Evaluate the innovations of no seclusion and restricted access to Psychiatric Intensive Care Units (PICUs) by: 1. Assessing the outcomes of (a) PICU transfer versus continued acute inpatient care among patients admitted to general adult wards, and of (b) seclusion versus no seclusion among PICU patients, in terms of: (i) repeated physical violence to others, injury to staff or patients, abscond...

OBJECTIVE Timely, high quality communication with families is essential to family-centered decision-making. Quality communication is represented by widespread documentation of prognostic, goals-of-care conversations (PGOCC) in the pediatric intensive care unit (PICU) and should occur without variation by patient characteristics. METHODS Cohort included 645 PICU admissions in the top decile of...

To cite: Bueno Campaña M, Olivares Ortiz J, Notario Muñoz C, et al. Arch Dis Child 2014;99:511–515. ABSTRACT Objective To demonstrate that heated humidified high-flow nasal cannula (HHHFNC) is superior to inhaled hypertonic saline solution (HSS) in improving respiratory distress in moderate bronchiolitis. In addition, it could improve comfort and reduce length of hospital stay (LOS) and admissi...

PURPOSE Critically ill or injured children require prompt identification, rapid referral and quality emergency management. We undertook a study to evaluate the care pathway of critically ill or injured children to identify preventable failures in the care provided. METHODS A year-long cohort study of critically ill and injured children was performed in Cape Town, South Africa, from first pres...

OBJECTIVE To describe the characteristics, pattern of injury and outcome of children admitted to a paediatric intensive care unit (PICU) following an inflicted injury. DESIGN, SETTING AND PARTICIPANTS A retrospective review of hospital records from a 30-bed PICU in a university teaching hospital, examining data for children admitted to the PICU after an inflicted injury from 1 January 2005 to...

OBJECTIVE To determine the percentage of deaths in the pediatric intensive care unit (PICU) attributed to do not resuscitate (DNR) orders, and to compare our DNR practice with the international experience. METHODS Retrospective chart review of all children less than 14 years of age who died in the PICU at King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia from January 2...

BACKGROUND Most patients with respiratory syncytial virus (RSV) bronchiolitis requiring admission to the pediatric intensive care unit (PICU) have no risk factors for severe disease. We sought to investigate the relationship between serum cytokine concentrations, innate immune responsiveness, and RSV disease severity. METHODS Previously healthy infants (median age, 2.6 months) with RSV bronch...

BACKGROUND Pediatric empyema necessitates prompt resolution and early hospital discharge with minimal morbidity. However, the most effective treatment approach is not yet established. OBJECTIVES To assess the efficacy of an intrapleural streptokinase washing protocol as a non-operative treatment for stage II pediatric empyema as compared to operative decortications, by the number of pediatric...

OBJECTIVE To determine the incidence, etiology and risk factors of nosocomial urinary tract infections (nUTI) in a second level Pediatric Intensive Care Unit (PICU). PATIENTS AND METHODS A prospective study of 104 patients admitted to the PICU with a length of stay of more than 48 hours was carried out over a one year period (January to December 2009) to study the incidence and risk factors o...

OBJECTIVE This paper reports the findings of a descriptive study of a patient population over a three-month period on an eight bed psychiatric intensive care unit (PICU) in Western Australia. The report provides a quantitative insight into the profile of patients in PICUs. It provides information on patients' diagnoses, presenting signs, symptoms and/or behaviours, legal codes assigned to patie...