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Intensive care medicine. Paediatric and neonatal最新文献

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Halogenated volatile anaesthetics for prolonged sedation in pediatric intensive care unit: first experience in two French pediatric intensive care units 卤化挥发性麻醉剂在儿童重症监护病房的长期镇静:两个法国儿童重症监护病房的首次经验
Pub Date : 2023-07-14 DOI: 10.1007/s44253-023-00009-y
Léo Berger, Yohan Soreze, J. Rambaud, J. Starck, Yaël Levy, P. Tissières, J. Miatello, Luc Morin, P. Léger
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引用次数: 0
Post-intensive care syndrome in pediatrics—enhancing understanding through a novel bioecological theory of human development lens 儿科重症监护后综合征:通过人类发展视角的新型生物生态学理论增强理解
Pub Date : 2023-07-05 DOI: 10.1007/s44253-023-00007-0
Z. Rahmaty, J. Manning, Ibo Macdonald, Marie-Hélène Perez, A. Ramelet
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引用次数: 1
Correction: Continuous subcutaneous insulin infusion via an insulin pump in extremely premature neonates—a case series 更正:通过胰岛素泵持续皮下注射胰岛素在极早产儿-一个病例系列
Pub Date : 2023-06-21 DOI: 10.1007/s44253-023-00011-4
Andrea Becocci, N. Bochaton, S. Fau, P. Klee, L. Perrenoud, C. Fonzo-Christe, R. Pfister
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引用次数: 0
Circumstances surrounding end of life in a Swiss pediatric intensive care unit 瑞士儿科重症监护病房的临终环境
Pub Date : 2023-06-21 DOI: 10.1007/s44253-023-00005-2
Aurélie Wanders, C. Ghinescu, Y. Levy-Jamet, Anne-Laure Martin, F. Barcos-Muñoz, P. Rimensberger, A. Polito
{"title":"Circumstances surrounding end of life in a Swiss pediatric intensive care unit","authors":"Aurélie Wanders, C. Ghinescu, Y. Levy-Jamet, Anne-Laure Martin, F. Barcos-Muñoz, P. Rimensberger, A. Polito","doi":"10.1007/s44253-023-00005-2","DOIUrl":"https://doi.org/10.1007/s44253-023-00005-2","url":null,"abstract":"","PeriodicalId":73402,"journal":{"name":"Intensive care medicine. Paediatric and neonatal","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82524594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Furosemide in the management of acute kidney injury in the pediatric intensive care unit—retrospective cohort study 速尿在儿科重症监护病房急性肾损伤治疗中的应用——回顾性队列研究
Pub Date : 2023-06-20 DOI: 10.1007/s44253-023-00010-5
Sermadurai Vivek, R. Rameshkumar, Meera Muthu, Pediredla Karunakar, M. Chidambaram, Chinnaiah Govindhareddy Delhi Kumar, T. Selvan, S. Mahadevan
{"title":"Furosemide in the management of acute kidney injury in the pediatric intensive care unit—retrospective cohort study","authors":"Sermadurai Vivek, R. Rameshkumar, Meera Muthu, Pediredla Karunakar, M. Chidambaram, Chinnaiah Govindhareddy Delhi Kumar, T. Selvan, S. Mahadevan","doi":"10.1007/s44253-023-00010-5","DOIUrl":"https://doi.org/10.1007/s44253-023-00010-5","url":null,"abstract":"","PeriodicalId":73402,"journal":{"name":"Intensive care medicine. Paediatric and neonatal","volume":"44 2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81148295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Fibroscopic-guided percutaneous dilatational tracheostomy in critically ill children: a single center observational study 危重儿童纤维镜引导下经皮扩张性气管切开术:单中心观察研究
Pub Date : 2023-05-17 DOI: 10.1007/s44253-023-00003-4
P. Durand, J. Miatello, Laurent Martin, Michael J. Carter, B. Mbieleu, Thomas Bellocq, Luc Morin, P. Tissières
{"title":"Fibroscopic-guided percutaneous dilatational tracheostomy in critically ill children: a single center observational study","authors":"P. Durand, J. Miatello, Laurent Martin, Michael J. Carter, B. Mbieleu, Thomas Bellocq, Luc Morin, P. Tissières","doi":"10.1007/s44253-023-00003-4","DOIUrl":"https://doi.org/10.1007/s44253-023-00003-4","url":null,"abstract":"","PeriodicalId":73402,"journal":{"name":"Intensive care medicine. Paediatric and neonatal","volume":"109 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75708585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Continuous subcutaneous insulin infusion via an insulin pump in extremely premature neonates—a case series 通过胰岛素泵持续皮下注射胰岛素在极早产儿-一个病例系列
Pub Date : 2023-05-16 DOI: 10.1007/s44253-023-00004-3
Andrea Becocci, N. Bochaton, S. Fau, P. Klee, L. Perrenoud, C. Fonzo-Christe, R. Pfister
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引用次数: 1
Severe acute bronchiolitis or the new “Lernaean Hydra”: one body and many faces 严重急性细支气管炎或新的“勒奈九头蛇”:一个身体和许多面孔
Pub Date : 2023-05-11 DOI: 10.1007/s44253-023-00002-5
G. Mortamet, C. Milési, G. Emeriaud
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引用次数: 0
Intensive Care Medicine – Paediatric and Neonatal (ICM-PN): creating a journal to fill a gap and strengthen our domain 重症监护医学-儿科和新生儿(ICM-PN):创建一个杂志,以填补空白,加强我们的领域
Pub Date : 2023-02-02 DOI: 10.1007/s44253-023-00001-6
D. De Luca, P. Raymakers, M. van Dijk, D. Tibboel
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引用次数: 0
A qualitative investigation of paediatric intensive care staff attitudes towards the diagnosis of lower respiratory tract infection in the molecular diagnostics era. 分子诊断时代儿科重症监护人员对下呼吸道感染诊断态度的定性调查。
Pub Date : 2023-01-01 Epub Date: 2023-07-07 DOI: 10.1007/s44253-023-00008-z
John A Clark, Andrew Conway Morris, Constantinos Kanaris, David Inwald, Warwick Butt, Joshua Osowicki, Luregn J Schlapbach, Martin D Curran, Deborah White, Esther Daubney, Shruti Agrawal, Vilas Navapurkar, M Estée Török, Stephen Baker, Nazima Pathan

Background: In the past decade, molecular diagnostic syndromic arrays incorporating a range of bacterial and viral pathogens have been described. It is unclear how paediatric intensive care unit (PICU) staff diagnose lower respiratory tract infection (LRTI) and integrate diagnostic array results into antimicrobial decision-making.

Methods: An online survey with eleven questions was distributed throughout paediatric intensive care societies in the UK, continental Europe and Australasia with a total of 755 members. Participants were asked to rate the clinical factors and investigations they used when prescribing for LRTI. Semi-structured interviews were undertaken with staff who participated in a single-centre observational study of a 52-pathogen diagnostic array.

Results: Seventy-two survey responses were received; most responses were from senior doctors. Whilst diagnostic arrays were used less frequently than routine investigations (i.e. microbiological culture), they were of comparable perceived utility when making antimicrobial decisions. Prescribers reported that for arrays to be clinically impactful, they would need to deliver results within 6 h for stable patients and within 1 h for unstable patients to inform their immediate decision to prescribe antimicrobials. From 16 staff interviews, we identified that arrays were helpful for the diagnosis and screening of bacterial LRTI. Staff reported it could be challenging to interpret results in some cases due to the high sensitivity of the test. Therefore, results were considered within the context of the patient and discussed within the multidisciplinary team.

Conclusions: Diagnostic arrays were considered of comparable value to microbiological investigations by PICU prescribers. Our findings support the need for further clinical and economic evaluation of diagnostic arrays in a randomised control trial.

Trial registration: Clinicaltrials.gov, NCT04233268. Registered on 18 January 2020.

Supplementary information: The online version contains supplementary material available at 10.1007/s44253-023-00008-z.

背景:在过去的十年里,已经描述了包含一系列细菌和病毒病原体的分子诊断综合征阵列。目前尚不清楚儿科重症监护室(PICU)工作人员如何诊断下呼吸道感染(LRTI),并将诊断阵列结果纳入抗菌决策。方法:一项包含11个问题的在线调查在英国、欧洲大陆和澳大拉西亚的儿科重症监护学会中进行,共有755名成员。参与者被要求对他们在开具LRTI处方时使用的临床因素和调查进行评分。对参与52种病原体诊断阵列的单中心观察性研究的工作人员进行了半结构化访谈。结果:收到72份调查答复;大多数回复来自资深医生。虽然诊断阵列的使用频率低于常规调查(即微生物培养),但在做出抗菌决策时,它们具有相当的感知效用。处方医生报告说,为了使阵列具有临床影响力,他们需要在6小时内为稳定患者和1小时内为不稳定患者提供结果,以告知他们立即决定开抗微生物药物。从16名员工的访谈中,我们发现阵列有助于细菌LRTI的诊断和筛查。工作人员报告说,由于测试的高灵敏度,在某些情况下解释结果可能很有挑战性。因此,在患者的背景下考虑结果,并在多学科团队中进行讨论。结论:诊断阵列被认为与PICU处方医生的微生物调查具有同等价值。我们的研究结果支持了在随机对照试验中对诊断阵列进行进一步临床和经济评估的必要性。试验注册:Clinicaltrials.gov,NCT04233268。注册日期:2020年1月18日。补充信息:在线版本包含补充材料,可访问10.1007/s44253-023-00008-z。
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引用次数: 0
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Intensive care medicine. Paediatric and neonatal
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