Lifelong learning in pediatric critical care
Pearls • The practice of pediatric critical care medicine requires a broad knowledge base and skill set that necessitates lifelong learning throughout an intensivist’s career to achieve mastery. • Based…
Challenges of pediatric critical care in resource-poor settings
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…
Fostering a learning healthcare environment in the pediatric intensive care unit
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…
Evolution of critical care nursing
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…
Leading and managing change in the pediatric intensive care unit
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…
Professionalism in pediatric critical care
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…
Critical communications in the pediatric intensive care unit
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…
High-reliability pediatric intensive care unit: Role of intensivist and team in obtaining optimal outcomes
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…
History of pediatric critical care medicine
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. •…
Regional techniques during pregnancy and delivery
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,…
