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Articles 92611 - 92640 of 5206304
Full-Text Articles in Entire DC Network
Development And Optimization Of A Remote Pediatric Cardiac Critical Care Bootcamp Using Telesimulation, Felina Mille, Amy Romer, Tarif A. Choudhury, Adrian D. Zurca, Stacie B. Peddy, Keith Widmeier, Marjorie Hamburger, Venkat Shankar
Development And Optimization Of A Remote Pediatric Cardiac Critical Care Bootcamp Using Telesimulation, Felina Mille, Amy Romer, Tarif A. Choudhury, Adrian D. Zurca, Stacie B. Peddy, Keith Widmeier, Marjorie Hamburger, Venkat Shankar
Journal of Pediatric Intensive Care
Objectives: We developed a novel cardiac critical care bootcamp consisting of didactic, small-group and simulation sessions. The bootcamp was remote due to the COVID-19 pandemic and included telesimulation. We aimed to assess learners’ reactions to the bootcamp and their perception of telesimulation. Methods: Paired anonymous surveys were administered before and after participation. Surveys assessed participants’ comfort in independently managing cardiac critical care scenarios, perceptions of telesimulation, barriers to its effectiveness, and specific feedback on course components. Results: Forty-three fellows from 10 institutions joined the bootcamp over two years. 38 pre- and 28 post-course surveys were completed. The course was rated …
The Association Of Teamwork And Adverse Tracheal Intubation–Associated Events (Tiaes) In Advanced Airway Management In The Pediatric Icu, John F. Jennings, Sholeen Nett, Rachel Umoren, Robert Murray, Aaron Kessel, Natalie Napolitano, Michelle Adu-Darko, Katherine Biagas, Philipp Jung, Debra Spear, Simon Parsons, Ryan Breuer, Keith Meyer, Matthew Malone, Asha Shenoi, Anthony Lee, Palen Mallory, Awni Al-Subu, Keiko Tarquinio, Lily Glater, Megan Toal, Jan Hau Lee, Matthew Pinto, Lee Polikoff, Erin Own, Iris Toedt-Pingel, Mioko Kasagi, Laurence Ducharme-Crevier, Makoto Motomura, Masafumi Gima, Serena Kelly, Josep Panisello, Gabrielle Nuthall, Kelsey Gladen, Justine Shults, Vinay Nadkarni, Akira Nishisaki
The Association Of Teamwork And Adverse Tracheal Intubation–Associated Events (Tiaes) In Advanced Airway Management In The Pediatric Icu, John F. Jennings, Sholeen Nett, Rachel Umoren, Robert Murray, Aaron Kessel, Natalie Napolitano, Michelle Adu-Darko, Katherine Biagas, Philipp Jung, Debra Spear, Simon Parsons, Ryan Breuer, Keith Meyer, Matthew Malone, Asha Shenoi, Anthony Lee, Palen Mallory, Awni Al-Subu, Keiko Tarquinio, Lily Glater, Megan Toal, Jan Hau Lee, Matthew Pinto, Lee Polikoff, Erin Own, Iris Toedt-Pingel, Mioko Kasagi, Laurence Ducharme-Crevier, Makoto Motomura, Masafumi Gima, Serena Kelly, Josep Panisello, Gabrielle Nuthall, Kelsey Gladen, Justine Shults, Vinay Nadkarni, Akira Nishisaki
Journal of Pediatric Intensive Care
Background: Tracheal intubation in critically ill children is a life-saving, but high-risk procedure that involves multiple team members with diverse clinical skills. We aim to examine the association between the provider-reported teamwork rating and the occurrence of adverse tracheal intubation–associated events (TIAEs). Methods: A retrospective analysis of prospectively collected data from 45 pediatric intensive care units (PICUs) in the National Emergency Airway Registry for Children (NEAR4KIDS) database from January 2013 to March 2018 was performed. A composite teamwork score was generated using the average of each of five (7-point Likert scale) domains in the teamwork assessment tool. Poor teamwork was …
Complications Of Peripheral Arterial Access In Preterm And Term Neonates: A Systematic Review, Yangmyung Ma, Ahmed Salem, Andrea Jester
Complications Of Peripheral Arterial Access In Preterm And Term Neonates: A Systematic Review, Yangmyung Ma, Ahmed Salem, Andrea Jester
Journal of Pediatric Intensive Care
Aims: To provide a comprehensive review of vascular complications secondary to peripheral arterial catheterisation in preterm and term neonates. Methods: The systematic review consisted of searching PubMed, Scopus, Google Scholar, Cochrane Database of Systematic Reviews and references of journals using pre-trialled MeSH terms and articles. Results: Eight studies were included for full text analysis from 2369 initial articles: 6 retrospective reviews and 2 prospective studies. The rate of complication was 8.6% and all complications were ischemic in nature. Complications most often occurred in neonates with pulmonary/cardiac comorbidities and lower gestational ages. No association was found for weight and sex of …
Outcomes Of Pediatric Patients With Sepsis Managed On Extracorporeal Membrane Oxygenation: An Analysis Of The Elso Registry, Adrian Holloway, Jason Custer, Ripal Patel, Peta Alexander, Peter Rycus, Cortney Foster, Dayanand Bagdure, Angelina June, Vladimir Michtcherkin, William Blackwelder, Carissa Baker-Smith, Adnan Bhutta
Outcomes Of Pediatric Patients With Sepsis Managed On Extracorporeal Membrane Oxygenation: An Analysis Of The Elso Registry, Adrian Holloway, Jason Custer, Ripal Patel, Peta Alexander, Peter Rycus, Cortney Foster, Dayanand Bagdure, Angelina June, Vladimir Michtcherkin, William Blackwelder, Carissa Baker-Smith, Adnan Bhutta
Journal of Pediatric Intensive Care
Objective: Extracorporeal Membrane Oxygenation (ECMO) support is increasingly used for refractory septic shock. There is lack of data on the outcomes of children requiring ECMO support for refractory septic shock. Our study objective was to describe the variables associated with survival, risk factors for mortality and outcomes of children requiring ECMO support for refractory shock. Materials and Methods: Retrospective registry study of 340 international centers contributing data to the ELSO Registry, analyzing children <18 years who received ECMO with septic shock, severe sepsis, sepsis, SIRS, toxic shock syndrome, shock associated with infection and septicemia from any organism from 1990 to 2015. Outcomes were analyzed by categorizing the data into survivors and non-survivors. Logistic regression models were used to describe the association of dependent variable and multiple independent variables. Results: A total of 1928 patients were identified which met the inclusion criteria. 744 (38.5%) of the cohort survived. Survivors in this cohort tend to have longer duration of ECMO (230 hrs vs 201 hrs, p =0.005) and shorter time from intubation to ECMO cannulation (87 hrs vs 116 hrs, p =0.0033) when compared to non-survivors. Survivors were also noted to have higher pH, higher serum bicarbonate, higher saturations, and higher systolic, diastolic, and mean arterial pressures compared to non-survivors. Conclusions: These results suggest that early initiation of ECMO therapy for refractory sepsis is associated with better patient outcomes. ECMO is unlikely to recover patients once circulatory and metabolic collapse has developed.
Postoperative Inhaled Nitric Oxide Use And Early Outcomes After Fontan Surgery Completion, Kamalvir Gill, Estefania Rivera, Nicolas Ortiz Flores, Amro Alashi, Anthony Rossi, Jun Sasaki
Postoperative Inhaled Nitric Oxide Use And Early Outcomes After Fontan Surgery Completion, Kamalvir Gill, Estefania Rivera, Nicolas Ortiz Flores, Amro Alashi, Anthony Rossi, Jun Sasaki
Journal of Pediatric Intensive Care
A considerable number of patients after the Fontan operation require prolonged hospitalization due to significant perioperative morbidities. The early postoperative morbidity can be attributed to elevated pulmonary vascular resistance. We hypothesized that the postoperative outcomes would improve with the routine use of inhaled nitric oxide (iNO) to decrease pulmonary vascular resistance. From January 2015 to November 2017 (Group 1), 37 patients underwent Fontan operation, and from December 2017 to December 2019 (Group 2), 34 patients underwent Fontan operation. All patients in Group 2 received iNO in the immediate perioperative period as part of a standardized postoperative pathway. There was no …
Decompressive Craniectomy In Pediatric Traumatic Brain Injury: A Retrospective Cohort Study, Wan Xin Yew, Jan Hau Lee, Hongxing Dang, Sharon Yin Yee Low, Dianna Sri Dewi, Shu-Ling Chong
Decompressive Craniectomy In Pediatric Traumatic Brain Injury: A Retrospective Cohort Study, Wan Xin Yew, Jan Hau Lee, Hongxing Dang, Sharon Yin Yee Low, Dianna Sri Dewi, Shu-Ling Chong
Journal of Pediatric Intensive Care
Introduction: Decompressive craniectomy in children with traumatic brain injury (TBI) and refractory raised intracranial pressure (ICP) remains controversial. We aimed to describe the clinical and operative characteristics of children with moderate to severe TBI who underwent decompressive craniectomy, and compare outcomes with those who received medical therapy. Methods: We performed a retrospective observational cohort study on children < 16 years old with moderate to severe TBI (Glasgow Coma Scale, GCS ≤ 13 who underwent DC in 2 pediatric centers in Singapore and China between 2014 and 2017, and compared their outcomes to children who underwent medical treatment, among participating centers of the Pediatric Acute and Critical Care Medicine Asian Network (PACCMAN). We defined poor functional outcomes as moderate, severe disability, vegetative or comatose state, or mortality, using the Pediatric Cerebral Performance Category scale. We performed multivariable logistic regression to identify predictors for poor functional outcomes. Results: We analyzed 18 children who underwent DC with 214 who had medical therapy. A greater proportion of children with DC (14, 77.8%) experienced poor functional outcomes, compared to those with medical therapy (87, 41.2%, p=0.003). Children who underwent DC had fewer median 14-day ICU-free days (2.5 days, interquartile range, IQR 0.0 – 5.8 vs 8.0, IQR 0.0 – 11.0, p=0.033), median 28-day hospital-free days (0 days, IQR 0.0-3.5 vs 11.0, IQR 0.0 – 21.0, p=0.002) and 14-day mechanical ventilation-free days (6.5 days, IQR 0.0 – 12.3 vs 11.0, IQR 3.0 – 14.0, p=0.011). After accounting for age, sex, GCS, cerebral edema, uncal herniation, nonaccidental injury (NAI) and need for intubation, there was no significant association between decompressive craniectomy and poor functional outcomes (aOR 1.59, 95% CI 0.35 – 7.24, p = 0.548). Conclusions: Children with DC had severe injuries, prolonged hospital and ICU stays. Future studies are needed to understand the effectiveness of DC on children with TBI.
Performance Of The Mean, Highest, And Admission Day Pediatric Sequential Organ Failure Assessment (Psofa) Scores As Outcome Predictors In A Pediatric Intensive Care Unit: A Prospective Observational Study, Debasis Maity, Moumita Samanta, Sandipan Sen, Tapan Kumar Sinha Mahapatra, Asim Kumar Mallick
Performance Of The Mean, Highest, And Admission Day Pediatric Sequential Organ Failure Assessment (Psofa) Scores As Outcome Predictors In A Pediatric Intensive Care Unit: A Prospective Observational Study, Debasis Maity, Moumita Samanta, Sandipan Sen, Tapan Kumar Sinha Mahapatra, Asim Kumar Mallick
Journal of Pediatric Intensive Care
Objectives: The Pediatric Sequential Organ Failure Assessment score (pSOFA) has been recently validated from its adult version having included the six clinical and biochemical parameters of organ dysfunction (respiratory, coagulation, cardiovascular, neurological, hepatic, and renal) and adapting age-adjusted cutoffs. Our goal was to find out which among the pSOFA scores (recorded on admission, highest score, and the mean score i.e., pSOFA1, pSOFAh, and pSOFAm respectively) performed better to predict mortality among the patients admitted in our pediatric intensive care unit (PICU). Methods: This prospective observational study was conducted on 104 patients (1 month to 12 years of age) admitted in …
Metabolic Abnormalities In Association With Clinical Neonatal Seizures In An Indian Tertiary Care Center, Ramesh Bhat. Y., Sandeep Pd
Metabolic Abnormalities In Association With Clinical Neonatal Seizures In An Indian Tertiary Care Center, Ramesh Bhat. Y., Sandeep Pd
Journal of Pediatric Intensive Care
Background: Metabolic disturbances frequently occur in neonatal seizures either as an underlying cause or as an associated abnormality. A prompt recognition of metabolic abnormalities and early therapy are necessary to avoid poor neurological outcome. Methods: Neonates with clinical seizures were enrolled in the study. Diagnostic evaluation included complete blood count, sepsis screen, and estimation of blood glucose, serum sodium, calcium and magnesium before instituting any specific treatment. Metabolic abnormalities, were considered as isolated when hypoxic-ischemic encephalopathy (HIE), sepsis, intracranial hemorrhage and polycythemia were ruled out. Results: Among 80 newborns with clinical seizures, one metabolic abnormality was detected in 46 (57.5%). …
The Historiography Of The National Movement In Tunisia Between The Official, The Militant, And The Academic, Aamira Aaliya Seghir
The Historiography Of The National Movement In Tunisia Between The Official, The Militant, And The Academic, Aamira Aaliya Seghir
Basamat
No abstract provided.
Geography Between Social And Human Sciences: New Developments Of Globalization, Mostapha Nachoui
Geography Between Social And Human Sciences: New Developments Of Globalization, Mostapha Nachoui
Basamat
No abstract provided.
The Status Of Dialogue And Communication In Contemporary Philosophy, Ezzewaoui Baghoura
The Status Of Dialogue And Communication In Contemporary Philosophy, Ezzewaoui Baghoura
Basamat
No abstract provided.
Temporal Fields For Making Pastoral-Agricultural Decisions Among Farmers In Semi-Arid Environments In Morocco: A Study In Cultural Ecology, Mohamed Assaad
Temporal Fields For Making Pastoral-Agricultural Decisions Among Farmers In Semi-Arid Environments In Morocco: A Study In Cultural Ecology, Mohamed Assaad
Basamat
No abstract provided.
The Makhzen And The Tunisian Mountain Region Between 1630 And The End Of The 18th Century, Ibrahim Saadaoui
The Makhzen And The Tunisian Mountain Region Between 1630 And The End Of The 18th Century, Ibrahim Saadaoui
Basamat
No abstract provided.
Geomorphology From Geological Time To Lived Time: Application To The Doukkala-Abda Region., Mohamed Mohyieddine
Geomorphology From Geological Time To Lived Time: Application To The Doukkala-Abda Region., Mohamed Mohyieddine
Basamat
No abstract provided.
The Concept Of Space And Time In The Philosophy Of Emmanuel Kant, Abdellatif Fatheddine
The Concept Of Space And Time In The Philosophy Of Emmanuel Kant, Abdellatif Fatheddine
Basamat
No abstract provided.
Towards A Sociological Approach To Space, Abdelmounaim Choqairi
Towards A Sociological Approach To Space, Abdelmounaim Choqairi
Basamat
No abstract provided.
The Problem Of Time, Abdelali Maazouz
Towards The Professionalization Of Press Relations Between The Public Administration And Journalists In Morocco, Rachida Bouzidi
Towards The Professionalization Of Press Relations Between The Public Administration And Journalists In Morocco, Rachida Bouzidi
Basamat
No abstract provided.
The Sacred King And The Profane King: The Case Of Louis Xiv, Anouar Marzouki
The Sacred King And The Profane King: The Case Of Louis Xiv, Anouar Marzouki
Basamat
No abstract provided.
Time And Pause In Spontaneous Speech, Lahcen Ouasmi
The Metaphoric Structuring Of Time In Moroccan Arabic, Khalid Berrada
The Metaphoric Structuring Of Time In Moroccan Arabic, Khalid Berrada
Basamat
No abstract provided.
A Therapeutic Reading Of Space In Ionesco's La Cantatrice Chauve And La Leçon, Houda Chraibi
A Therapeutic Reading Of Space In Ionesco's La Cantatrice Chauve And La Leçon, Houda Chraibi
Basamat
No abstract provided.
Spatial And Temporal Uses Of Moroccan Arabic Prepositions, Ahmed Ech-Charfi
Spatial And Temporal Uses Of Moroccan Arabic Prepositions, Ahmed Ech-Charfi
Basamat
No abstract provided.
Imagination And Time Against The Tearing Of The Social Fabric, Abdelbaki Belfakih
Imagination And Time Against The Tearing Of The Social Fabric, Abdelbaki Belfakih
Basamat
No abstract provided.
The Design Of The City Through Space And Time, Abdellah El Houlali
The Design Of The City Through Space And Time, Abdellah El Houlali
Basamat
No abstract provided.
The Temporal Situation And The Analysis Of Territorial Systems, Said Sghir
The Temporal Situation And The Analysis Of Territorial Systems, Said Sghir
Basamat
Time is considered a key factor in the functioning of this universe. It allows for evolution, change, and disappearance. In geography, time is linked to space to guide any analysis that focuses on the question of territories toward a space-time duo whose two components are different from each other but difficult to separate. To dissect this issue, this work will focus on the one hand on the discussion of time as a concept in relation to other notions such as space, geography, and territorial systems. On the other hand, it will draw on investigative and analytical tools capable of further …
Conflicts In Maritime Areas: The Cases Of Sebta And Gibraltar, Abdel-Ilah Dehani
Conflicts In Maritime Areas: The Cases Of Sebta And Gibraltar, Abdel-Ilah Dehani
Basamat
No abstract provided.
The Frontier And The Construction Of American History", Khalil Saadani
The Frontier And The Construction Of American History", Khalil Saadani
Basamat
No abstract provided.
The Uses Of Historical Time In Diplomacy: The Case Of Mûlay Ismaïl, Mohamed Jadour
The Uses Of Historical Time In Diplomacy: The Case Of Mûlay Ismaïl, Mohamed Jadour
Basamat
No abstract provided.
Movement Space, Sacred Space In The Land Of Islam, Abdelmajid Kaddouri
Movement Space, Sacred Space In The Land Of Islam, Abdelmajid Kaddouri
Basamat
No abstract provided.