BACKGROUND The pediatric intensive care unit (PICU), with limited number of beds and resource-intensive services, is a key component of patient flow. Because the PICU is a crossroads for many patients, transfer or discharge delays can negatively impact a patient's clinical status and efficiency. OBJECTIVE The objective of this study was to describe, using direct observation, PICU bed utilizat...

AIM To describe the morbimortality associated to the development of acute kidney injury (AKI) defined by the pediatric adaptation of the RIFLE criteria in a Pediatric Intensive Care Unit (PICU). DESIGN A retrospective cohort study was carried out. SETTING Children admitted to a PICU in a tertiary care hospital. Patients or participants A total of 320 children admitted to a tertiary care hos...

Background Information given to families in an intensive care unit (ICU) is an ethical requirement and a medical necessity. In a pediatric area, the relationship between the physician and the patient is transformed into a triangular relationship which comprises "medical team patient and parents. Indeed, family satisfaction is a goal that fits into the overall improvement of quality of care in a...

BACKGROUND Observational studies in adults have shown a worse outcome associated with hyperoxia after resuscitation from cardiac arrest. Extrapolating from adult data, current pediatric resuscitation guidelines recommend avoiding hyperoxia. We investigated the relationship between arterial partial oxygen pressure and survival in patients admitted to the pediatric intensive care unit (PICU) afte...

Background—Observational studies in adults have shown a worse outcome associated with hyperoxia after resuscitation from cardiac arrest. Extrapolating from adult data, current pediatric resuscitation guidelines recommend avoiding hyperoxia. We investigated the relationship between arterial partial oxygen pressure and survival in patients admitted to the pediatric intensive care unit (PICU) afte...

Abbreviations: HSCT: Hematopoietic Stem Cell Transplantations; ALL: Acute Lymphoblastic Leukemia; URI: Upper Respiratory Infections; Hmpv: Human Metapneumovirus; RSV: Respiratory Syncytial Virus; AML: Acute Myeloblastic Leukemia; LRI: Lower Respiratory Infections; CMV: Cytomegalovirus; Gvhd: Graft Versus Host Disease; BAL: Bronchoalveolar Lavage; PICU: Pediatric Intensive Care Unit; IVIG: Intra...

We aimed to investigate the clinicopathological features of pertussis in children admitted to a tertiary-care university hospital in Brazil. This was a retrospective cohort study of all pediatric hospital admissions with pertussis from January 1, 2008 to December 31, 2014. We also reported the autopsy findings in children who died. Fifty-five patients admitted to the hospital over the study per...

OBJECTIVE To assess the adequacy of preparedness planning for an influenza pandemic by modeling the pediatric surge capacity of healthcare facility and pediatric intensive care unit (PICU) requirements over time. Governments and Public Health authorities have planned preparedness activities and training for a flu pandemic. PICU facilities will be the limiting factor in healthcare provision for ...

Isabel (owned and developed by The Isabel Medical Charity, a UK registered charity) is a new pediatric online tool designed with the primary intention of decreasing potential medical errors when caring for critically ill children. The origins of the website lie with the parents of Isabel who, at the age of 3 years, spent 4 weeks in a pediatric intensive care unit (PICU) recovering from the comp...

OBJECTIVE To assess the impact of system factors and modifiable interventions on outcome of cardiac arrest in a pediatric intensive care unit. DESIGN Retrospective medical record review. SETTING Pediatric intensive care unit of a hospital in China. PARTICIPANTS Children (age<14 yrs) who had cardiac arrest within our PICU over a period of two years. RESULTS Sixty-one of the 94 cardiac ar...