Stakeholder-developed interventions are needed to support pediatric intensive care unit (PICU) communication and decision-making. Few publications delineate methods and outcomes of stakeholder engagement in research. We describe the process and impact of stakeholder engagement on developing a PICU communication and decision-making support intervention. We also describe the resultant interventio...

OBJECTIVES To report the perioperative management and surgical outcomes in a large series of pediatric patients with endoscopically repaired type 1 posterior laryngeal cleft (PLC). STUDY DESIGN Case series with chart review. SETTING Urban, tertiary care, free-standing pediatric hospital. SUBJECTS AND METHODS Patients who underwent endoscopic carbon dioxide laser-assisted repair of type 1 ...

BACKGROUND AND AIMS Studies carried out in different countries have shown that source of patient admission in Intensive Care Units (ICUs) is associated to death. Patients admitted from wards show a greater ICU mortality. The aim of the present study was to investigate the association between admission source and outcome in a Pediatric Intensive Care Unit (PICU). MATERIALS AND METHODS We studi...

A retrospective study was performed in children (aged one month - 16 years) receiving HFNC to determine the frequency, efficacy and adverse effects of high flow nasal cannula (HFNC) therapy pediatric intensive care unit (PICU), from January December 2017. Treatment failure defined as clinical deterioration on such that mechanical ventilation (MV) required. Clinical parameters before after were ...

BACKGROUND There are many studies about the prognosis and possible predictive factors of mortality for pediatric allogeneic hematopoietic stem cell transplantation (HSCT) recipients requiring pediatric intensive care unit (PICU) treatment, but the related study in China is lacking. This study investigates the data of these special patients in our center. METHODS This retrospective analysis is...

Background. Currently, parental presence at the bedside of critically ill children in pediatric intensive care unit (PICU) is a necessary family-oriented condition. In published sources, there enough evidence that shows special emotional state parents, their complex interactions with medical staff PICU, as well attitude doctors and nurses to department, especially during manipulation on patient...

Stress hyperglycemia and hypoglycemia are associated with increased mortality and morbidity in critically ill patients. Three randomized controlled trials, in the surgical, medical, and pediatric intensive care unit (PICU) of the Leuven University in Belgium, demonstrated the beneficial response of tightly controlling blood glucose levels within age-adjusted narrow limits by applying intensive ...

In this special issue of the Journal of Pediatric Intensive Care, we have compiled a series of articles addressing the management of infections in critically ill children. Directed antimicrobial treatment and concurrent supportive care are key aspects of pediatric critical care. According to the World Health Organization, in 2013, approximately 50% of all childhood deaths worldwide were caused ...

UNLABELLED The fact that some children may survive despite a limitation of treatment decision (LTD) made in the pediatric intensive care unit (PICU) is a recent concern. A previous study pointed out that the teams in charge of children after the PICU stay did not take previous PICU LTDs into account. PURPOSE To identify the problems different units experience in cooperating with the PICU team...