Pediatr Crit Care Me
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Pediatr Crit Care Me · May 2023
Meta AnalysisExtracorporeal Membrane Oxygenation in Children With COVID-19: A Systematic Review and Meta-Analysis.
The indication, complications, and outcomes of extracorporeal membrane oxygenation (ECMO) in children with COVID-19-related illnesses remain unelucidated. Our study aimed to investigate the characteristics and outcomes of ECMO in children with COVID-19-related illnesses. ⋯ The mortality of children on ECMO for COVID-19 was relatively low. This invasive treatment can be considered as a treatment option for critically ill children with COVID-19.
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Pediatr Crit Care Me · May 2023
Protecting Sleep Hygiene in the PICU: A Quality Improvement Project.
To increase the number of nights without sleep interruptions for routine tasks in recovering PICU patients. ⋯ The initiation of a sleep hygiene team along with retiming routine tasks, daily discussions on rounds with the daily goal sheet, introduction of a sleep hygiene order set, and transparent tracking improved the percentage of patients with protected sleep.
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Pediatr Crit Care Me · May 2023
Adverse Events During Apnea Testing for the Determination of Death by Neurologic Criteria: A Single-Center, Retrospective Pediatric Cohort.
To report the prevalence of adverse events in children undergoing apnea testing as part of the determination of death by neurologic criteria (DNC). ⋯ In our center, 20% of all apnea tests were associated with adverse events. Only 5% of all apnea tests required premature termination and the remaining 15% were completed and the adverse events resolved with medical care.
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Pediatr Crit Care Me · May 2023
Improving Daily Patient Goal-Setting and Team Communication: The Liber8 Glass Door Project.
To develop and implement a tool to improve daily patient goal setting, team collaboration and communication. ⋯ The Glass Door is a highly visible tool that can improve patient goal setting and collaborative team discussion with good uptake and acceptability among healthcare team members and patient families.
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Pediatr Crit Care Me · May 2023
Prehospital Tranexamic Acid Administration in Pediatric Trauma Patients: A Propensity-Matched Analysis of the Israeli Defense Forces Registry.
Tranexamic acid (TXA) administration confers a survival benefit in bleeding trauma patients; however, data regarding its use in pediatric patients are limited. This study evaluates the prehospital treatment with TXA in pediatric trauma patients treated by the Israel Defense Forces Medical Corps (IDF-MC). ⋯ Although prehospital TXA administration in the pediatric population is feasible with adverse event rate under 5%, more research is needed to determine the appropriate approach to pediatric hemostatic resuscitation and the role of TXA in this population.