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Margaret Parker, MD, MCCM, speaks with Jason W. Custer, MD, about the article, “Diagnostic Errors in the Pediatric and Neonatal ICU: A Systematic Review,” published in the January 2015 issue of Pediatric Critical Care Medicine. Dr. Custer is an Assistant Professor in the Department of Pediatrics, Division of Pediatric Critical Care at the University of Maryland in Baltimore, Maryland and Medical Director of the Pediatric ICU and Assistant Residency Program Director. In this article, Dr. Custer and coauthors examine observational studies reporting autopsy-confirmed diagnostic errors in PICU or neonatal ICU.
Margaret Parker, MD, MCCM, speaks with James Thomas, MD, about the article, “Extubation During Pediatric Extracorporeal Membrane Oxygenation: A Single-Center Experience,” published in Pediatric Critical Care Medicine. Dr. Thomas is a Professor of Pediatric Critical Care Medicine in the Department of Pediatrics at the Baylor College of Medicine in Houston, Texas and the Medical Director of their ECMO program. In this article, Dr. Thomas and coauthors compare the prevalence, resource utilization, and mortality for pediatric severe sepsis identified using two established identification strategies.
Margaret Parker, MD, MCCM, speaks with James L. Wynn, MD, about the article, “Time for a Neonatal-Specific Consensus Definition for Sepsis,” published in Pediatric Critical Care Medicine. Dr. Wynn is an Assistant Professor of Pediatrics in the Department of Pediatrics, the Division of Neonatal-Perinatal Medicine, at Vanderbilt University in Nashville, Tennessee. In this article, Dr. Wynn and coauthors review the accuracy of the pediatric consensus definition of sepsis, specifically relating to term neonates and preterm neonates.
Margaret Parker, MD, MCCM, speaks with Jacques R. Lacroix, MD, about the article, "Survey on Stated Transfusion Practices in Pediatric Intensive Care Units," published in Pediatric Critical Care Medicine. Dr. Lacroix helped conduct a study among North American and European pediatric intensivists to find that stated transfusion practice patterns appear to be evolving toward a more restrictive approach two and a half years after the publication of the Transfusion Requirement in PICU trial. Dr. Lacroix is professor of Pediatrics at the University of Montreal and chair of acute care access at Sainte-Justine Hospital in Montreal, Quebec.
Margaret Parker, MD, FCCM, speaks with Andrew Argent, MD, Medical Director of the Pediatric Intensive Care Unit (PICU) at the Red Cross War Memorial Children’s Hospital, about his article published in the January Pediatric Critical Care Medicine titled, “Pediatric Intensive Care in South Africa: Making Optimum Use of Limited Resources at the Red Cross War Memorial Children’s Hospital.” Dr. Argent discusses the admission policy his PICU set in place for pediatrics in a country with limited healthcare resources.
Margaret Parker, MD, FCCM, speaks with Murray M. Pollack, MD, lead author on the article “The Ideal Time Interval for Critical Care Severity-of-Illness Assessment,” which was published in the June 2013 Pediatric Critical Care Medicine. Dr. Pollack is Chief Medical Officer at Phoenix Children’s Hospital in Phoenix, Arizona, USA.
Margaret Parker, MD, FCCM, speaks with John T. Berger, MD, FCCM, Medical Director for Cardiac Critical Care at Children’s National Medical Center in Washington, DC, USA. Dr. Berger is with us today to discuss his article “Critical Pertussis Illness in Children, A Multicenter Prospective Cohort Study” which was published in the May 2013 Pediatric Critical Care Medicine. Dr. Berger and his colleagues found that pulmonary hypertension may be associated with mortality in pertussis critical illness.
Margaret Parker, MD, FCCM, speaks with Christine N. Duncan, MD, lead author on an article titled “Clinical Outcomes of Children Receiving Intensive Cardiopulmonary Support During Hematopoietic Stem Cell Transplant,” published in the March issue of Pediatric Critical Care Medicine. The article found that intensive cardiopulmonary support plays an important and potentially life-saving role in the care of pediatric stem cell transplant patients. Dr. Duncan is an instructor in pediatrics at Harvard Medical School, and is a pediatric hematologist/oncologist at Dana-Farber Cancer Institute in Boston, Massachusetts, USA.
Margaret Parker, MD, FCCM, speaks with Eliotte L. Hirshberg, MD, about her article “Clinical Equipoise Regarding Glycemic Control: A Survey of Pediatric Intensivist Perceptions,” which was published in the February 2013 issue of Pediatric Critical Care Medicine. The aim of the study was to see whether adult literature had impacted pediatric intensivists practices regarding blood glucose control. Hirshberg is an assistant professor of internal medicine at the University of Utah with an adjunct assistant professor appointment in the Department of Pediatrics in Salt Lake City, Utah. Hirshberg is also board certified as both an adult and pediatric intensive care unit (ICU) physician, working at both the Primary Children’s Medical Center Pediatric ICU as well as Intermountain Medical Center’s Shock-Trauma ICU for adults.
Margaret Parker, MD, FCCM, speaks with Carl O. Eriksson, MD, MPH, lead author on an article published in the November Pediatric Critical Care Medicine. Researchers found that prevention and early use of antiviral medications may reduce the risk of influenza-related acute respiratory failure requiring mechanical ventilator support. Eriksson is an attending physician in the pediatric intensive care unit at Oregon Health & Science University in Portland, Oregon, USA.
Jeffrey Guy, MD, MSc, MMHC, speaks with Nilesh Mehta, MD, about his article published in the July 2012 Critical Care Medicine, “Nutritional Practices and Their Relationship to Clinical Outcomes in Critically Ill Children: An International Multicenter Cohort Study.” Mehta is an associate in critical care medicine at Children’s Hospital Boston in Boston, Massachusetts.
Margaret Parker, MD, FCCM, associate podcast editor, speaks with Susan L. Bratton, MD, MPH, about her paper published in the July Pediatric Critical Care Medicine, “Critical Care for Pediatric Asthma: Wide Care Variability and Challenges for Study." Bratton is a professor of pediatrics at the University of Utah in Salt Lake City, Utah. She is also in the Division of Critical Care Medicine at Primary Children’s Medical Center.
Margaret Parker, MD, FCCM, associate podcast editor, speaks with Denise M. Goodman, MD, MS, about her article published in the July Pediatric Critical Care Medicine, “Defining Pediatric Sepsis by Different Criteria: Discrepancies in Populations and Implications for Clinical Practice.” Goodman is an attending physician in the pediatric intensive care unit at Children’s Memorial Hospital in Chicago, Illinois. She is also an associate professor of pediatrics at Northwestern University Feinberg School of Medicine.
Margaret Parker, MD, FCCM, associate podcast editor, speaks with Nana Coleman, MD, EdM, about her editorial published in the July Pediatric Critical Care Medicine, “Health-Related Outcomes in Children After Critical Illness.” Coleman is an assistant professor of pediatrics at the Weill Cornell Medical College in New York, New York. She also is a professor of medicine, pediatrics and public health at the Virginia Tech-Carilion School of Medicine, and professor of nursing at the Jefferson College of Health Sciences.
Ericka L. Fink, MD, discusses her latest article published in Pediatric Critical Care Medicine, titled "Intensive Care for Infants and Children in Haiti in April 2010." Fink is an assistant professor of pediatric critical care medicine at the Children's Hospital of Pittsburgh and Scientist at the Safar Center for Resuscitation Research in Pittsburgh, Pennsylvania.
Jill M. Cholette, MD, is the lead author of an article published in the January Pediatric Critical Care Medicine titled, “Children with Single-Ventricle Physiology Do Not Benefit From Higher Hemoglobin Levels Post Cavopulmonary Connection: Results of a Prospective, Randomized, Controlled Trial of a Restrictive Versus Liberal Red-Cell Transfusion Strategy.” The study found that a restrictive red blood cell transfusion strategy decreases the number of transfusions, donor exposures and potential risks in these children. Cholette is an assistant professor of pediatrics in the division of pediatric critical care medicine at the University of Rochester Medical Center in Rochester, New York.
Ramya Srinivasan, MD, discusses her article published in the January Pediatric Critical Care Medicine titled, “Plasminogen Activation Inhibitor Concentrations in Bronchoalveolar Lavage Fluid Distinguishes Ventilator-Associated Pneumonia from Colonization in Mechanically Ventilated Pediatric Patients.” The article found that PAI-1 discriminated well between pediatric patients diagnosed clinically with VAP compared with those who were considered colonized. This resulted in PAI-1 being useful in directing appropriate antibiotic therapy in intubated patients suspected of having a new pulmonary infection. Srinivasan is a pediatric intensivist at Sutter Memorial Hospital in Sacramento and a translational researcher at the University of California in San Francisco.
Graeme MacLaren, MD, FCCM, is the lead author on an article published in the March Pediatric Critical Care Medicine titled, “Central Extracorporeal Membrane Oxygenation for Refractory Pediatric Septic Shock.” MacLaren is a pediatric intensivist at The Royal Children’s Hospital in Melbourne, Australia. He is an adult and pediatric intensivist and the director of cardiothorasic intensive care in the department of cardiac, thorasic and vascular surgery at the National University Heart Centre in Singapore. He also serves as an assistant professor of surgery and pediatrics at the National University of Singapore.
Jerry J. Zimmerman, MD, PhD, FCCM, discusses his article published in the January Pediatric Critical Care Medicine, titled “Adjunctive Corticosteroid Therapy in Pediatric Severe Sepsis: Observations From the RESOLVE.” Zimmerman is a professor of pediatrics, chief of the Division of Critical Care Medicine and director of Continuous Quality Improvement at Seattle Children’s Hospital in Washington.
Alan R. Schroeder, MD, discusses his article, “A Continuous Heparin Infusion Does Not Prevent Catheter-Related Thrombosis in Infants After Cardiac Surgery," published in the July Pediatric Critical Care Medicine. Schroeder is the chief of pediatric inpatient services at Santa Clara Valley Medical Center in San Jose, California.