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SCCM Pod-482 PCCM: The Cost of Compliance: Restrictive Practices in the PICU
Maureen A. Madden, DNP, RN, CPNP-AC, CCRN, FCCM, is joined by Katherine Steffen, MD, MHS, to discuss the clinical and economic impacts of compliance with RBC transfusion guidelines, as discussed in “The Impact of Restrictive Transfusion Practices on Hemodynamically Stable Critically Ill Children Without Heart Disease: A Secondary Analysis of the Age of Blood in Children in the PICU Trial” published in Pediatric Critical Care Medicine.
Category: PCCM Podcast
SCCM Pod-470 PCCM: Adverse Events and Mortality in the PICU
The contribution of adverse events to the deaths of patients in the pediatric ICU (PICU) who die despite a low predicted mortality risk is unknown. Elizabeth H. Mack, MD, MS, FCCM, is joined by Carin W. Verlaat, MD, to discuss adverse events in low-risk nonsurvivors compared with low-risk survivors and high-risk PICU survivors and nonsurvivors and the contribution of adverse events to mortality.
SCCM Pod-467 PCCM: AHA Guidelines Address Calcium During Pediatric Cardiopulmonary Arrest
The American Heart Association’s cardiopulmonary resuscitation guidelines recommend against the routine administration of IV calcium during pediatric cardiopulmonary arrest; however, IV calcium is routinely used. Learn more in this discussion of “Calcium Administration During Cardiopulmonary Resuscitation for In-Hospital Cardiac Arrest in Children With Heart Disease is Associated With Worse Survival—A Report From the American Heart Association’s Get With the Guidelines-Resuscitation (GWTG-R) Registry."
SCCM Pod-465 PCCM: Who’s Got the Right Dose?
Pediatric advanced life support (PALS) guidelines include weight-based epinephrine dosing recommendations of 0.01 mg/kg with a maximum of 1 mg, which corresponds to a weight of 100 kg. But what are the actual practice patterns? This podcast discusses the Pediatric Critical Care Medicine article “Weight-Based Versus Flat Dosing of Epinephrine During Cardiac Arrest in the PICU: A Multicenter Survey.”
SCCM Pod-461 PCCM: A Novel Machine Learning Model to Predict PICU Transfer
This podcast discusses a novel machine learning model that identifies ICU transfers in hospitalized children more accurately than current tools. The discussion centers on the article “Development and External Validation of a Machine Learning Model for Prediction of Potential Transfer to the PICU,” published in the July 2022 issue of Pediatric Critical Care Medicine.
SCCM Pod-456 PCCM: Effects of Excessive Oxygen Supplementation
This podcast will examine a retrospective, observational cohort study that found an association between excessive oxygen supplementation in the first day of mechanical ventilation with multiple organ dysfunction syndrome on day 7 of admission and in-hospital mortality in critically ill children. Host Elizabeth H. Mack, MD, MS, FCCM, is joined by L. Nelson Sanchez-Pinto, MD, MBI, to discuss the study’s findings. (Sanchez-Pinto LN, et al. Pediatr Crit Care Med. 2022;23:89-98). Dr. Sanchez-Pinto is a pediatric critical care physician, data scientist, clinical informaticist, and healthcare technologist at the Ann and Robert H. Lurie Children's Hospital in Chicago, IL.
SCCM Pod-454 PCCM: PANDEM Guidelines
The PANDEM guidelines evaluate current practices and provide recommendations for management of pain, agitation, iatrogenic withdrawal, neuromuscular blockade, delirium, ICU environment, and early mobility in critically ill infants and children. Host Margaret M. Parker, MD, MCCM, is joined by Heidi A. B. Smith, MD, MSCI, FAAP, to discuss the guidelines.
SCCM Pod-451 PCCM: A Hard Learned Lesson on What It's Like to Be a Patient
In the ICU, medical staff do all they can to assist patients and get them back to health as quickly as possible. In the process of saving lives, bedside manner and communication may suffer.
SCCM Pod-447 eSIMPLER: A Dynamic, Electronic Health Record–Integrated Checklist
Host Margaret M. Parker, MD, MCCM is joined by Alon Geva, MD, MPH, to discuss how the implementation of eSIMPLER provided clinical decision support prompts with display of relevant data automatically pulled from the electronic health record and improved certain care processes.
SCCM Pod-445 The Association of Workload and Outcomes in the Pediatric Cardiac ICU
Host Elizabeth Mack, MD, MS, FCCM, is joined by Michael Fundora, MD, FAAP, to discuss if the hypothesized frontline clinician workload, measured by bed occupancy and staffing, is associated with poor outcomes and unnecessary testing.
SCCM Pod-442 Continuous Prediction of Mortality in the PICU: A Recurrent Neural Network Model in a Single-Center Dataset
As a proof of concept, a recurrent neural network (RNN) model was developed using electronic medical record (EMR) data capable of continuously assessing a child’s risk of mortality throughout an ICU stay as a proxy measure of illness severity. Host Margaret M. Parker, MD, MCCM, is joined by Melissa D. Aczon, PhD, to discuss how the RNN model can process hundreds of input variables contained in a patient’s EMR and integrate them dynamically as measurements become available.
SCCM Pod-435 Intracranial and Cerebral Perfusion Pressure Thresholds Associated with In-Hospital Mortality Across Pediatric Neurocritical Care
Targets for treatment of raised intracranial pressure or decreased cerebral perfusion pressure in pediatric neurocritical care are not well defined. Host Margaret Parker, MD, MCCM, is joined by Alicia K. Au, MD, MS, to discuss this topic.
SCCM Pod-431 Hypertonic Saline in Children with Raised Intracranial Pressure
Mannitol is a commonly used osmotherapy agent in raised intracranial pressure (ICP) but the side effects are significant. An alternative therapy, hypertonic saline, has shown varied results.
SCCM Pod-425 Outcomes in Cystic Fibrosis PICU Admissions
Cystic fibrosis patient care has advanced greatly in recent years and the mortality rate has improved. Explore PICU mortality and the factors associated with death among critically ill children with cystic fibrosis in this iCritical Care podcast.
SCCM Pod-412 COVID-19 in Critically Ill Children
Gain valuable insight on the clinical management of COVID-19 and its relevance to the pediatric critical care provider (Ong J, et al. Pediatr Crit Care Med. 2020;21:662-666) with host Elizabeth H. Mack, MD, MS, FCCM, and Jacqueline Ong, MB BChir, MMed (Paeds), MRCPCH.
SCCM Pod-411 Clinician Moral Distress
Margaret M. Parker, MD, MCCM, and Christopher S. Parshuram, MBChB, PhD, discuss clinician moral distress in Canadian pediatric and neonatal intensive care units (Dryden-Palmer,K, et al. Pediatri Crit Care Med. 2020;21(4): 314-323).
SCCM Pod-406 Surviving Sepsis Campaign Children's Guidelines
Margaret M. Parker, MD, MCCM, and Scott L. Weiss, MD, FCCM, discuss the release of "Surviving Sepsis Campaign International Guidelines for the Management of Septic Shock and Sepsis-Associated Organ Dysfunction in Children," published in the February 2020 issue of Pediatric Critical Care Medicine (Weiss S, et al. Pediatr Crit Care Med. 2020;21(2);e52-e106).
SCCM Pod-404 Population-Based Epidemiology and Outcomes of Acute Kidney Injury in Critically Ill Children
Margaret M. Parker, MD, MCCM, speaks with Rashid Alobaidi, MD, on his article titled "Population-Based Epidemiology and Outcomes of Acute Kidney Injury in Critically Ill Children,"
SCCM Pod-399 Risk for Mortality in Critically Ill Children Needing Renal Replacement Therapy
Margaret M. Parker, MD, MCCM, speaks with Danny Hames, MD, on his article titled "Risk Factors for Mortality in Critically Ill Children Requiring Renal Replacement Therapy ," published in the November 2019 issue of Pediatric Critical Care Medicine (Hames D, et al. Pediatr Crit Care Med. 2019;20;1069-1077).
SCCM Pod-394 Polyneuropathy in Critically Ill Mechanically Ventilated Children
Margaret M. Parker, MD, MCCM, speaks with Rakesh Lodha, MD, on his article titled Polyneuropathy in Critically Ill Mechanically Ventilated Children: Experience from Tertiary Care Hospital in North India, published the September issue of Pediatric Critical Care Medicine (Shubham S, et al. Pediatr Crit Care Med. 2019;20:826-831).