Pearls • Intensivist-operated ultrasound is an important adjunct for vascular procedures at the pediatric intensive care unit bedside and is emerging as an important procedural aid across all percutaneous vascular…
Pearls • Successful organ recovery for transplantation requires perioperative donor management expertise to correct physiologic derangements associated with neurologic death. • A collaborative, multidisciplinary approach to end-of-life care and donation…
Pearls • Although decision-making at the end of life most commonly rests with a child’s parents, there may be times when a parent requests therapies that are deemed inappropriate by…
Pearls • Ethical issues in the pediatric intensive care unit (PICU) include high-visibility crises as well as subtle everyday ethical issues that stem from values and biases that infuse daily…
Pearls • Patient- and family-centered care (PFCC) uses an “innovative approach to the planning, delivery, and evaluation of healthcare that is grounded in a mutually beneficial partnership among patients, families,…
Pearls • Intraosseous infusion is an essential emergency vascular access, with several mechanical devices available. Vigilant observation of the needle insertion site is essential to recognize extravasation and prevent serious…
Pearls • The goal of interfacility transport is to ensure critical care delivery to the patient, provide acute and ongoing stabilization, and to anticipate disease progression as well as the…
Pearls • Physiologic instability is a key factor in the prediction of short-term outcomes in critically ill patients. • Prediction tools are central to controlling for severity of illness in…
Pearls • Clinical trials require appropriate design, conduct, and analysis in order to provide valid, unbiased, and reliable results that will be useful to clinicians. • Trial design is more…
Pearls • Emergency mass critical care (EMCC) is limited, essential critical care during disasters when intensive care demands surpass resources. • Pediatric, neonatal, and cardiac intensivists must be engaged with…
