Pearls • Global child mortality is declining due to decreasing poverty and increasing basic medical care access and quality. • Given the large burden and high mortality of critical illness…
Pearls • A learning healthcare system occurs when patient care, interdisciplinary education, and clinical research are so integrated and intercalated that they are basically inseparable. Each element informs and benefits…
Pearls • As part of the multiprofessional team of dedicated intensive care experts, nurses are pivotal in the care of children and families during critical illness. • Building a humanistic…
Pearls • A modern pediatric intensive care unit (PICU) faces constant pressures to implement new clinical care practices, introduce new equipment, or assimilate new systems in response to rapidly evolving…
Pearls • The medical profession is largely self-regulated by a system composed of state medical licensing boards, subspecialty boards, and credentialing and accrediting bodies. This system confers many benefits on…
Pearls • Patient safety is paramount to outstanding healthcare, and effective communication is critical to sustaining a safe patient care environment. • Strategies and tools to promote situational awareness and…
Pearls • A modern pediatric intensive care unit (PICU) is a complex system, operating in conjunction with other complex systems (inpatient units, operating rooms, and emergency departments) within and between…
Pearls • The evolution of pediatric critical care medicine reflects long progress in anatomy, physiology, resuscitation and ventilation, anesthesiology, neonatology, pediatric general surgery, pediatric cardiac surgery, and pediatric cardiology. •…
Key Points • Neuraxial analgesia/anesthesia (spinal, epidural, combined spinal-epidural) are mainstays of safe anesthesia care of the obstetric patient. The anesthesia provider is caring for the mother, and by extension,…
Key Points • Prepuncture ultrasound scanning is helpful to determine the midline, the depth from the skin, the desired level, and rotation of the spine. • There are limited outcome…
