Pediatr Crit Care Me
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Pediatr Crit Care Me · Dec 2019
Evaluation of Pediatric Cardiac ICU Advanced Practice Provider Education and Practice Variation.
The education, training, and scope of practice of cardiac ICU advanced practice providers is highly variable. A survey was administered to cardiac ICU advanced practice providers to examine specific variations in orientation format, competency assessment during and at the end of orientation, and scope of clinical practice to determine gaps in resources and need for standardization. ⋯ Orientation for cardiac ICU advanced practice providers is highly variable, content depends on the institution/preceptor, and competency is not objectively defined or measured. A cardiac ICU advanced practice provider curriculum is needed to standardize education and promote the highest level of advanced practice provider practice.
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Pediatr Crit Care Me · Dec 2019
Pediatric Chronic Critical Illness: Gaps in Inpatient Intrateam Communication.
The number of children with medical complexity and prolonged hospitalizations is rising. Strategies to adapt acute care approaches for this population are falling behind clinical demand. This study aimed to identify how inpatient team communication practices match the needs of teams caring for these patients and families, and to identify priority areas for improvement. ⋯ Acute care inpatient communication practices require modification to meet the needs of healthcare professionals who provide longitudinal care to children with repeated and prolonged hospitalizations. Improvement strategies should prioritize building collaboration, continuity, and communication skills among healthcare professionals.
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Pediatr Crit Care Me · Dec 2019
Prediction and Comparison of Fentanyl Infusion Pharmacokinetics in Obese and Nonobese Children.
To compare fentanyl infusion pharmacokinetic variables in obese children and nonobese children. ⋯ CLS may increase less than proportional to weight in obese children greater than 6-year-olds, while volume of distribution at steady state increases more than proportional to weight in all obese children compared with nonobese children. Weight-based dosing in obese children may cause an increase in steady-state concentration while prolonging the time to steady state. Exploring alternative dosing strategies for obese children is warranted.
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Pediatr Crit Care Me · Dec 2019
Editorial CommentWhich Is the Best Outcome in Pediatric Critical Trials?