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SCCM Pod-525 PCCM: Extracorporeal Cardiopulmonary Resuscitation Outcomes in Pediatric Patients
Host Marilyn N. Bulloch, PharmD, BCPS, FCCM, is joined by Catherine Beni, MD, PhD, to discuss a study aimed at determining outcomes of extracorporeal CPR (ECPR) in pediatric patients without congenital cardiac disease and identifying associations with in-hospital mortality of factors such as initial arrest rhythm and patient demographics.
Published: 9/18/2024
Category: PCCM Podcast
SCCM Pod-524 PCCM: Impact of Neighborhood on Pediatric ICU Outcomes
Host Maureen A. Madden, DNP, RN, CPNC-AC, CCRN, FCCM, is joined by Michael C. McCrory, MD, MS, FCCM, to discuss a multicenter retrospective study evaluating the impact of neighborhood, as categorized by the Child Opportunity Index, on pediatric intensive care unit (PICU) outcomes such as mortality, illness severity, and PICU length of stay.
Published: 8/14/2024
SCCM Pod-522 PCCM: Early Adrenaline vs. Standard Fluid in Pediatric Septic Shock
Host Elizabeth H. Mack, MD, MS, FCCM, is joined by Luregn J. Schlapbach, MD, PhD, FCICM, to discuss the Pediatric Critical Care Medicine article, “Resuscitation With Early Adrenaline Infusion for Children With Septic Shock: A Randomized Pilot Trial” (Harley A, et al. Pediatr Crit Care Med. 2024 Feb;25:106-117). The study found that a fluid-sparing algorithm for children presenting with septic shock using early adrenaline is feasible.
Published: 7/31/2024
SCCM Pod-508 PCCM: Critical Care Revolution: Pediatric ICU Liberation
Host Elizabeth H. Mack, MD, MS, FCCM, is joined by John Lin, MD, to discuss the Pediatric Critical Care Medicine article, "Caring for Critically Ill Children With the ICU Liberation Bundle (ABCDEF): Results of the Pediatric Collaborative," exploring the implementation, outcomes, and the potential for enhancing pediatric ICU care.
Published: 3/27/2024
SCCM Pod-507 PCCM: Pediatric Neurologic Challenges Unveiled
Host Maureen A. Madden, DNP, RN, CPNP-AC, CCRN, FCCM, FAAN, is joined by Dr. Lakshmi Raman, MD, to explore critical insights into pediatric ECMO and other topics associate with the Pediatric Critical Care Medicine article "Early Changes in Arterial Partial Pressure of Carbon Dioxide and Blood Pressure After Starting Extracorporeal Membrane Oxygenation in Children: Extracorporeal Life Support Organization Database Study of Neurologic Complications."
Published: 3/26/2024
SCCM Pod-506 PCCM: Exploring Adverse Events in Pediatric Apnea
Host Maureen A. Madden, DNP, RN, CPNP-AC, CCRN, FCCM, FAAN, is joined by William Sveen, MD, MA, to discuss the Pediatric Critical Care Medicine article “Adverse Events During Apnea Testing for the Determination of Death by Neurologic Criteria." Explore the prevalence of adverse events in pediatric apnea testing and gain insights from this single-center retrospective cohort study.
Published: 3/21/2024
SCCM Pod-505 PCCM: Elevating PICU Outcomes in Bronchiolitis
Host Kyle B. Enfield, MD, FSHEA, FCCM is joined by Danielle K. Maue, MD, to discuss improving outcomes for bronchiolitis patients through a high-flow nasal cannula protocol, as discussed in the Pediatric Critical Care Medicine article, “Improving Outcomes for Bronchiolitis Patients After Implementing a High-Flow Nasal Cannula Holiday and Standardizing Discharge Criteria in a PICU.”
Published: 3/25/2024
SCCM Pod-482 PCCM: The Cost of Compliance: Restrictive Practices in the PICU
Maureen A. Madden, DNP, RN, CPNP-AC, CCRN, FCCM, is joined by Katherine Steffen, MD, MHS, to discuss the clinical and economic impacts of compliance with RBC transfusion guidelines, as discussed in “The Impact of Restrictive Transfusion Practices on Hemodynamically Stable Critically Ill Children Without Heart Disease: A Secondary Analysis of the Age of Blood in Children in the PICU Trial” published in Pediatric Critical Care Medicine.
Published: 6/13/2023
SCCM Pod-470 PCCM: Adverse Events and Mortality in the PICU
The contribution of adverse events to the deaths of patients in the pediatric ICU (PICU) who die despite a low predicted mortality risk is unknown. Elizabeth H. Mack, MD, MS, FCCM, is joined by Carin W. Verlaat, MD, to discuss adverse events in low-risk nonsurvivors compared with low-risk survivors and high-risk PICU survivors and nonsurvivors and the contribution of adverse events to mortality.
Published: 2/22/2023
SCCM Pod-467 PCCM: AHA Guidelines Address Calcium During Pediatric Cardiopulmonary Arrest
The American Heart Association’s cardiopulmonary resuscitation guidelines recommend against the routine administration of IV calcium during pediatric cardiopulmonary arrest; however, IV calcium is routinely used. Learn more in this discussion of “Calcium Administration During Cardiopulmonary Resuscitation for In-Hospital Cardiac Arrest in Children With Heart Disease is Associated With Worse Survival—A Report From the American Heart Association’s Get With the Guidelines-Resuscitation (GWTG-R) Registry."
Published: 12/21/2022
SCCM Pod-465 PCCM: Who’s Got the Right Dose?
Pediatric advanced life support (PALS) guidelines include weight-based epinephrine dosing recommendations of 0.01 mg/kg with a maximum of 1 mg, which corresponds to a weight of 100 kg. But what are the actual practice patterns? This podcast discusses the Pediatric Critical Care Medicine article “Weight-Based Versus Flat Dosing of Epinephrine During Cardiac Arrest in the PICU: A Multicenter Survey.”
Published: 12/5/2022
SCCM Pod-461 PCCM: A Novel Machine Learning Model to Predict PICU Transfer
This podcast discusses a novel machine learning model that identifies ICU transfers in hospitalized children more accurately than current tools. The discussion centers on the article “Development and External Validation of a Machine Learning Model for Prediction of Potential Transfer to the PICU,” published in the July 2022 issue of Pediatric Critical Care Medicine.
Published: 8/11/2022
SCCM Pod-456 PCCM: Effects of Excessive Oxygen Supplementation
This podcast will examine a retrospective, observational cohort study that found an association between excessive oxygen supplementation in the first day of mechanical ventilation with multiple organ dysfunction syndrome on day 7 of admission and in-hospital mortality in critically ill children. Host Elizabeth H. Mack, MD, MS, FCCM, is joined by L. Nelson Sanchez-Pinto, MD, MBI, to discuss the study’s findings. (Sanchez-Pinto LN, et al. Pediatr Crit Care Med. 2022;23:89-98). Dr. Sanchez-Pinto is a pediatric critical care physician, data scientist, clinical informaticist, and healthcare technologist at the Ann and Robert H. Lurie Children's Hospital in Chicago, IL.
Published: 5/10/2022
SCCM Pod-454 PCCM: PANDEM Guidelines
The PANDEM guidelines evaluate current practices and provide recommendations for management of pain, agitation, iatrogenic withdrawal, neuromuscular blockade, delirium, ICU environment, and early mobility in critically ill infants and children. Host Margaret M. Parker, MD, MCCM, is joined by Heidi A. B. Smith, MD, MSCI, FAAP, to discuss the guidelines.
Published: 3/22/2022
SCCM Pod-451 PCCM: A Hard Learned Lesson on What It's Like to Be a Patient
In the ICU, medical staff do all they can to assist patients and get them back to health as quickly as possible. In the process of saving lives, bedside manner and communication may suffer.
Published: 1/19/2022
SCCM Pod-447 eSIMPLER: A Dynamic, Electronic Health Record–Integrated Checklist
Host Margaret M. Parker, MD, MCCM is joined by Alon Geva, MD, MPH, to discuss how the implementation of eSIMPLER provided clinical decision support prompts with display of relevant data automatically pulled from the electronic health record and improved certain care processes.
Published: 10/28/2021
SCCM Pod-445 The Association of Workload and Outcomes in the Pediatric Cardiac ICU
Host Elizabeth Mack, MD, MS, FCCM, is joined by Michael Fundora, MD, FAAP, to discuss if the hypothesized frontline clinician workload, measured by bed occupancy and staffing, is associated with poor outcomes and unnecessary testing.
Published: 10/14/2021
SCCM Pod-442 Continuous Prediction of Mortality in the PICU: A Recurrent Neural Network Model in a Single-Center Dataset
As a proof of concept, a recurrent neural network (RNN) model was developed using electronic medical record (EMR) data capable of continuously assessing a child’s risk of mortality throughout an ICU stay as a proxy measure of illness severity. Host Margaret M. Parker, MD, MCCM, is joined by Melissa D. Aczon, PhD, to discuss how the RNN model can process hundreds of input variables contained in a patient’s EMR and integrate them dynamically as measurements become available.
Published: 9/2/2021
SCCM Pod-435 Intracranial and Cerebral Perfusion Pressure Thresholds Associated with In-Hospital Mortality Across Pediatric Neurocritical Care
Targets for treatment of raised intracranial pressure or decreased cerebral perfusion pressure in pediatric neurocritical care are not well defined. Host Margaret Parker, MD, MCCM, is joined by Alicia K. Au, MD, MS, to discuss this topic.
Published: 4/28/2021
SCCM Pod-431 Hypertonic Saline in Children with Raised Intracranial Pressure
Mannitol is a commonly used osmotherapy agent in raised intracranial pressure (ICP) but the side effects are significant. An alternative therapy, hypertonic saline, has shown varied results.
Published: 1/22/2021