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Margaret Parker, MD, MCCM, speaks with Joseph A. Carcillo, MD, about the article, "American College of Critical Care Medicine Clinical Practice Parameters for Hemodynamic Support of Pediatric and Neonatal Septic Shock," published in the June 2017 issue of Critical Care Medicine. Dr. Carcillo the revisions made to the 2014 guidelines and recommendations regarding use of 1) a “recognition bundle” containing a trigger tool for rapid identification of patients with septic shock, 2) a “resuscitation and stabilization bundle” to help adherence to best practice principles, and 3) a “performance bundle” to identify and overcome perceived barriers to the pursuit of best practice principles. Dr. Carcillo is a professor of Anesthesia, Critical Care Medicine, and Pediatrics at the University of Pittsburgh School of Medicine in Pittsburgh, Pennsylvania. Crit Care Med. 2017; 45(6):1061-1093. Published: 6/7/2018
Margaret Parker, MD, MCCM, speaks with Michael C. McCrory, MD, MS, about the article, “Time of Admission to the PICU and Mortality,” published in the October 2017 issue of Pediatric Critical Care Medicine. Dr. McCrory discusses research findings examining how admissions and discharges to the pediatric intensive care unit (PICU) vary throughout the day and whether off-hours admissions or other factors lead to a higher rate of mortality in the PICU. Dr. McCrory is an associate professor and pediatric intensive care attending in the Department of Anesthesiology in the Section of Pediatric Critical Care Medicine at Wake Forest University School of Medicine in Winston-Salem, North Carolina. Ped Crit Care Med. 2017; 18(10):915-923. Published: 4/3/2018
Margaret Parker, MD, MCCM, speaks with Scott L. Weiss, MD, MSCE, about the article, “The Epidemiology of Hospital Death Following Pediatric Severe Sepsis: When, Why, and How Children With Sepsis Die,” published in the September 2017 issue of Pediatric Critical Care Medicine. Dr. Weiss discusses research findings regarding when, why, and the mode in which children with sepsis die, and how understanding these factors are important in setting appropriate clinical and research priorities. Dr. Weiss is an Assistant Professor in the Division of Critical Care Medicine in the Department of Anesthesiology and Critical Care at The Children’s Hospital of Philadelphia and the University of Pennsylvania Perelman School of Medicine in Philadelphia, Pennsylvania. Pediatr Crit Care Med. 2017; 18(9):823-830. Released: 12/7/17
Margaret Parker, MD, MCCM, speaks with Chani Traube, MD, about the article, “Delirium in Critically Ill Children: An International Point Prevalence Study,” published in the April 2017 issue of Critical Care Medicine. Dr. Traube discusses the complexity of diagnosing pediatric delirium in pediatric intensive care unit (PICU) patients. Study findings showed that one out of every four children in the PICU was delirious, with hypoactive delirium being most common. Dr. Traube is an Associate Professor of Pediatrics at Weill Cornell Medical College in New York where she works as a PICU attending and clinical researcher. Crit Care Med. 2017; 45(4):584-590. Released: 8/29/17
Margaret Parker, MD, MCCM, speaks Mark Duffett, PhD, about the article, “High-Quality Randomized Controlled Trials in Pediatric Critical Care: A Survey of Barriers and Facilitators," published in the May 2017 issue of Pediatric Critical Care Medicine. In this article, Dr. Duffett and coauthors identify barriers and facilitators of conducting high-quality randomized controlled trials in pediatric critical care from the perspective of trialists in the field. Dr. Duffett is a Pharmacist in the Department of Pediatrics at McMaster University in Ontario, Canada. Pediatr Crit Care Med. 2017; 18(5):405-413. Released: 8/17/17
Margaret Parker, MD, MCCM, speaks with Ericka L. Fink, MD, MS, about the PANGEA study (Prevalence of Acute Critical Neurological Disease in Children: A Global Epidemiological Assessment), published in the April 2017 issue of Pediatric Critical Care Medicine. Sixteen percent of children in pediatric intensive care units (ICUs) have acute neurological conditions with brain damage due to cardiac arrest, traumatic brain injury, or other causes. The study's findings underscore the need for “transformational ideas” to improve outcomes for this large group of critically ill children at high risk of adverse clinical outcomes. Dr. Fink is an Associate Professor of Pediatrics at the University of Pittsburgh and works in the Division of Pediatric Critical Care Medicine at Children’s Hospital of Pittsburgh in Pittsburgh, Pennsylvania. Pediatr Crit Care Med. 2017; 18(4):330-342.
Margaret Parker, MD, MCCM, speaks with Mary Jo C. Grant, APRN, PhD, about the article, “Dexmedetomidine Use in Critically-Ill Children with Acute Respiratory Failure,” published in the December 2016 issue of Pediatric Critical Care Medicine. Dr. Grant is a Pediatric Critical Care Nurse Practitioner in the Department of Pediatric Critical Care at Primary Children’s Hospital in Salt Lake City, Utah. In this article, Dr. Grant and coauthors complete a secondary analysis of data from the RESTORE clinical trial to describe dexmedetomidine (DEX) use in children supported on mechanical ventilation for acute respiratory failure. Pediatr Crit Care Med. 2016; 17(12):1131-1141.
Margaret Parker, MD, MCCM, speaks with Aaron C. Spicer, MD, MAS, about the article, “A Simple and Robust Bedside Model for Mortality Risk in Pediatric Patients With Acute Respiratory Distress Syndrome,” published in the October 2016 issue of Pediatric Critical Care Medicine. Dr. Spicer completed a pediatric residency and critical care fellowship and now is a resident in the Department of Anesthesia, Critical Care, and Pain Medicine at the Massachusetts General Hospital in Boston, Massachusetts. In this article, Dr. Spicer and coauthors examine ways to identify patients that are at highest risk of mortality from ARDS. Pediatr Crit Care Med. 2016; 17(10):907-916.
Margaret Parker, MD, MCCM, speaks with Mark C. Dugan, MD, about the article, “Does Simulation Improve Recognition and Management of Pediatric Septic Shock, and If One Simulation Is Good, Is More Simulation Better?” published in the July 2016 issue of Pediatric Critical Care Medicine. Dr. Dugan works as an Attending Pediatric Intensivist at the Children’s Hospital of Nevada at the University Medical Center and as a Clinical Assistant Professor in the Department of Pediatrics at the University of Nevada School of Medicine in Las Vegas, Nevada. In this article, Dr. Dugan and coauthors explore whether or not simulation can be used to assist resident trainees in identifying and performing well at the recognition and management of a critically ill child
Margaret Parker, MD, MCCM, speaks with Christine Gall, DrPH, about the article, “Pediatric Triage in a Severe Pandemic: Maximizing Survival by Establishing Triage Thresholds,” published in the September 2016 issue of Critical Care Medicine. Dr. Gall is a System Director for Performance Improvement in Patient Experience for SCL Health, a nine hospital system based in Denver, Colorado. In this article, Dr. Gall and coauthors explore the topic of how to achieve optimal population survival during a mass casualty pandemic that overwhelms pediatric critical care resources despite surge capacity efforts.
Margaret Parker, MD, MCCM, speaks with Neethi Pinto, MD, about her talk, “Learning from Others: What We Can All Take from the Pediatrics Experience,” presented at the 45th Critical Care Congress in Orlando, Florida. This talk is part of the session, “THRIVE: Supporting Survivors After Critical Illness.” THRIVE is a new initiative from the Society of Critical Care Medicine that aims to connect patient and family ICU survivors and raise awareness of post-intensive care syndrome.
Margaret Parker, MD, MCCM, speaks with Steven L. Shein, MD, about the article, “Effectiveness of Pharmacological Therapies for Intracranial Hypertension in Children With Severe Traumatic Brain Injury—Results From an Automated Data Collection System Time-Synched to Drug Administration,” published in the March 2016 issue of Pediatric Critical Care Medicine. Dr. Shein is an Assistant Professor of Pediatric Critical Care Medicine at Rainbow Babies & Children’s Hospital in Cleveland, Ohio. In this article, Dr. Shein and coauthors discuss effects of medications commonly used to treat intracranial hypertension in children with traumatic brain injury.
Margaret Parker, MD, MCCM, speaks with Ann-Marie Brown, ACNP, PhD, RN, FCCM, Assistant Professor of Nursing at the University of Akron and Advanced Practice Nurse in the Pediatric Intensive Care Unit at Akron Children’s Hospital in Akron, Ohio. Dr. Brown shares her insights on the benefits of a protocolized feeding approach and discusses the issues related to feeding in critically ill children.
Margaret Parker, MD, MCCM, speaks with Mirjana Cvetkovic, FRCA, about the article, “Timing of Death in Children Referred for Intensive Care with Severe Sepsis: Implications for Interventional Studies,” published in the June 2015 issue of Pediatric Critical Care Medicine. Dr. Cvetkovic works as a Clinical Fellow at the Children’s Acute Transport Service at Great Ormond Street Hospital in London and a Consultant Intensivist in Anesthesia at Leicester Hospital. In this article, Dr. Cvetkovic and coauthors examine the estimator of pediatric septic deaths and the challenges local hospitals are presented with when treating children with sepsis. UPDATE: Cvetkovic notes that CATS has had extensive outreach education for many years. Reference - http://site.cats.nhs.uk/wp-content/uploads/2013/07/cats_annual_reportvers2.4.pdf
Margaret Parker, MD, MCCM, speaks with Donald D. Vernon, MD, FAAP, about the article, “Practice Patterns in Pediatric Critical Care Medicine: Results of a Workforce Survey,” published in the October 2015 issue of Pediatric Critical Care Medicine. Dr. Vernon is a Professor of Pediatrics at the University of Utah in Salt Lake City, Utah. In this article, Dr. Vernon and coauthors discuss the results of survey regarding practice patterns of the U.S. pediatric critical care medicine workforce. Data was collected from active members of the American Academy of Pediatrics Section on Critical Care and individuals certified by the American Board of Pediatrics.
Margaret Parker, MD, MCCM, speaks with Robert T. Mansfield, MD, about the article, “The Use of Pediatric Ventricular Assist Devices in Children’s Hospitals from 2000 to 2010: Morbidity, Mortality, and Hospital Charges*,” published in the July 2015 issue of Pediatric Critical Care Medicine. Dr. Mansfield is a Cardiac Intensivist at the Children’s Hospital of Philadelphia in Philadelphia, Pennsylvania. In this article, Dr. Mansfield and coauthors examine the use of ventricular assist devices (VADs) in pediatric patients over time; specifically, the overall use, outcome, co-morbidities and resource utilization.
Margaret Parker, MD, MCCM, speaks with Nnenna O. Chime, MD, MPH, about the article, “A Survey Demonstrating Lack of Consensus on the Sequence of Medications for Treatment of Hyperkalemia among Pediatric Critical Care Providers,” published in the June 2015 issue of Pediatric Critical Care Medicine. Dr. Chime is a second-year resident in the Department of Pediatrics at the Albert Einstein College of Medicine and Children’s Hospital at Montefiore in New York. In this article, Dr. Chime and coauthors discuss the results of a scenario-based survey and the extent to which opinions diverge among pediatricians on the treatment of hyperkalemia.
Margaret Parker, MD, MCCM, speaks with Andrea Wolfler, MD, about the article, “Evolution of Non-Invasive Mechanical Ventilation Use: A Cohort Study Among Italian Pediatric Intensive Care Units,” published in the June 2015 issue of Pediatric Critical Care Medicine. Dr. Wolfler is a Medical Doctor in the Department of Anesthesia and Intensive Care at the Children’s Hospital in Milan, Italy. In this article, Dr. Wolfler and coauthors assess how clinical practice of non-invasive ventilation has evolved in the PICU.
Margaret Parker, MD, MCCM, speaks with Chani Traube, MD, about the article, “Pediatric Delirium and Associated Risk Factors: A Single-Center Prospective Observational Study,” published in the May 2015 issue of Pediatric Critical Care Medicine. Dr. Traube is an Associate Professor of Pediatrics in the Department of Pediatric Critical Care at Weill Cornell Medical College, New York Presbyterian Hospital, in New York. In this article, Dr. Traube and coauthors describe the prevalence and associated risk factors of delirium in critically ill children.
Margaret Parker, MD, MCCM, speaks with Nicole O’Brien, MD, about the article, “The Epidemiology of Vasospasm in Children with Moderate-to-Severe Traumatic Brain Injury,” published in the March 2015 issue of Critical Care Medicine. Dr. O’Brien is an Associate Professor of Clinical Medicine in the Department of Critical Care at Nationwide Children’s Hospital in Columbus, Ohio. In this article, Dr. O’Brien and coauthors examine the prevalence of vasospasm in children suffering traumatic brain injury.