Pediatr Crit Care Me
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Pediatr Crit Care Me · Aug 2023
Randomized Controlled TrialThe Effects of Expectation Setting and Bundle Consent on Acute Caregiver Stress in the PICU: A Randomized Controlled Trial.
Having a child admitted to the PICU is a stressful experience for parents and can have long-term negative mental health consequences. The objective was to determine if formalized expectation setting and bundled consent for invasive procedures upon admission impacts the acute stress burden on parents. ⋯ This study did not demonstrate a decrease in stress when bundled consent was obtained. However, this intervention decreased the parents' perceived severity of illness. Further multicenter studies are needed to evaluate the effects of bundled consent on parents.
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Pediatr Crit Care Me · Aug 2023
Asthma Cases Treated With Inhaled Anesthetics or Extracorporeal Membrane Oxygenation: A Virtual Pediatric Systems Database Study of Outcomes.
Extracorporeal membrane oxygenation (ECMO) and/or inhaled anesthetics (IAs) are considered in the management of asthma when refractory to conventional therapy. We aimed to compare the outcomes of these two modalities in asthma PICU care and determine associated survival to hospital discharge among patients in a United States database. ⋯ In the VPS database of asthma management cases, we failed to identify an association between ECMO versus IA use and survival to hospital discharge. However, ECMO was associated with longer duration of intervention and PICU LOS.
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Pediatr Crit Care Me · Aug 2023
Editorial CommentICU Liberation Bundles and The Legend of Three Arrows.
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Pediatr Crit Care Me · Aug 2023
Inappropriate Shock Delivery Is Common During Pediatric In-Hospital Cardiac Arrest.
To characterize inappropriate shock delivery during pediatric in-hospital cardiac arrest (IHCA). ⋯ The rate of inappropriate shock delivery for pediatric IHCA in this international cohort is at least 30%, with 23% delivered to an organized electrical rhythm, identifying opportunity for improvement in rhythm identification training.