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Pediatric Critical Care Medicine (PCCM) is pleased to offer monthly audio summaries that feature readings of the issue's most recent research abstracts. Audio summaries ensure accessibility of the information harbored in the journal and provide a convenient way to keep up with the latest in the field.
New summaries will be added in conjunction with each issue of PCCM released, so be sure to sign up for new issue alerts and bookmark this page. Please email journals@sccm.org with any feedback or suggestions.
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This month’s issue debuts two late-breaker articles—one that describes the use of restrictive transfusion practices in hemodynamically stable critically ill children and one that describes long-term pediatric critical care-associated parental traumatic stress. The feature article describes a multicenter collaborative assessing mechanical ventilation practices with liver transplantation in children. Other articles evaluate the use of a protocol, modalities of support, and the amount of oxygen used in bronchiolitis, which are especially pertinent this time of year. This month’s issue also releases the executive summary of the updated Pediatric Acute Lung Injury Consensus Conference (PALICC-2) international guidelines for diagnosis and management of pediatric acute respiratory distress syndrome. Online review articles evaluate the use of diaries as aids in pediatric and neonatal ICUs and establish a definition for pediatric chronic illness, while the neurocritical care article measures outcomes in children after severe brain injury.
This month’s issue features articles evaluating adverse events in the pediatric ICU (PICU) over a 10-year period, in-hospital cardiac arrests in adults admitted to PICUs, and disease severity trends of SARS-CoV-2 in U.S. PICUs. Two articles discuss prevalence and readmission rates of discharge directly home from the PICU. Other articles focus on goals of care and end of life, including different types of communication and prognostic statements, identification of medical complexity, and end-of-life issues in patients with ventricular assist devices. Additional clinical investigations and brief reports explore in situ simulation of a new critical care unit, pharmacokinetic modeling of midazolam and pentobarbital use in refractory status epilepticus, and the use of steroids in the general PICU population. Online review articles explore antimicrobial stewardship programs and strategies to reduce iatrogenic blood loss in critically ill patients.
This month’s issue features articles on a variety of sepsis and shock topics as well as challenges with mechanical ventilation in pediatric patients. The neurocritical intensive care articles evaluate phenotypes in acute brainstem dysfunction and the use of a pediatric neurocritical care team for patients with status epilepticus. Several online clinical investigations and brief reports explore mitigation of nephrotoxic pain medications, application of new acute kidney injury criteria, use of esmolol after tetralogy of Fallot repair, risk of infection development with proton pump inhibitor use, outcomes of acute lymphoblastic leukemia and cytokine release syndrome after chimeric antigen receptor T cell therapy, and an article discussing bereaved caregiver perspectives on end-of-life care in pediatric patients with ventricular assist devices.
This month’s issue features articles on evaluating the use of calcium during cardiopulmonary resuscitation in children with heart disease, assessing moral distress in the pediatric ICU, examining the use of extracorporeal membrane oxygenation in children with neurologic disorders or neurofunctional disability, and creating core outcome measurement sets for pediatric critical care patients. Additional articles describe clinical investigations about cardiopulmonary resuscitation quality and outcomes during the COVID-19 pandemic and centralizing pediatric critical care in Australia and New Zealand. The neurocritical care article examines the utility of high-dose midazolam in pediatric refractory status epilepticus, and there are a couple of articles evaluating the use of antifibrinolytics in pediatric trauma and cardiac surgery with cardiopulmonary bypass. We wrap up with this month's narrative, which focuses on stress and burnout in pediatric critical care.
This month’s issue features articles on delirium in the pediatric ICU and its impact on pediatric ICU readmission within one year, the use of prophylactic enoxaparin against catheter-associated thrombosis in postoperative cardiac patients, and outcomes associated with sodium bicarbonate use during pediatric in-hospital cardiac arrest. Other articles in this month’s issue investigate children with cardiac disease; one focuses on outcomes with early peritoneal dialysis cardiac surgery, another evaluates a treatment algorithm to mitigate bleeding in children with acquired von Willebrand syndrome type 2A, and another assesses a method to predict use of critical resources after cardiac catheterization. There are several other interesting articles on topics such as respiratory failure, functional status outcomes, optimal epinephrine dose during cardiac arrest, and anticoagulation with ventricular assist devices.
This month’s issue features articles on utilization of neurocritical resources in critically ill children, examination of early administration of corticosteroids in septic shock and association with clinically meaningful outcomes, and evaluation of increased monocyte distribution width in children with systemic inflammatory response syndrome and sepsis. There are also interesting articles on transport medicine, tracheostomy placement in children with pulmonary hypertension, prevention of clots in patients with modified Blalock-Taussig shunts, parental experience in the pediatric ICU, and semiautomated regional citrate anticoagulation in chronic kidney replacement therapy. Finally, there is a compelling narrative on the complex decision of extracorporeal membrane oxygen candidacy in critically ill children and the need for a systematic approach.
This month’s issue features articles on assessing physical, emotional/behavioral, and neurocognitive developmental outcomes in children after pediatric ICU admission, neurologic dysfunction relative to timing of recognition of pediatric sepsis, and using social determinants of health to identify neighborhoods where children are at risk for acute respiratory failure requiring mechanical ventilation. Additionally, there are interesting articles assessing peripheral vasoactive infusions in children with shock, an article investigating pathogen type and outcomes of septic shock, and a comparison of multisystem inflammatory syndrome in children with original/alpha versus delta variants of COVID-19.
This month’s Pediatric Critical Care Medicine features articles on assessing the epidemiology of pediatric intensive care unit admissions over a five-year period, the prevalence of cardiac dysfunction in Malawian children with severe febrile illness, and outcomes with conservative fluid management strategies in septic shock in African children. Additionally, there are a few articles on acute kidney injury, perioperative intensive care for patients with congenital heart disease, and acute respiratory distress syndrome.