statistically different staffing models and available services. More evaluation is needed to understand how this may impact patient outcomes and training programs of physicians and nurses.
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Pediatr Crit Care Me · Sep 2020
Closing the Gap: Optimizing Performance to Reduce Interruptions in Cardiopulmonary Resuscitation.
The American Heart Association recommends minimizing pauses of chest compressions and defines high performance resuscitation as achieving a chest compression fraction greater than 80%. We hypothesize that interruption times are excessively long, leading to an unnecessarily large impact on chest compression fraction. ⋯ This lays the groundwork for studying inefficiency during cardiopulmonary resuscitation associated with chest compression interruptions. The framework we created allows for the determination of significant avoidable interruption time. By further elucidating the nature of interruptions, we can design and implement targeted interventions to improve patient outcomes.
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Pediatr Crit Care Me · Sep 2020
Observational StudyAge-Based Percentiles of Measured Mean Arterial Pressure in Pediatric Patients in a Hospital Setting.
To develop and validate age-specific percentile curves of measured mean arterial pressure for children in a hospital setting. ⋯ This is the first study reporting age-specific quantiles of measured mean arterial pressure in children in a hospital setting. The percentile curves may guide care in illnesses when perfusion pressure is critical and serve as parameter for bedside and electronic record-based response to clinical change. Future work to correlate threshold mean arterial pressure values with outcomes would be feasible based on quantile curves.