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Pediatric Intensive Care

08-03-2024 Septicemia News

Viral DNAemia may predict sepsis-related mortality in children

Detecting DNA from cytomegalovirus, human adenovirus, BK polyomavirus, or human herpesvirus-6 in the blood of pediatric ICU patients with severe sepsis increases risk of death.

Editor's Choice

Severe pediatric COVID-19

Open Access COVID-19 Review

COVID-19 tends to be mild in children, but severe cases can have devastating impacts. What are the warning signs for deterioration? And what role does the immune system play?

How does ECMO affect brain development?

ECMO significantly improves survival rates in severely ill neonates, but is associated with long-term neurodevelopmental issues. Explore the incidence of and risk factors for motor deficits, cognitive impairments, sensory impairments, and developmental delays.

Cardiac point-of-care ultrasound (POCUS) in pediatric and neonatal intensive care

Cardiac POCUS reveals important real-time information at the bedside of critically ill children. This review sets out criteria to determine what questions should be explored with cardiac POCUS and a practical guide to answering them.

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Case Studies

Unusual opioid side effect in a child

Open Access Opioids Case Study

A 14-month-old had a cardiac repair for congenital heart disease, but experienced severe hysteria and irritability after opioid use post-operatively. She failed to respond to known therapeutic measures, but the symptoms were fully reversed by naloxone.

Current Reviews

Point-of-care abdominal ultrasound in pediatric and neonatal intensive care units

A spectrum of critical abdominal pathological conditions that might occur in neonates and children warrants real-time point-of-care abdominal ultrasound (abdominal POCUS) assessment. Abdominal radiographs have limited value with low sensitivity …

The Opportunities and Challenges for Artificial Intelligence to Improve Sepsis Outcomes in the Paediatric Intensive Care Unit

Open Access Artificial Intelligence Sepsis in the ICU (J Lipman, Section Editor)

Sepsis is a life-threatening condition characterised by organ dysfunction in response to a dysregulated immune response to infection [ 1 ]. It is a global health priority estimated to cause 2.9 million deaths in children under 5 each year [ 2 ].

Analgesia and sedation in critically ill pediatric patients: an update from the recent guidelines and point of view

Opioids REVIEW

In the last decades, the advancement of knowledge in analgesia and sedation for critically ill pediatric patients has been conspicuous and relevant. Many recommendations have changed to ensure patients’ comfort during their intensive care unit …

Risk factors of post-traumatic stress disorder after hospitalization in a pediatric intensive care unit: a systematic literature review

The number of studies on post-traumatic stress disorder after hospitalization in a pediatric intensive care unit raised since 2004. The objective of this systematic review was to summarize and critically examine the literature about risk factors …

Further Reading

Significance of colonization by antibiotic-resistant organisms prior to congenital heart disease surgery in children from low- to middle-income countries sent by non-governmental organizations to Switzerland

Open Access Antibiotic Research

Antibiotic-resistant microorganisms (AMROs) colonization rate in patients from low- to middle-income countries (LMIC) has been reported to be high, reaching 50% or more depending on the bacterial species [ 1 ]. Among such patients, children from …

Respiratory Syncytial Virus (RSV) Burden in Infants in the Kingdom of Saudi Arabia and the Impact of All-Infant RSV Protection: A Modeling Study

Open Access Respiratory Syncytial Virus Infection Original Research

Respiratory syncytial virus (RSV) is responsible for various respiratory illnesses, particularly lower track respiratory disease (LRTD), and is the primary cause of bronchiolitis and pneumonia. While individuals of all ages can be infected, RSV …

The impact of pediatric intensivists on the management of pediatric diabetic ketoacidosis in pediatric intensive care units

Open Access Ketoacidosis Original Research

Diabetic ketoacidosis (DKA) is a life-threatening disease in pediatric patients with diabetes mellitus. Management for DKA should be performed in a center experienced in DKA treatment, and immediate treatment in a pediatric intensive care unit …