A avaliação do desfecho de crianças tratadas em unidades de terapia intensiva (UTIs) vem se modificando consideravelmente nos últimos 25 anos. O aumento na disponibilidade e na capacidade dos sistemas mecânicos e artificiais de suporte de órgãos e as consequentes baixas taxas de mortalidade na maioria das unidades de terapia intensiva pediátricas (UTIPs) indicam que a sobrevida após a internaçã...

Team Composition IDSA recommends that ASPs be multidisciplinary, including a pediatric infectious disease physician leader, a clinical pharmacist (preferably with infectious disease training), a clinical microbiologist, an information system specialist, an infection prevention specialist, and a hospital epidemiologist.1,2 Nguyen-Ha et al2 described a more limited ASP team with decreased drug st...

INTRODUCTION Outcome of patients admitted to PICU can be evaluated by many illness severity scoring systems. This prospective observational study evaluated the outcome of patients admitted to PICU in Fayoum University hospital of a developing country using the pediatric index of mortality version 2 scoring system. METHODS All patients included in this study were subjected to data collection i...

OBJECTIVE To investigate critical care physicians' experiences and perspectives regarding follow-up meetings with parents after a child's death in the pediatric intensive care unit. Parents of children who die in the pediatric intensive care unit often desire a follow-up meeting with the physicians who cared for their child. DESIGN Semistructured, audio-recorded telephone interviews. SETTIN...

The second half of the 20th century has produced an explosion of knowledge applied to the critically ill. The pathophysiology of life-threatening processes such as shock, respiratory failure, and increased intracranial pressure has been explored extensively. Advances in electronic patient monitoring, pharmacology, and improvement in transport systems are but a few of the factors that have drast...

OBJECTIVE Despite uncertain validity as a measure of cost, Medicaid reimbursements may be used to compare the costs of different pediatric interventions. We explored the credibility of Medicaid reimbursements as a measure of the costs of inpatient care associated with two different approaches to follow-up care for high-risk indigent infants. DESIGN Analysis of Medicaid reimbursements within a...

Recent advances in supportive care and progress in the development and use of chemotherapy have considerably improved the prognosis of many children with malignancy, thus the need for intensive care admission and management is increasing, reaching about 40% of patients throughout the disease course. Cancer remains a major death cause in children, though outcomes have considerably improved over ...

Email : [email protected] The care of the critically ill patient in the pediatric intensive care unit (PICU) has remained an important topic for those health care providers dealing with children. The purpose of this article is to introduce to the reader a summary of selected papers which we consider relevant to the care of the pediatric critically ill patient and that were published Revi...

INTRODUCTION Few studies investigate the benefits of familiarity or continuity during physician-to-physician handoff of inpatients. Factors such as how recently physicians (MDs) have worked and successive days caring for patients increase continuity, and thus could lead to enhanced handoff efficiency. Evaluating the efficacy of MD scheduling to enhance continuity is currently subjective. METH...