Pediatr Crit Care Me
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Pediatr Crit Care Me · Oct 2016
Frequency, Composition, and Predictors of In-Transit Critical Events During Pediatric Critical Care Transport.
Transport of pediatric patients is common due to healthcare regionalization. We set out to determine the frequency of in-transit critical events during pediatric critical care transport and identify factors associated with these events. ⋯ Using new consensus definitions of transport-related critical events, we found critical events occurred in almost one in eight transports, and were strongly associated with pretransport cardiovascular instability. Transport Pediatric Early Warning Score was poorly predictive of in-transit critical events, and was not superior to the presence of pretransport mechanical ventilation and cardiovascular instability. Future prospective studies are required to elucidate the optimal matching of transport resources to patients, in particular those with both pretransport cardiovascular instability and mechanical ventilation.
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Pediatr Crit Care Me · Oct 2016
Multicenter Study Clinical TrialUtilizing a Collaborative Learning Model to Promote Early Extubation Following Infant Heart Surgery.
To determine whether a collaborative learning strategy-derived clinical practice guideline can reduce the duration of endotracheal intubation following infant heart surgery. ⋯ A collaborative learning strategy designed clinical practice guideline significantly increased the rate of early extubation with no change in the rate of reintubation. The early extubation clinical practice guideline did not significantly change postoperative ICU length of stay.