Pediatric critical care ethics
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…
CRITICAL CARE
Patient- and family-centered care in the pediatric intensive care unit
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,…
Pediatric vascular access and centeses
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…
Pediatric critical care transport
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…
Prediction of short-term outcomes during critical illness in children
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…
Essential concepts in clinical trial design and statistical analysis
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…
Public health emergencies and emergency mass critical care
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…
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…
