Pediatr Crit Care Me
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Pediatr Crit Care Me · Jun 2018
Observational StudyAchievement of Therapeutic Vancomycin Exposure With Continuous Infusion in Critically Ill Children.
Describe and assess a continuous infusion dosing scheme of vancomycin therapy in critically ill children. ⋯ The current continuous infusion of vancomycin dosing scheme used in our population was inappropriate and led to underexposure. Using pharmacokinetic approaches such as covariate-adjusted initial dosing and Bayesian estimation of exposure should prove useful for achieving the pharmacokinetic target.
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To evaluate adherence to the sepsis bundle before and after an educational strategy and its impact on hospital stay. ⋯ Adherence to a bundle strategy is low following an educational intervention. However, when patients are managed after instruction in guideline recommendations, hospital stay may be significantly reduced.
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Pediatr Crit Care Me · Jun 2018
Management of Pediatric Delirium in Pediatric Cardiac Intensive Care Patients: An International Survey of Current Practices.
The purpose of this study was to describe how pediatric cardiac intensive care clinicians assess and manage delirium in patients following cardiac surgery. ⋯ Clinicians responding to the survey reported a range of delirium assessment and management practices in postoperative pediatric cardiac surgery patients. Study results highlight the need for improvement in delirium education for pediatric cardiac intensive care clinicians as well as the need for systematic evaluation of current delirium assessment and management practices.