Tag Archives: picu

Latest News from the SCCM eCommunity

The Society of Critical Care Medicine’s eCommunities offer critical care professionals the opportunity to connect, share and collaborate. Communities are open to SCCM members and nonmembers to facilitate knowledge sharing and improve care.

Log into the various SCCM eCommunities at www.sccm.org/eCommunity to be part of the discussion.

Latest SCCM eCommunity Posts

Fear and Anxiety is Healthy; Helping Patients and Families to Understand the Fears of Returning to Work after Traumatic Brain Injury
Twice I had to be told I had a rip in the seat of my pants.  All I could see as my vision came into focus was a floating man’s head six feet above my face. Before that, I was hearing shouting “Are you Ok? Are you OK?” coming from not one but multiple directions. When he helped me sit up, I immediately began squeezing my head with increasing pressure because it was spinning in frenzy. I squeezed my head harder and with more intensity without success. My head felt like it was an old tin spinning top just after the plastic handle had been pumped hundreds of times and released.  These are the realities of my personal experience of the initial accident which later would be diagnosed as a concussive traumatic brain injury.  I am a critical care practitioner and pharmacy faculty member, yet I attempted to convince myself I was fine until I walked to my car and the man followed closely behind reminding me multiple times that my pants were ripped and that I should take it easy.

Family Centered Care in the PICU
Family Centered Care (FCC) is an inherent part of all pediatric practice. However, until quite recently, families were not considered an integral part of the health care team when patients were cared for in the pediatric intensive care unit (PICU). In fact, restricted visiting hours, removal of family members for codes and invasive procedures, and efforts to maintain a “minimal stim environment” often led to a complete abdication of the family members’ roles as caregivers while the child was in the PICU.

Is the Timing of Renal Replacement Therapy Initiation Associated With Mortality in Critically Ill Children?

The presence of acute kidney injury (AKI) and fluid overload can adversely affect outcomes in children with critical illness. Continuous renal replacement therapy (CRRT) is one therapeutic modality that can improve outcomes in these patients. However, the trigger when to initiate this therapy is not known. There are studies suggesting that degree of fluid overload may be such a trigger but this does not seem to provide the entire answer. In adults, some studies have suggested that early initiation of CRRT in critically ill patients can improve outcomes compared to late initiation, although there is a paucity of evidence in children. The authors of this study sought to assess the effect timing of CRRT has on mortality in critically ill children.

Read more…