Pediatrics – Critical Care & Emergencies
Current state of analgesia and sedation in the pediatric intensive care unit.
9 Jun, 2021 | 08:09h | UTC
Difficult airway management in neonates and infants: knowledge of devices and a device-oriented strategy.
9 Jun, 2021 | 08:08h | UTC
Underlying medical conditions associated with severe COVID-19 illness among children – the strongest risk factors for hospitalization were chronic and complex chronic diseases, type 1 diabetes, and obesity.
8 Jun, 2021 | 09:37h | UTCCommentaries: Underlying illness, respiratory infection raise risk for severe COVID in kids – CIDRAP AND COVID-19 in Children—Not Just Little Adults – JAMA Network Open
Commentary on Twitter
This cross-sectional study found a higher risk of severe #COVID19 illness among children with medical complexity and certain underlying conditions, such as type 1 diabetes, cardiac and circulatory congenital anomalies, and obesity. https://t.co/ifq1Ao0HKS
— JAMA Network Open (@JAMANetworkOpen) June 7, 2021
Transfusion management of severe anemia in African children: a consensus algorithm.
25 May, 2021 | 08:32h | UTC
RCT: In Africa, children hospitalized with severe pneumonia with oxygen saturations between 80 and 91% who did not receive oxygen had comparable mortality to children who received oxygen.
21 May, 2021 | 08:30h | UTC
Commentary on Twitter
COAST RCT O2 in African children >28 days w severe pneumonia, less is more!
SO2 80-91%? no O2 ➡️48h mortality comparable to low-flow O2/HFNC. O2-sparing strategies potentially offer cost-effective approaches to reduce requirements in low resource settings. https://t.co/8JHit94WQY pic.twitter.com/EEIybSOlmy— Intens Care Med (@yourICM) May 6, 2021
M-A: Low prevalence of bacterial meningitis among well-appearing febrile infants aged 29-60 days with positive urinalysis results – “These results suggest that for these infants, the decision to use lumbar puncture should not be guided by urinalysis results alone”.
21 May, 2021 | 08:24h | UTC
Commentary on Twitter
This metanalysis found positive urinalysis alone is not an indication for LP in well looking febrile infants >28 days old. Prevalence among UA-positive infants: 0.4% vs UA-negative infants: 0.5%. https://t.co/dTzCiLHrSg
— JAMA Network Open (@JAMANetworkOpen) May 12, 2021
Systematic Review: Surfactant therapy via thin catheter in preterm infants with or at risk of respiratory distress syndrome is associated with reduced risk of death or bronchopulmonary dysplasia, less intubation in the first 72 hours, and reduced incidence of major complications and in‐hospital mortality.
19 May, 2021 | 08:20h | UTC
Commentary on Twitter
Is giving surfactant via minimally invasive technique involving placement of a thin catheter in the trachea of a spontaneously breathing #infant effective and safe? https://t.co/0TKceRx4Oh New #SystematicReview from @CochraneNeonate looks at the evidence from 6 randomised trials. pic.twitter.com/qPB3Q0vp9E
— Cochrane UK (@CochraneUK) May 15, 2021
Cohort study of 12,306 pediatric COVID-19 patients finds only 16.5% presented with typical respiratory symptoms (cough, dyspnea). 13.9% had GI symptoms, 8.1% had dermatological symptoms (rash), 4.8% had neurological (headache), and 18.8% had other non-specific symptoms (fever, malaise, myalgia, arthralgia and disturbances of smell or taste).
14 May, 2021 | 08:48h | UTCCommentary: COVID-19: Majority of infected children may not show typical symptoms – Nature Publishing Group
Commentary on Twitter
A retrospective cohort study of 12,306 pediatric COVID-19 patients
?5% require hospitalization
?18% of these require critical care
?4% of these require ventilation
https://t.co/X6MTdS8D1i— Rick MaskDonald MD ?♂️??? (@Kidsdoc1Rick) May 13, 2021
RCT: Discontinuing nasal continuous positive airway pressure either at 5 cm H2O vs. 3 cm H2O in infants ≤32 weeks of gestational age
3 May, 2021 | 05:15h | UTCDiscontinuing Nasal Continuous Positive Airway Pressure in Infants ≤32 Weeks of Gestational Age: A Randomized Control Trial – The Journal of Pediatrics (link to abstract – $ for full-text)
Commentary on Twitter
Randomized trial finds stopping CPAP at 5 cm H2O versus weaning until 3 cm H2O & then stopping is no different except babies will less likely to fail the initial attempt of discontinuation in weaning group (wean until 3 cm & then stop)@EBNEO @JPediatr https://t.co/G5yNK3fD1b
— Abdul Razak, MD, FRCPCH (@DrAbdulRazak_MD) October 27, 2020
Podcast: Congenital Heart Disease for the General Pediatrician
29 Apr, 2021 | 08:18h | UTC#24: Congenital Heart Disease for the General Pediatrician – The Cribsiders
Pediatric intensive care challenges caused by indirect effects of the COVID-19 pandemic
28 Apr, 2021 | 08:33h | UTC
Commentary on Twitter
Impact of #COVID19 #pandemic on #PedsICU: less visible vs adult ICU but all-pervasive, substantial & likely long-lasting
➡️on children
➡️on families
➡️on organizations
➡️on PICU team@Dr_Hari_Krishna @PollakUri Shekerdemian L #FOAMcc #COVIDFOAM on @yourICM https://t.co/OyI9etm1a2 pic.twitter.com/1bqi1oKlMk— Intens Care Med (@yourICM) April 27, 2021
Characteristics and Disease Severity of US Children and Adolescents Diagnosed With COVID-19
14 Apr, 2021 | 01:59h | UTCCommentary: CDC: 1 in 3 children hospitalized with COVID-19 requires treatment in ICU – UPI AND 12% of Children with COVID Are Hospitalized: Study – WebMD
Commentary on Twitter
Of 2430 pediatric patients who were hospitalized with COVID-19, 756 (31.1%) experienced severe COVID-19. Severe disease was more common in patients with chronic conditions, in male patients, and in children aged 2-11 years vs children aged 12-18 years. https://t.co/3fmlCFsmo8
— COVID Reference (@CovidReference) April 10, 2021
Epidemiology of Multisystem Inflammatory Syndrome in Children: A Step Closer to Understanding Who, Where, and When
7 Apr, 2021 | 01:52h | UTCCommentaries: New findings in COVID-related kids’ syndrome, Kawasaki disease – CIDRAP AND Most kids with serious inflammatory illness had mild COVID – Associated Press
Podcast: Diagnosis and management of diabetic ketoacidosis in children
1 Apr, 2021 | 03:24h | UTC#22: DKA: Mind the Gap! – The Cribsiders Pediatric Medicine
Commentary on Twitter
?EPISODE 22: DKA, Mind the Gap!?
We welcome back pediatric endocrinologist Dr Hussein Abdullatif (@hussein45169069) to discuss all things Diabetic Ketoacidosis!#MedTwitter #tweetiatrician https://t.co/UQxhOsFGFc
— The Cribsiders – Pediatric Podcast (@TheCribsiders) March 31, 2021
Higher-Calorie Refeeding in Anorexia Nervosa: 1-Year Outcomes From a Randomized Controlled Trial
31 Mar, 2021 | 03:04h | UTCRelated Randomized trial: In patients with anorexia nervosa, a higher-calorie refeeding approach promotes earlier recovery with no increase in safety events during hospitalization
Choosing Wisely: Five things clinicians and patients should question in Neurological Surgery in Children
28 Mar, 2021 | 22:04h | UTCAmerican Academy of Pediatrics – Section on Neurological Surgery – Choosing Wisely
Commentary: Choosing Wisely: 5 Things to Avoid in Pediatric Neurologic Surgery – NEJM Journal Watch
See complete lists of low-value practices: Choosing Wisely U.S. / Choosing Wisely UK / Choosing Wisely Australia AND Choosing Wisely Canada
Clinician Guide to COVID-19 diagnostics in children
21 Mar, 2021 | 21:48h | UTCClinician guide to COVID-19 diagnostics – ADC Education & Practice
M-A: Assessment of postnatal corticosteroids for the prevention of bronchopulmonary dysplasia in preterm neonates
16 Mar, 2021 | 01:38h | UTCAssessment of Postnatal Corticosteroids for the Prevention of Bronchopulmonary Dysplasia in Preterm Neonates: A Systematic Review and Network Meta-analysis – JAMA Pediatrics (free for a limited period)
Editorial: The Swinging Pendulum of Postnatal Corticosteroid Use (free for a limited period)
Cohort study: Association of Ibuprofen prescription with acute kidney injury among hospitalized children
11 Mar, 2021 | 07:57h | UTC
Commentary on Twitter
Cohort study finds ibuprofen was widely used and associated with an increased risk of HA-AKI in hospitalized children. Rational prescribing of ibuprofen is an important strategy to reduce the burden of HA-AKI in children. https://t.co/jgQD4ELXxN
— JAMA Network Open (@JAMANetworkOpen) March 5, 2021
Study: Children and young people remain at low risk of COVID-19 mortality
11 Mar, 2021 | 08:28h | UTC
Neurologic involvement in children and adolescents with COVID-19 or Multisystem Inflammatory Syndrome
10 Mar, 2021 | 08:29h | UTC
Commentary on Twitter
Neurologic involvement in US children and adolescents hospitalized for #COVID19 is common, mostly transient, and ranges from mild to life threatening https://t.co/Dy7fZhSMDR
— JAMA Neurology (@JAMANeuro) March 5, 2021
RCT: 5 days of high-dose amoxicillin therapy noninferior to 10 days for the treatment of pediatric community-acquired pneumonia
9 Mar, 2021 | 02:29h | UTCShort-Course Antimicrobial Therapy for Pediatric Community-Acquired Pneumonia: The SAFER Randomized Clinical Trial – JAMA Pediatrics (free for a limited period)
Editorial: Rightsizing Treatment for Pneumonia in Children
Commentary: Five days of antibiotics fine for children with pneumonia – McMaster University
Commentary on Twitter (thread – click for more)
This is fantastic! In outpatient community acquired pneumonia (CAP) a 5 day course of amoxicillin is just as effective as a 10 day course. A small thread follow1/6https://t.co/ewceFEe4gw
— Ricardo Quinonez, MD (@QuinonezRicardo) March 8, 2021
Clinical Update: Acute covid-19 and multisystem inflammatory syndrome in children
2 Mar, 2021 | 02:11h | UTCAcute covid-19 and multisystem inflammatory syndrome in children – The BMJ
Commentary on Twitter
The most common symptoms in children with acute SARS-CoV-2 infection are fever and cough. This Clinical Update looks at the presentation of SARS-CoV-2 infection in children, transmission dynamics, and multisystem inflammatory disease @asicksamuelshttps://t.co/XrDtAhJUb9
— The BMJ (@bmj_latest) March 1, 2021
RCT: Similar outcomes with intermittent vs. continuous pulse oximetry in hospitalized infants with stabilized bronchiolitis
2 Mar, 2021 | 01:42h | UTCIntermittent vs Continuous Pulse Oximetry in Hospitalized Infants With Stabilized Bronchiolitis: A Randomized Clinical Trial – JAMA Pediatrics (link to abstract – $ for full-text)
Editorial: Should We Prioritize Deimplementation of Continuous Pulse Oximetry in Bronchiolitis Care?
Clinical Update: Enteric Fever
28 Feb, 2021 | 21:02h | UTCEnteric fever – The BMJ (free for a limited period)
Commentary on Twitter
Diagnosis of enteric fever is complicated as symptoms overlap with other causes of fever and early investigations are inconclusive. Here's what you need to know about its presentation, diagnosis, and treatment #BMJEducationhttps://t.co/1mvbNb7peS pic.twitter.com/Z7YxngHanl
— The BMJ (@bmj_latest) February 28, 2021