Picus: In Roman mythology, a woodpecker sacred to the god Mars. It was widely worshipped in ancient Italy and developed into a minor god. Picus was an agricultural deity associated particularly...

Background: Acute kidney injury (AKI) is a common and serious complication in children admitted to the Pediatric Intensive Care Unit (PICU). The primary objective of our study was to estimate the incidence of AKI in children admitted to PICU. Secondary objective was to study the etiology ,short term outcome and determine the predictors of fatality in children with AKI. Methods: This was a prospective, cross sectional study conducted in children aged 1month to 18 years in the Pediatric Intensive Care Unit of Amrita Institute Of Medical Science, Kochi from Nov 2015 to Oct 2017 based on Acute Kidney Injury Network Criteria(AKIN). Results: The incidence of AKI was 18% .59.3% of the AKI patients were ≤5year of age. Most common cause for AKI was due to infections(87%) mainly sepsis(42.7%). 88.9% children had pre renal, 9.3% had renal and 1.9% had post renal type of AKI.40.7% were in stage 1,13% in stage2 and 46.3% in stage 3 based on AKIN criteria. 42.6% had complete recovery, 16.7% had partial ...

The use of health information technology (HIT) to improve patient safety is widely advocated by governmental and safety agencies. Electronic-prescribing and smart-pump technology are examples of HIT medication error reduction strategies. The introduction of new errors on HIT implementation is, however, also recognised. To determine the impact of HIT interventions, clear medication error definitions are required. This study aims to achieve consensus on defining as medication errors a range of either technology-generated, or previously unaddressed infusion-related scenarios, common in the paediatric intensive care setting. This study was conducted in a 23-bed paediatric intensive care unit (PICU) of an Irish tertiary paediatric hospital. A modified Delphi technique was employed: previously undefined medication-incidents were identified by retrospective review of voluntary incident reports and clinical pharmacist interventions; a multidisciplinary expert panel scored each incident using a 9-point Likert

The natural course of every neuromuscular disease infallibly leads to respiratory insufficiency and fatal outcome. The clinical approach to these patients has been essentially changed during the last few decades. They have the right to use all the possibilities of modern medicine, including pediatric intensive care. On the other hand, the quality of their lives, the effect on their families lives, and limited health resources have to be considered. Pediatric intensive care approach to children with neuromuscular diseases is described with the emphasize on ethical dilemmas still present in their treatment ...

Objective : To assess the effectiveness of selective digestive decontamination SDD on the control of nosocomial infection NI in critically ill pediatric patients. Design : A prospective, randomized. non-blinded and controlled clinical microbiology study. Setting : The pediatric intensive care unit PICU of a tertiary level pediatric university...

Intensive Care Unit Acquired Weakness(ICUAW) encompasses a spectrum of disorders characterized by generalized weakness developing after the onset of critical illness. Pediatric data on the incidence of ICUAW is restricted to isolated case reports and case series of no more than five children. Critical illness polyneuropathy is characterized by reduction in compound motor action potential or sensory nerve action potential or both with preserved conduction velocity on electrophysiological studies. These findings can occur very early prior to the onset of clinical features. Given the dearth of data in children on the subject, this study has been planned to evaluate the incidence of critical illness associated polyneuropathy /myopathy in severely sick children admitted ...

The completion of the new pediatric intensive care unit/pediatric cardiac intensive care unit reflects UC Davis deep commitment to improving the health of the children of our community, said Ann Madden Rice, chief executive officer of UC Davis Medical Center and UC Davis Childrens Hospital.. Photograph of new PICU. The new facility, located on the 10th floor of the medical centers Davis Tower, provides Northern Californias children with leading-edge technology and compassionate patient care in a setting that supports their medical and emotional needs and fully involves parents in their recovery.. Each year, UC Davis pediatric intensive care unit treats more than 1,000 infants, children and adolescents who experience traumatic injuries, life-threatening infectious diseases such as rabies, H1N1 and pneumonia, among other illnesses, and who have undergone surgery to correct complex birth defects such as congenital heart anomalies.. The facilitys new name is the Pediatric Intensive Care ...

The wild animals most sacred to Mars were the woodpecker, the wolf, and the bear, which in the natural lore of the Romans were said always to inhabit the same foothills and woodlands.[34]. Plutarch notes that the woodpecker (picus) is sacred to Mars because it is a courageous and spirited bird and has a beak so strong that it can overturn oaks by pecking them until it has reached the inmost part of the tree.[35] As the beak of the picus Martius contained the gods power to ward off harm, it was carried as a magic charm to prevent bee stings and leech bites.[36] The bird of Mars also guarded a woodland herb (paeonia) used for treatment of the digestive or female reproductive systems; those who sought to harvest it were advised to do so by night, lest the woodpecker jab out their eyes.[37] The picus Martius seems to have been a particular species, but authorities differ on which one: perhaps Picus viridis[38] or Dryocopus martius.[39]. The woodpecker was revered by the Latin peoples, who ...

The Pediatric Cardiac Intensive Care Unit (PCICU) at St. Josephs Childrens Hospital is dedicated to medical and surgical cardiovascular care. Located on the second floor, the PCICU offers patients and their family 24-hour postoperative management, advanced cardiac therapies, and education and support for parents. Download the St. Josephs Childrens Hospital campus map. ...

The MUSC Childrens Health Pediatric Cardiac Intensive Care Unit (PCICU) team provides care for children who need complex medical and surgical treatment.

A total of 13,232 PICU admissions from 82 PICUs were analyzed in the study; of these, 872 (6.6 %) had a tracheostomy tube inserted after initiation of mechanical ventilation. The rate varied significantly (0-13.4 %, p , 0.001) among the 45 PICUs that had 100 or more admissions included in the study. The median time to insertion of a tracheostomy tube was 14.4 days (IQR 7.4-25.7), and it also varied significantly by unit (4.3-30.4 days, p , 0.001) among those that performed at least ten tracheostomies included in the study.. ...

Phase one of the Stolley Pediatric Critical Care expansion was a new, 19,000-square-foot Pediatric Cardiac Intensive Care Unit (PCICU), located on the sixth floor of the Mazankowski Alberta Heart Institute. The PCICU has 25...

Produced by Jim Albritton , Nurses in the Pediatric Intensive Care Unit at the Blair E. Batson Hospital for Children in Jackson play a critical role in the care and treatment of Mississippis most critically ill and injured children. Some like the constant activity or learning opportunities the PICU offers, but all are there to help children win the fight for life. To learn more about nursing opportunities in the PICU at the University of Mississippi Medical Center, go to http://nurses.umc.edu.. ...

STUDY OBJECTIVES: To determine if a higher serum vancomycin (Vt) target trough concentration of 15-20 μg/ml or greater is associated with an increased rate of vancomycin-induced nephrotoxicity in children admitted to a pediatric intensive care unit (PICU), and to determine risk factors for developing vancomycin-induced nephrotoxicity.. DESIGN: Retrospective cohort study.. SETTING: A PICU within a freestanding tertiary care pediatric hospital.. PATIENTS: A total of 113 patients received vancomycin for at least 48 hours The high-trough cohort (H group [57 patients]) received vancomycin therapy between November 2008 and June 2009 for pneumonia, bacteremia, or meningitis that was managed by a clinical pharmacist who directed dosage adjustments driven by a novel algorithm to attain a target Vt concentration of 15-20 μg/ml or greater; the control group (C group [56 patients]) received vancomycin therapy during the preceding 10 months (between January and October 2008) for pneumonia or meningitis ...

PubMed journal article: Effect of interhospital transfer on resource utilization and outcomes at a tertiary pediatric intensive care unit. Download Prime PubMed App to iPhone, iPad, or Android

Thesis, English, Efficacy Of Intravenous Macronutrient Administration Among Children Admitted To Alexandria University Pediatric Intensive Care Unit for Mohamed Dina El Sayed El Taher

Nurse Practitioner - Pediatric Intensive Care- Supplemental in Nurse Practitioner with University of Maryland Medical System. Apply Today.

Problem Statement/Question: Severe pediatric Traumatic Brain Injury (TBI) remains a significant cause of morbidity and mortality. Evidence-based guidelines leave gaps in how to best implement and deliver standardized care on the local hospital level. Background/Project Intent (Aim Statement): We aim to improve clinical outcomes for severe TBI patients (Glasgow Coma Scale ≤8) with standardization of care according to updated evidence-based guidelines. We will target early guideline adherence (initial 72 hours of PICU admission) with a focus on 1) targeted temperature management (TTM40mmHg). Methods (include PDSA cycles): The Childrens Mercy Hospital Pediatric ICU Severe TBI Guidelines were updated after the 3rd edition of the Brain Trauma Foundation Pediatric Severe TBI Guidelines. The first PDSA cycle consisted of educational curriculum including multidisciplinary lectures, bedside algorithms and bedside audits for real-time education and process improvement. The second PDSA cycle focused on

Association between sepsis induced acute kidney injury with shock and length of stay in critically ill pediatric patients, Idham Jaya Ganda*, Karjana, Dasril Daud

A genome-wide study identified de novo DNA methylation alterations in leukocytes of children at paediatric intensive care unit (PICU) discharge, offering a biological basis for their impaired long-term development. Early parenteral nutrition (early-PN) in PICU, compared with omitting PN in the first week (late-PN), explained differential methylation of 23% of the affected CpG-sites. We documented the time course of altered DNA methylation in PICU and the impact hereon of early nutritional management. We selected 36 early-PN and 36 late-PN matched patients, and 42 matched healthy children. We quantified DNA methylation on days 3, 5 and 7 for the 147 CpG-sites of which methylation was normal upon PICU admission in this subset and altered by critical illness at PICU discharge. Methylation in patients differed from healthy children for 64.6% of the 147 CpG-sites on day 3, for 72.8% on day 5 and for 90.5% on day 7 as revealed by ANOVA at each time point. Within-patients methylation time course analyses for

bb-iawr-inarticle- { clear: both; margin: 0 0 15px; }. We need to address the epidemic of low falls in the home through engineering, medical and societal approaches.. We have NCTs to ensure car and road user safety, should we have something similar for our homes given the burden of injury associated?. Meanwhile, a report by the Irish National ICU Audit (INICUA) found that while ICUs are safe there is a need for more beds to meet demand.. The INICUA was established by NOCA to focus on the care of patients in adult Intensive Care Units (ICUs) and Paediatric Intensive Care Units (PICUs).. The report includes the very sickest patients in the Irish healthcare system and examines data from 6,186 adult patients and 1,463 paediatric patients across 14 units.. The report found that Irish units are very busy, with 91% bed occupancy in adult ICUs and 94% bed occupancy in PICUs in 2017. The recommended occupancy levels are 70-80%.. The average length of stay in an adult ICU was five days, which is ...

Current President of the Paediatric Intensive Care Society (PICS), 2007-2010.. Chair of the Working Party on Standards for the Critically Ill Child - a multi-professional group coordinated by PICS.. Member of the Intercollegiate Committee for Training in Paediatric Intensive Care Medicine 2007-2010.. Chair of the Paediatric Intensive Care Society Sedation Group.. Trained in Paediatric Cardiac Anaesthesia and Intensive Care at the University Hospital Groningen, Netherlands and Southampton General Hospital.. Trained in Paediatric Anaesthesia and General Intensive Care in Sheffield, Groningen, Southampton & Portsmouth.. First Consultant appointment in 1990 in Cardiac Anaesthesia in Southampton, then Paediatric Cardiac Anaesthesia and Intensive Care in Newcastle upon Tyne. Helped set up a neonatal ECMO programme and took part in the development of heart transplantation in infants. Consultant in Bristol Childrens Hospital since 1997.. ...

Solomon, L J, Morrow, B M and Argent, A C Paediatric Index of Mortality scores: An evaluation of function in the paediatric intensive care unit of the Red Cross War Memorial Childrens Hospital. South. Afr. j. crit. care (Online), Aug 2014, vol.30, no.1, p.9-13. ISSN 1562- ...

St. Josephs Childrens Hospital has a Pediatric Intensive Care Unit offers the most comprehensive critical care available for infants, children and adolescents.

In common with the adult nursing literature, moral distress within NICUs and PICUs most commonly results from disproportionate interventions perceived to not be in the childs best interests,11 ,17 ,19 often within a negative ethical climate. With an increasing reliance on life-sustaining technology within intensive care, moral distress is a significant issue for healthcare professionals working in these environments. However, research has been hindered by unclear definitions of the term, small sample sizes and poorly designed studies that frequently lack a multidisciplinary approach.. Despite the large amount of theoretical and increasing empirical literature (especially in adult nursing literature) the term moral distress is not commonly used in clinical practice, making empirical research and direct enquiry difficult. Janvier et al12 instead use the term ethical confrontations. While this term captures the moral component and suggests some form of disagreement, the term may be too broad, ...

14189412 Job Description & RequirementsPediatric Intensive Care - PICU Nurse - (PICU RN)StartDate: ASAP Available Shifts: 12 D/N Pay Rate: $29.00 -

15025242 Job Description & RequirementsPediatric Intensive Care - PICU Nurse - (PICU RN)StartDate: ASAP Available Shifts: 12 N Pay Rate: $30.00 - 33

Acute kidney injury (AKI) is associated with poor outcome in critically ill children. The reported incidence rate of AKI in children admitted to pediatric intensive care units (PICUs) range from 8% and 89% [1-6]. AKI has been associated with prolonged hospital stay, progression to chronic kidney disease, and a significantly higher relative risk of in-hospital death [7-10]. The epidemiology and outcomes of adult AKI have been validated through large, multi-center studies describing over 20,000 adult patients [11-13]. Unfortunately, the current pediatric literature lacks such extensive studies. To date, the largest study about AKI in children admitted to PICU was carried by Schneider et al. on 3396 children [1]. Despite the large population size, this was a single-center study and also did not use the pediatric RIFLE criteria to define AKI, the standard for pediatric AKI definition before the recent KDIGO consensus criteria [4,14]. Aside from a few single center studies, most knowledge of ...

Letters on the following papers have been published recently as rapid responses on theADC website. To read these letters visit www.archdischild.com and click on Read rapid responses:. Prophylaxis for respiratory syncytial virus infection: missing the target. JJ Buck, P Debenham, RC Tasker. Arch Dis Child 2001;84:373.. Pancreatic dysfunction in severe obesity. AJ Drake, L Greenhalgh, R Newbury-Ecob, et al. Arch Dis Child2001;84:261-2.. A review of measures of quality of life for children with chronic illness. C Eiser, R Morse. Arch Dis Child2001;84:205-11.. Chronic musculoskeletal and other idiopathic pain syndromes. PN Malleson, H Connell, SM Bennett, et al. Arch Dis Child2001;84:189-92.. Calibration of the paediatric index of mortality in UK paediatric intensive care units. GA Pearson, J Stickley, F Shann.Arch Dis Child2001;84:125-8.. The management of fever and petechiae: making sense of rash decisions. PA Brogan, A Raffles. Arch Dis Child2000;83:506-7.. Effect of severity of disability on ...

Discussion. Over the last 11 years organ donation rates have increased in Irish PICUs. The reason for this is multifactorial. Allocation of resources to the ODTI have improved, specific education sessions on organ donation for staff now occur, consultant staffing in PICUs has improved and awareness of organ donation among consultants has increased and finally there is an increased awareness among the public of the need for organ donation and transplantation as a result of advocacy groups and the support of the media. Several organizations in Ireland have been active in the area of public awareness, especially the Irish Kidney Association. There is some evidence that discussion in the media may influence parental decisions to donate7.. In the 11-year period examined, 36 infants and children ranging in age from one day of life to 15 years of age donated organs and/or tissue heart valves for transplantation. This represents a donation rate of 2.9 per million population of children. In the US ...

Fingerprint Dive into the research topics of Downward trend in pediatric resident laryngoscopy participation in PICUs. Together they form a unique fingerprint. ...

RESUSCITATION Lybeck A, Friberg H, Nielsen N, Rundgren M, Ullén S, Zetterberg H, Blennow K, Cronberg T and Westhall E Resuscitation. 2020 Oct

CAMEO monitors nursing activity in 19 domains of care (Figure 1). Each domain contains specific items of care, scored from basic to complex. To obtain an overall score, each activity is given a cognitive complexity value based on a scale from 1 to 5. The total score is calculated across the 19 domains of care and then classified as I-V in overall complexity of care.. To test the nursing CAMEO tool, information was gathered on 75 patients, from 1 day to 47 years old, who were admitted to the CICU for surgical recov-ery (86%) and/or medical intervention (14%). The data showed that the majority of patient care activities involved com-plicated elements. Standard intensive care monitoring of less than one hour was reported in 42% of patients. Vaso-active intravenous medication requiring titration was noted in 78% patients. Ven-tilated patients (72%) required a num-ber of interventions to maintain airway patency and acid-base balance as well as to achieve weaning goals.. Additional nursing activities ...

Several studies have described the stresses and responses of parents during a childs hospital stay in a PICU1-3; however, none has focused on parents anxiety when their child is transferred out of the PICU onto a general paediatric ward. This study by Bouvé et al is unique in that it tested a creative, cost effective, brief intervention aimed at helping to reduce parental transfer anxiety. A strength of the study is that it builds on the Lazarus Stress and Coping Model, a well known conceptual model. The sample size ensured adequate power, the participants were randomly assigned, and the outcome (state anxiety) was measured using an appropriate and valid tool.. There are several limitations to the study. It would have strengthened the description of the design if the authors had described how they randomised participants into the experimental and control groups. State anxiety was measured 1-2 hours before the childs transfer. The study would have been strengthened if data were also collected ...

Peta Alexander, MBBS, is an attending in the cardiac intensive care unit (CICU) and will soon be director of the Challenging Recovery Program (CRP) for longer-stay CICU patients. This innovative, multi-disciplinary program will focus on optimizing management strategies for the most medically fragile patients in the CICU: patients who require longer-term attention for chronic and complex issues. Alexander recently completed a senior fellowship in cardiac intensive care and heart failure and transplantation here at Boston Childrens Hospital. Before that, she was a pediatric cardiologist and a pediatric ICU consultant in Melbourne and Gold Coast, Australia. She has also completed fellowships in both pediatric cardiology and pediatric anesthesia and pain management at the Royal Childrens Hospital in Melbourne ...

Registered Nurses Only!! Seasonal Nationwide Travel Nurse Jobs - All RN Specialties Use our short More Information request form to get the information needed to choose your next great nursing opportunity.

Registered Nurses Only!! Seasonal Nationwide Travel Nurse Jobs - All RN Specialties Use our short More Information request form to get the information needed to choose your next great nursing opportunity.

Registered Nurse. Travel Nurse Associated topics: care unit, ccu, hospice, nurse clinical, psychatric, recovery, registed, tcu, transitional, unit

Aaron Friedman is a Healthcare and Life Sciences Partner Solutions Architect at AWS. Ujjwal Ratan is a Healthcare and Life Sciences Solutions Architect at AWS. Diagnosing the medical mysteries behind acutely ill babies can be a race against time, filled with a barrage of tests and misdiagnoses. During the first few days of life, a few hours can save or seal the fate of patients admitted to the neonatal intensive care units (NICUs) and pediatric intensive care units (PICUs). Accelerating the analysis of the medical assays conducted in these hospitals can improve patient outcomes, and, in some cases, save lives.. Precision medicine relies on the aggregate of these types of tests (and others) to advance healthcare. Due to decreasing costs and faster turnaround times, genome sequencing is one such test that is gaining adoption throughout healthcare. Understanding a patients genetic predisposition to different diseases is fundamental to establishing a medical risk baseline. In certain cases, such as ...

TY - JOUR. T1 - Acute permethrin neurotoxicity. T2 - Variable presentations, high index of suspicion. AU - Drago, Bonny. AU - Shah, Namrata S.. AU - Shah, Samir. PY - 2014/9/20. Y1 - 2014/9/20. N2 - Permethrin is a synthetic Type I pyrethroidal neurotoxic pesticide that has been responsible for accidental animal deaths. Despite its widespread use, there are no published case reports on pediatric intensive care unit admissions due to permethrin exposure. We report the unusual and varied presentations of permethrin toxicity in three siblings presenting to a tertiary care pediatric intensive care unit (PICU). While there is no standard clinical diagnostic test for permethrin, accurate diagnosis was obtained by rapidly analyzing the offending agent. In the absence of a known antidote for permethrin, supportive management was initiated and resulted in a favorable outcome for all three siblings.. AB - Permethrin is a synthetic Type I pyrethroidal neurotoxic pesticide that has been responsible for ...

El Paso Childrens Hospital Critical Care Transport Team provides pediatric and neonatal intensive care while on transport and features a fully dedicated critical care transport ambulance. The critical care transport team is equipped to handle Level 1 Traumas and Level 3 NICU and can transport pediatric patients from over a 200 mile radius.. ...

Objective: To determine whether Tidal Volume (Vt) between 6 and 10 ml/kg affects outcome for children with ALI.; Methods: Review of PICU admissions from 2000-2007. Inclusion criteria were intubation and ventilation with at least one PaO2/FiO2 ratio < 300.; Results: 398 patients were included. Overall mortality was 20% with a median Vt of 7.4 ml/kg. Median Vt on the first day of mechanical ventilation was lower in the group that died, although not statistically significant (p=0.06). After controlling for year, Delta P (PIP-PEEP), PEEP, and severity of lung disease, Vt was not associated with mortality (p>0.1), but higher Vt on day one of ventilation was associated with more ventilator free days ( ...

Objective: To determine whether Tidal Volume (Vt) between 6 and 10 ml/kg affects outcome for children with ALI.; Methods: Review of PICU admissions from 2000-2007. Inclusion criteria were intubation and ventilation with at least one PaO2/FiO2 ratio < 300.; Results: 398 patients were included. Overall mortality was 20% with a median Vt of 7.4 ml/kg. Median Vt on the first day of mechanical ventilation was lower in the group that died, although not statistically significant (p=0.06). After controlling for year, Delta P (PIP-PEEP), PEEP, and severity of lung disease, Vt was not associated with mortality (p>0.1), but higher Vt on day one of ventilation was associated with more ventilator free days ( ...

The survey will be carried out over the Summer 2019.. Who is carrying out the work? The work is being conducted by a group of researchers from PICS Study Group (PICS SG) and has been supported by a PICS Research Grant (01/06/2019). The project has been reviewed and classed as public engagement work rather than research. No research ethics committee or local R&D approvals are therefore required.. What will happen after this consultation?. Responses will be compared to those from HCP to review similarities and differences. We are also interested to see if there are any new questions or topic areas raised by patients and families which HCP did not recognise. The results will be disseminated to PICS members to help researchers know which areas we should focus research on. We will also feedback the findings to the NIHR so they are aware of priority areas within the PICU field for future funding. We will produce a plain English summary of responses which can be disseminated through social media, ...

Long, Debbie, Williams, Tara, Dow, Belinda, LeBrocque, Robyne and Kenardy, Justin (2017). Relationship of medical treatment on acute posttraumatic stress symptoms in children following PICU admission. 41st Australian and New Zealand Scientific meeting on Intensive Care and the 22nd Annual Paediatric and Neonatal Intensive Care Conference, Perth, Australia, October 2016. Philadelphia, PA, United States: Elsevier. doi: 10.1016/j.aucc.2017.02.063 ...

About the hospital you will serve.. Providence Sacred Heart Medical Center & Childrens Hospital has a commanding presence in Spokane, Washington and is a beacon of hope and healing for patients throughout the region. We have over 600 beds and are chosen by people from across the state for the da Vinci surgical robotic for heart surgery and parents from all over the Inland Northwest who have children with life-threatening conditions know theyll find the care and comfort they need at Providence Sacred Heart Childrens Hospital.. We offer comprehensive, best-in-class benefits to our caregivers. For more information, visit. https://www.providenceiscalling.jobs/rewards-benefits/. Our Mission. As expressions of Gods healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.. About Us. Providence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and ...

This follow-up from the Keystone ICU study found that the majority of participating hospitals were able to eliminate central line-associated bloodstream infections for more than 1 year, with one-quarter having no infections for more than 2 years.

Pediatric cardiac intensive care is a rapidly developing specialty that caters to the needs of children with heart disease. Communication in this intensive care unit is challenging because of complexity, high patient acuity, uncertainty, and ethical issues. Unfortunately, conflict is common, as several studies and reviews confirm. Good communication in the critical care area is an expectation from patients, their families, and professional societies. Good communication is also an important concept in family-centered care that warrants deliberate ongoing communication. The ICU nurse is poised to be a key contributor of efforts to improve communication with patients and families in the ICU because they have always been strong advocates to meet the patients needs. Indeed, because of the time spent in constant attendance at the bedside of the critically ill patient, ICU nurses build relationships with patients and their families. Often, the ICU nurse has in-depth knowledge of the patients or families

Clinical Nurse Specialist - Pediatric Intensive Care Unit PICU job at Johns Hopkins Medicine in Johns Hopkins Hospital Nursing, Baltimore, MD | Nursing Jobs

Background Catheter-related bloodstream infection remains an important health problem for hospitalized children. Although placement of a central venous catheter is a life-saving intervention for critically ill children, these same central catheters are a potential source of infection.. Objectives Few studies that directly address care of central venous catheters for children in intensive care units have been reported. This evaluation was designed to describe the extent of evidence-based practices for care of insertion sites of central venous catheters in the pediatric intensive care unit of an urban tertiary care center. Another goal was to determine the influence of 2 different regimens for dressing changes on rates of catheter-related bloodstream infections and costs.. Methods A convenience sample and an exploratory design were used to collect data in 2 phases, including 30 days to establish baseline information and 30 days each during which patients received dressing care for a central venous ...

Red blood cell concentrate transfusion strategies utilised at a tertiary-level paediatric intensive care unit: A descriptive study on impact and cost

BAGGIO, Maria Aparecida; BAZZI, Fernanda Cardoso da Silva and BILIBIO, Cassia Alcionara Conte. Peripherally inserted central catheter: description of its utilization in Neonatal and Pediatric ICU. Rev. Gaúcha Enferm. (Online) [online]. 2010, vol.31, n.1, pp.70-76. ISSN 1983-1447. http://dx.doi.org/10.1590/S1983-14472010000100010.. The purpose of this descriptive, retrospective, documental study is to describe the use of peripherally inserted central catheters (PICC) in a neonatal and pediatric intensive care unit regarding their insertion, maintenance, and removal. This study also characterized the population which received the catheter through descriptive and statistical analysis of 176 instruments filled out by nurses, in a two year period. The population attended consisted of 125 patients, mainly premature (43.2%) and male (60%). The basilic and cephalic (43.2%) veins were primarily used for the insertion of a 1.9Fr (85.8%) catheter. The success rate was 98.9% in the punctures, but ...

Dr Adnan T. Bhutta joined the Department of Pediatrics at the University Of Maryland School Of Medicine as an Associate Professor and Division Head of Pediatric Critical Care Medicine in February 2014. Dr Bhutta received his medical degree from the Aga Khan University in Karachi, Pakistan and did his training in Pediatrics and Pediatric Critical Care Medicine at the University of Arkansas for Medical Sciences and Arkansas Childrens Hospital followed by additional training in Pediatric Cardiac Intensive Care at the same institution. He served as an attending physician in both the Pediatric Intensive Care Unit as well as the Cardiac Intensive Care Unit at Arkansas Childrens Hospital from 2002 till his arrival in Baltimore and also served as the Medical Director of the Cardiac Intensive Care Unit at Arkansas from 2004 till 2014. ...

The pediatric cardiothoracic patients, whose under lying cardiac disease is so serious pre op, that they can be unstable post op, often require the use of nitric oxide. Those patients, who go on to develop pulmonary failure, are candidates for high frequency oscillatory ventilation (HFOV). Our therapists in addition are relied on to provide bedside support during ECMO cannulation, emergency surgical intervention and chest closure.. Mechanical ventilation is common in the PICU. We utilize heliox therapy to combat post extubation laryngeal edema, particularly in the infant and toddler aged patients. Nitric oxide also has a role in patients with pulmonary hypertension. Bronchodilators are delivered continuously when appropriate and it appears the Aerogen nebulizer is ideal for CNT. We mainly use MDIs for intermittent therapy. Surfactant has shown some assistance in treating ARDS for low weight patients.. Our therapists participate in morning medical rounds as well as weekly multidiscipline rounds. ...

Cleveland medical malpractice lawyers represent families of children who were injured by PICU nurses, doctors or other medical staff.

INTRODUCTION Few pediatric data exists on the ventilation mode and parameters that would provide the greatest benefit with the least risk to an individual pediatric patient with Acute Lung Injury (ALI). Current expert opinion is that it is reasonable to follow adult recommendations and to adapt clinical management in children according to adult data. In the absence of consensus and established guidelines for mechanical ventilation in children with ALI, we believe that the daily clinical practice in pediatric intensive care units is subject to great variations according to the experience, comfort and knowledge of the attending intensivist.. METHODS Objective: Describe invasive and non-invasive mechanical ventilation in pediatric cases of ALI.. Hypothesis: There is an important variability in the observed practice pattern of mechanical ventilation in pediatric cases of ALI.. Design: An international cross-sectional epidemiologic study in Pediatric Intensive Care Units on the observed practice ...

Discussion. Incidence and trends of K. pneumoniae HAI. Yogaraj et al.[5] found that in their experience, in Washington DC, bloodstream infections accounted for 28% of HAI in the PICU, followed by ventilator-associated pneumonias, which accounted for a further 21%. Lakshmi et al.[6] reported on 116 episodes of bloodstream infection in 86 patients in India in 2006, with an incidence of 31.2 episodes/1 000 patient days. Marra et al.[7] found that K. pneumoniae ranked among the top ten pathogens causing bloodstream infection in the USA and Canada, and that it was the third most prevalent pathogen isolated in Latin America.. K. pneumoniae HAI is a significant problem in the delivery of intensive care services, and prolongs hospital stay. In this study, there was an incidence for K. pneumoniae HAI of 10/1 000 admissions, with a range of 0 - 28.8/1 000 patients per annum once the PICU was fully commissioned. Unfortunately, as this was a retrospective study, we were unable to access data on patient ...

Cardiovascular safety of dexmedetomidine infusions without a loading dose in the pediatric intensive care unit. Finding the ideal sedation regimen in children undergoing mechanical ventilation is challenging. On the one hand, the less sedation you receive, the less likelihood you are to obtain hospital acquired infections, and the earlier you are likely to be free from mechanical ventilation. At the same time, young children will not tolerate a tube in their throat and will quickly try to remove the offending agent. One of the goals of our work in the Pediatric Intensive Care (PICU) is to find the right balance of sedation with the least amount of side effects.. Under the direction of Natan Noviski in the MGHfC PICU, Allison Cowl and Brian Cummings conducted a prospective study using the drug dexmedetomidine for sedation for mechanically ventilated pediatric critically ill patients.. Dexmedetomidine is being used more often in children due to its minimal effect on respiration, possibly allowing ...

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Children presenting to intensive care with undiagnosed inherited metabolic diseases (IMDs) can pose a significant diagnostic and management challenge to intensivists. This chapter covers the range of presentations of IMDs in neonates in particular, addressing important points to be raised in the history and assessment of children suspected of these conditions-including perinatally. The main subgroups of IMD presenting in the neonatal period are explained: intoxication; energy deficiency; making and breaking complex molecules and seizures; and important differentiating features noted. Baseline investigations of a suspected IMD are listed, and the importance of considering and testing for hyperammonaemia discussed. The emergency treatment of acute crisis or first presentation of IMDs is set out, which includes calculating appropriate glucose intake. Finally, the chapter discusses the role of continuous veno-venous haemofiltration in hyperammonaemia and the option of liver and hepatocyte transplantation in

Setting: Multinational, multicentre paediatric intensive care unit-75% patients from three paediatric intensive care units (Davis, California; Dallas, Texas; Pittsburgh, Pennsylvania) in USA.. Patients: Age 0-17 years non-penetrating brain injury; Glasgow coma scale (GCS) score 3-8 (motor score ,6), available for randomisation within 6 h of injury. Excluded if any of: normal CT head, Glasgow coma scale score 3, unreactive pupils, hypotension, uncorrectable coagulopathy, hypoxia, multiple trauma, suspected pregnancy.. Intervention: Thirty-nine patients were randomised to hypothermia (T32-33°C) for 48 h followed by slow rewarming and 38 patients were randomised to … ...

St Georges University Hospitals NHS Foundation Trust is one of the largest healthcare providers in southwest London. Its main site, St Georges Hospital in Tooting - one of the countrys principal teaching hospitals - is shared with St Georges, University of London, which trains medical students and carries out advanced medical research. As well as acute hospital services, the trust provides a wide variety of specialist and community hospital based care and a full range of community services to children, adults, older people and people with learning disabilities. These services are provided from Queen Marys Hospital, Roehampton, 11 health centres and clinics, schools and nurseries, patients homes and Wandsworth Prison ...

One of the major challenges and most time-consuming task in the development of prediction models has concerned the use of nonstandard terminology within individual hospital information systems [13]. Most hospital and laboratory information systems catalogs have very similar data under diverse naming schemas. Time and effort were required to understand the data and coding of the electronic data elements recorded in the individual institutional databases in this study. Cases were found with different clinical event names, different clinical event codes, but similar data distribution; or cases were found with similar clinical event names, different clinical event codes, but different data distribution. After a long data cleaning process and discussion with pediatric critical care experts and IT personnel at each institution, it was possible to map distinct clinical event codes referring to the same data.. Another limitation in the development of the model was the difference in the patient ...

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Overview:. As the communitys only not-for-profit, faith-based health care system; Dignity Health Nevada has been guided by the vision and core values of the Adrian Dominican Sisters for more than 70 years. As the Henderson and Las Vegas communities grow, Dignity Health-St. Rose Dominican facilities and its more than 3,400 employees will continue the Sisters mission of serving people in need. St. Rose Dominican is a member of Dignity Health, one of the nations largest healthcare systems, a 22-state network of more than 9,000 physicians, 60,000 employees, and 400 care centers, including hospitals, urgent and occupational care, imaging and surgery centers, home health, and primary care clinics. Headquartered in San Francisco, Dignity Health is dedicated to providing compassionate, high-quality, and affordable patient-centered care with special attention to the poor and underserved. You can also follow us on and. The St. Rose Dominican Hospital - Siena Campus, Pediatric Department has an ...

Hawaii Pacific Health is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, sex, national origin, gender, sexual orientation, gender identity, age, physical or mental disability, genetic factors, military/veteran status or other characteristics protected by federal or state law.. Please review the Office of Federal Contract Compliance Programs (OFCCP) flyer here and supplement here.. Hawaii Pacific Health does not unlawfully discriminate against applicants and employees for inquiring about, discussing or disclosing their pay, or in certain circumstances, the pay of their co-workers. The complete provision is listed here.. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call (808)535-7571 or email [email protected]. Concerns or complaints should be brought to the attention of the Director, Workforce Development.. ...

Job Description & Requirements Pediatrician - Critical Care - (Ped - Critical Care) Locum Tenens StartDate: 01/22/2018Available Shifts: 24 Hour On-Call Required Qualifications Our Client in Northern Maryland

Identification of pediatric septic shock subclasses based on genome-wide expression profiling. . Biblioteca virtual para leer y descargar libros, documentos, trabajos y tesis universitarias en PDF. Material universiario, documentación y tareas realizadas por universitarios en nuestra biblioteca. Para descargar gratis y para leer online.

20 Pediatric ICU Nurse (PICU) Idaho Falls, ID, USA If you are looking to join a family of healthcare professionals who believe that our patients always come first then Eastern Idaho Regional Medical Center is the home for you. Not from the area? We ...... Apply Now>> ...

20 Pediatric ICU Nurse (PICU) Idaho Falls, ID, USA If you are looking to join a family of healthcare professionals who believe that our patients always come first then Eastern Idaho Regional Medical Center is the home for you. Not from the area? We ...... Apply Now>> ...

OBJECTIVE. Our goal was to determine if there were any changes in risk-adjusted mortality after the implementation of a computerized provider order entry system in our PICU. METHODS. Study was undertaken in a tertiary care PICU with 20 beds and 1100 annual admissions. Demographic, admission source, primary diagnosis, crude mortality, and Pediatric Risk of Mortality III risk-adjusted mortality were abstracted retrospectively on all admissions from the PICUEs database for the period October 1, 2002, to December 31, 2004. This time period reflects the 13 months before and 13 months after computerized provider order entry implementation. Pediatric Risk of Mortality III mortality risk adjustment was used to determine standardized mortality ratios. RESULTS. During the study period, 2533 patients were admitted to the PICU, of which 284 were transported from another facility. The 13-month preimplementation mortality rate was 4.22%, and the 13-month postimplementation mortality rate was 3.46%, ...

The young girls skin appeared pale and ashen and the girl seemed severely ill, according to a complaint filed in the case. She appeared to be in severe shock and was suffering from acute renal failure, organ damage and a blood infection. The 10-year-old was immediately admitted to the pediatric ICU and doctors would eventually determine that she was suffering from a common gut bacteria that can cause severe health problems if it migrates outside the gut. Doctors ordered a 10-day antibiotic treatment, but this wasnt the first such incident involving the girl. Just five weeks before, she was also treated with antibiotics in Oklahoma for klebsiella sepsis and bacteremia requiring a 21-day hospital stay, the criminal compliant said. The girls mother also told staff at the Milwaukee hospital that her daughter had been diagnosed with dysautonomia, muscular dystrophy, mitochondrial disease, hypertension and hypotension and severe dysmotility.. The young girl also had a pacemaker, port to receive ...

Marino is our precious baby boy. He was born on July 3rd, 2008 at 32 weeks gestational age (8 weeks early), due to HELLP Syndrome and pre-eclampsia. Only 3 pounds, 2 ounces and 16 inches long at birth, Marino was in the NICU for 4 weeks. He needed CPAP (a ventilator) and had a number of other issues including a low white cell count, jaundice, anemia and a Level I IVH (brain hemmorage). 10 days after his release from the NICU, Marino caught Group B Strep which developed into sepsis (blood infection) and bacterial meningitis and spent 14 days in the Pediatric ICU. His health and happiness are a true miracle and we are grateful for every wonderful day with him. ...

Marino is our precious baby boy. He was born on July 3rd, 2008 at 32 weeks gestational age (8 weeks early), due to HELLP Syndrome and pre-eclampsia. Only 3 pounds, 2 ounces and 16 inches long at birth, Marino was in the NICU for 4 weeks. He needed CPAP (a ventilator) and had a number of other issues including a low white cell count, jaundice, anemia and a Level I IVH (brain hemmorage). 10 days after his release from the NICU, Marino caught Group B Strep which developed into sepsis (blood infection) and bacterial meningitis and spent 14 days in the Pediatric ICU. His health and happiness are a true miracle and we are grateful for every wonderful day with him. ...

Before submitting your grant application, please read the below carefully.. The SPANZA research grants are given by SPANZA to support research in Australia and New Zealand in paediatric anaesthesia, paediatric ICU or paediatric pain management.. SPANZA continues to make available a total of A$40,000 for 2021 research grants. The money will be distributed to the grant/s of a high enough standard to be judged worthy of funding. If no grant is of a high enough standard, then the funds will be retained by SPANZA for the following year. If there is more than one grant worthy of funding, the funds may be split across them depending on the quality of the applications.. RECOMMENDED criteria for SPANZA grants. ...

In 2004, a group of UNC physicians established the Amal Murarka International Pediatric Health Foundation in memory of their colleague, Dr. Amal Murarka, who died unexpectedly in 2003. The foundation sent a medical team to Kampala to establish the countrys first pediatric intensive care unit at Mulago Hospital, Makerere University, where Dr. Murarka had previously conducted research. Subsequent work in 2007 and 2008 focused on pediatric cardiac surgery. The foundation not only built a cardiac ICU, but also performed a total of 21 life-saving pediatric cardiac surgeries.. In 2008 the foundation partnered with the Institute for Global Health and Infectious Diseases to establish UNC Project-Uganda ...

In 2004, a group of UNC physicians established the Amal Murarka International Pediatric Health Foundation in memory of their colleague, Dr. Amal Murarka, who died unexpectedly in 2003. The foundation sent a medical team to Kampala to establish the countrys first pediatric intensive care unit at Mulago Hospital, Makerere University, where Dr. Murarka had previously conducted research. Subsequent work in 2007 and 2008 focused on pediatric cardiac surgery. The foundation not only built a cardiac ICU, but also performed a total of 21 life-saving pediatric cardiac surgeries.. In 2008 the foundation partnered with the Institute for Global Health and Infectious Diseases to establish UNC Project-Uganda ...

The long-term impact of a program to prevent central line-associated bloodstream infections in a surgical intensive care unit ...

The Pittsburgh Regional Health Initiative wants to build a safer, more reliable health system. The organization, under the umbrella of the Jewish Healthcare Foundation, has made progress, but theres a long way to go, says Karen Wolk Feinstein, Ph.D., president and CEO of the foundation and its two operating arms.. She helped create the PRHI in 1997 with then-CEO Paul ONeill of Alcoa, who made the corporation a safety leader.. The groups first effort was to reduce central line-associated bloodstream infections. Feinstein says they ultimately convinced 32 hospitals to sign on. Within four years, working with the U.S. Centers for Disease Control, these deadly infections went down 68 percent.. That was pretty exciting because that launched us, she says. It was when people believed that the initiative could really make a difference.. Over the years, the PRHI has moved from reducing medical errors and less than ideal hospitals practices, to a focus on keeping people out of hospitals, keeping ...

Background: Transfusion-Related Acute Lung Injury (TRALI) is a major cause of transfusionrelated morbidity and mortality in the intensive care unit setting. There is a paucity of such data from Pakistan. The purpose of this study is to assess the incidence and outcome of TRALI in critically ill children admitted in a pediatric intensive care unit (PICU) of Pakistan. Methods: This is a retrospective cohort study of all critically ill or injured children who developed TRALI or possible TRALI after blood transfusion based on Canadian Conference Consensus criteria in a closed multidisciplinary-cardiothoracic PICU from January 2012 to June 2016 ...