Pediatrics – Critical Care & Emergencies
SR | Risk factors for length of NICU stay of newborns
3 Apr, 2023 | 13:23h | UTCRisk factors for length of NICU stay of newborns: A systematic review – Frontiers in Pediatrics
Guidelines | Management of bronchiolitis in infants
28 Mar, 2023 | 14:47h | UTC
Review of noninvasive neuromonitoring modalities in children: EEG, qEEG
27 Mar, 2023 | 12:50h | UTCReview of Noninvasive Neuromonitoring Modalities in Children II: EEG, qEEG – Neurocritical Care (if the link is paywalled, try this one)
SR | Systemic corticosteroid regimens for prevention of bronchopulmonary dysplasia in preterm infants
21 Mar, 2023 | 13:14h | UTCSummary: Different timing and dosages of corticosteroids to prevent lung injury – Cochrane Library
Consensus Statement | Point-of-care ultrasound for systematic assessment of the crashing neonate
17 Mar, 2023 | 13:05h | UTC
Current recommendations for management of pediatric diabetic ketoacidosis
10 Mar, 2023 | 14:38h | UTC
SR | Ultrasound‐guided arterial cannulation in the pediatric population
7 Mar, 2023 | 13:15h | UTCSummary:
This updated systematic review analyzed nine randomized controlled trials comparing ultrasound guidance to traditional methods of locating arteries for cannulation, such as palpation and Doppler auditory assistance.
The review found that ultrasound guidance probably improves first-attempt success rates, reduces the risk of complications such as hematoma formation, improves success rates within two attempts and the overall rate of successful cannulation, and reduces the number of attempts and duration of the cannulation procedure.
However, the review also notes that the evidence is only of moderate certainty due to the inability to mask the doctors performing the cannulation and the limited number of children studied. More research is needed to confirm the benefits of ultrasound guidance for arterial cannulation in different age groups of children.
Article: Ultrasound‐guided arterial cannulation in the paediatric population – Cochrane Library
Summary: Ultrasound use for insertion of arterial catheters in children – Cochrane Library
BTS Clinical Guidance | Prevention and management of community-acquired pneumonia in people with learning disability
6 Mar, 2023 | 14:34h | UTC
Consensus Paper | Management of respiratory distress syndrome
6 Mar, 2023 | 14:14h | UTC
RCT | 2-y outcomes confirm the harms caused by high prophylactic platelet transfusion thresholds in preterm infants
28 Feb, 2023 | 13:53h | UTCSummary: The study investigated the long-term outcomes of preterm infants who participated in a randomized trial of platelet transfusions at different threshold levels. Infants with platelet counts below 50×109/L were enrolled and randomized to either a higher threshold of 50×109/L or a lower threshold of 25×109/L. The study found that infants randomized to the higher threshold had a higher rate of death or significant neurodevelopmental impairment at a corrected age of 2 years compared to the lower threshold group. The study further supports evidence of harm caused by high prophylactic platelet transfusion thresholds in preterm infants. The mechanisms by which platelet transfusions could mediate harmful effects remain unknown, but the study identified increased rates of intraventricular hemorrhage and bronchopulmonary dysplasia in the higher threshold group, which may contribute to the adverse outcomes observed.
Original Study: Randomized Trial: Platelet-Transfusion Thresholds in Neonates
Commentary from the author on Twitter (thread – click for more)
We already knew from the @PlaNeT2_trial that a higher prophylactic platelet transfusion threshold (<50) in preterm babies is associated with significantly increased mortality or major bleeding compared with a lower one (<25)… https://t.co/pJrE44BIIx
— Carmel Moore (@carmelmoore) February 22, 2023
AAP Policy Statement | Crowding in the emergency department: challenges and recommendations for the care of children
28 Feb, 2023 | 13:50h | UTCTechnical Report: Crowding in the Emergency Department: Challenges and Best Practices for the Care of Children – Pediatrics
News Release: Crowding in the ED: AAP guidance offers solutions to complex problem – American Academy of Pediatrics
M-A | Low-dose insulin infusion is safe and effective in treating diabetic ketoacidosis in children
23 Feb, 2023 | 13:40h | UTCSummary: The article discusses a systematic review and meta-analysis of randomized controlled trials comparing low-dose insulin at 0.05 units/kg/hr to standard dose at 0.1 units/kg/hr for children with diabetic ketoacidosis (DKA). The study found that low-dose insulin infusion is probably as efficacious and safer than standard-dose insulin in treating DKA in children, as it has no effect on the time to resolution of hyperglycemia or acidosis and probably reduces the risk of developing hypokalemia and hypoglycemia. However, the results are limited by imprecision and generalizability to other settings since all studies were performed in a single country. Therefore, further studies are required to identify the optimal insulin dose for children with DKA in terms of safety and effectiveness.
Instant noodle burns common in pediatric scald injuries: Study highlights need for prevention efforts
21 Feb, 2023 | 11:50h | UTCSummary: The study examined pediatric scald burns at the University of Chicago Burn Center between 2010 and 2020 and found that 31% of burns were attributed to instant noodles. Children with instant noodle burns were typically older, more likely to be Black/African American, and from lower socio-economic backgrounds. They were also more likely to be unsupervised at the time of the injury. While instant noodle burns were smaller and required less operative intervention than other scald burns, some still required hospitalization and were associated with complications. The study highlights the need for targeted burn prevention efforts to reduce the incidence of these common but serious injuries.
Article: Pediatric instant noodle burns: A ten-year single center retrospective study – Burns (link to abstract – $ for full-text)
Commentary: Why Instant Noodles Are a Danger to Your Kids – HealthDay
Consensus Paper | Pediatric traumatic hemorrhagic shock
17 Feb, 2023 | 13:15h | UTCPreface: Pediatric traumatic hemorrhagic shock consensus conference
Other articles in the supplement:
Pediatric traumatic hemorrhagic shock consensus conference research priorities
Building an optimal pediatric trauma program
Time is tissue: Barriers to timely transfusion after pediatric injury
Resuscitative practices and the use of low-titer group O whole blood in pediatric trauma
Tranexamic acid in pediatric hemorrhagic trauma
Blood banking considerations in pediatric trauma
Detecting traumatic brain injury–induced coagulopathy: What we are testing and what we are not
Pediatric edible cannabis exposures and acute toxicity in the US: 2017–2021
16 Feb, 2023 | 15:00h | UTCPediatric Edible Cannabis Exposures and Acute Toxicity: 2017–2021 – Pediatrics
Commentaries:
The Number of American Kids Eating Cannabis Has Surged Dramatically – Science Alert
2017 to 2021 Saw Increase in Pediatric Edible Cannabis Exposure – HealthDay
Podcast | Intravenous fluids in pediatrics
14 Feb, 2023 | 10:32h | UTC#76: IV Fluids – Salty and Sweet – The Cribsiders
Review | What’s new in the management of neonatal early-onset sepsis?
10 Feb, 2023 | 13:40h | UTCWhat’s new in the management of neonatal early-onset sepsis? – ADC Fetal & Neonatal Edition (free for a limited period)
M-A | Incidence and characteristics of adverse events in pediatric inpatient care
9 Feb, 2023 | 13:32h | UTC
RCT | Methylprednisolone vs. immunoglobulins equally effective in PIMS temporally associated with SARS-CoV-2
8 Feb, 2023 | 12:42h | UTC
RCT | Efficacy of a loading dose of IV salbutamol in children with severe acute asthma admitted to a PICU
8 Feb, 2023 | 12:10h | UTC
Cohort Study | Perinatal predictors of clinical instability at birth in late-preterm and term infants
8 Feb, 2023 | 12:09h | UTC
SR | Sodium assessment in neonates, infants, and children
8 Feb, 2023 | 12:01h | UTC
RCT | Assessment of infant position and timing of stylet removal to improve lumbar puncture success in neonates
31 Jan, 2023 | 14:07h | UTCNews Release: Lumbar punctures in newborn babies are more successful when performed in sitting position – Oxford Population Health
Commentary on Twitter
NEW: The NeoCLEAR RCT found improved success rates with #neonatal #lumberpuncture when sitting rather than lying.
Sitting lumbar puncture is safe, cost neutral, and well tolerated.
Paper by @ndy__marshall, @ccroehr & team: https://t.co/A1OTGBTNm0#neoEBM
— The Lancet Child & Adolescent Health (@LancetChildAdol) November 30, 2022
Case Series | Higher Troponin was associated with persistent cardiac MRI lesions in children with myocarditis after mRNA-based COVID-19 vaccination
30 Jan, 2023 | 01:01h | UTC
Position Paper | Enteral nutrition in preterm infants
30 Jan, 2023 | 00:54h | UTC