JAMA Network Open’s Post

👶🌡️ **Unlocking Insights: Pediatric Intensive Care & Cardiopulmonary Therapy!** 🏥👩⚕️ **Title: Cardiopulmonary PT in Pediatric ICU** **Purpose:** - 🩺 Exploring the role of physical therapists in pediatric cardiac critical care & intensive care units. **Methods:** - 📊 Chart review of 111 pediatric cases in PICU & CCCU. - 📋 Examined admission reasons, CPT practices, and chest X-ray interpretation availability. **Key Findings:** - 📈 Common reasons for admission: congenital cardiac conditions (34.2%) & respiratory deterioration (27.9%). - 🌬️ Most common CPT treatment: Manual hyperinflation with expiratory vibration. - 👶 50% of children had associated diagnoses, e.g., developmental delay. - 💡 Chest X-ray interpretation available in 72% of cases. **Conclusions:** - 🤔 Manual hyperinflation's effectiveness needs further study across diagnostic groups. - 📊 Standardized recording of chest X-rays crucial for future clinical research. **Takeaway:** - 🌐 Insights pave the way for enhancing pediatric intensive care through tailored physiotherapy. #PediatricICU #CardiopulmonaryPT #HealthcareInnovation 👩⚕️👶🏥

Patients that are transferred from nursing homes to hospitals have a general H&P on admission.The concentration of this physical is directly related to their reason for admission (which often does not include a robust oral exam). Maybe it should? #dentalcare #geriatricmedicine #QOL #nursinghomes #bioethics "A “silent epidemic” of oral diseases is looming and our most vulnerable segments of society, older adults, are at greatest risk.(7) In the United States, older adults develop coronal caries at a rate of on new cavity per year(8,9) Despite the rapidly growing older adult population, data for adults aged ≥ 75 years are lacking. For example, in the United States, the most recent national estimate is decades old and indicates that 37.9% of adults aged ≥ 75 years have untreated coronal caries. Further, people of color disproportionately experience oral disease, yet little is known about racial/ethnic disparities in older adults.(10 )Oral health is an often forgotten, modifiable risk factor that could reduce pervasive and persistent racial/ethnic health disparities." "Sifuentes, A. M. F., & Lapane, K. L. (2020). Oral Heath In Nursing Homes: What We Know And What We Need To Know. The journal of nursing home research sciences"  

Continuous glucose monitoring has become a standard of care for outpatient diabetes management and a reputable means of monitoring blood sugar for non-diabetic adults. However, not much research has been done on the pediatric population or in inpatient settings. What does the future of glucose monitoring look like? -Expansion of use to include children, pregnant mothers, ICU patients, etc. -More non-invasive glucose monitoring to prevent painful procedures -Use as a diagnostic tool to replace the oral glucose tolerance test #CGM #Glucose #PediatricMedicine

🚨 New Research Alert: Prolonged Placental Resuscitation vs. Cord Milking for Preterm Newborns 🚨 A recent study conducted across eight Italian neonatal intensive care units has revealed that extending placental circulation during resuscitation offers no significant benefits compared to the traditional cord milking method. 🔍 Key Findings: - The PCI Trial involved 212 preterm newborns, comparing outcomes between prolonged placental circulation (180 seconds) and rapid cord milking (20 seconds). - Results showed no statistically significant difference in mortality, severe brain hemorrhages, or bronchopulmonary dysplasia rates between the two groups. These findings challenge the belief that longer placental circulation improves outcomes for preterm infants. 💡 Clinical Implications: Healthcare providers may want to continue utilizing cord milking as an effective resuscitation method without extending placental circulation time. For a deeper dive into this pivotal research and its implications on neonatal care practices, click on the embedded link! #ClinicalResearches #HealthcareInnovation #MedicalResearch #NeonatalCare #PretermInfants #MarketAccess #MarketAccessToday

Discover the use of lung #ultrasound in Neonatal Intensive Care Units (#NICU) across Europe. Exploring advanced medical care for babies. Read it here: https://bit.ly/4eLlo5p

Pediatric Nursing MCQ Question 342:- Question Link- https://lnkd.in/gTnQNQr4 In following which is the most common acyanotic congenital heart disease- (a) Ventricular septal defect (b) Atrial septal defect (c) Patent ductus arteriosus (d) Tricuspid atresia

Comparing Cardiopulmonary Resuscitation Techniques in Infantile Piglets: 3:1 Compression vs. Continuous Compression with Asynchronized Ventilation In the area of neonatal and pediatric resuscitation, the debate between different approaches to ventilation and chest compression continues to evolve. Our recent study aimed to compare the effectiveness of two such techniques—3:1 Compression (3:1 C:V) and Continuous Compression with Asynchronized Ventilation (CCaV)—during infant cardiopulmonary resuscitation (CPR) in infantile piglets. Background and Hypothesis To evaluate which resuscitation technique is superior, we hypothesized that the 3:1 C:V ratio would lead to a faster return of spontaneous circulation (ROSC) compared to CCaV in infantile piglets experiencing asphyxia-induced bradycardic cardiac arrest. Methods Our study involved 20 infantile piglets, aged 5-10 days, anesthetized and asphyxiated by clamping the endotracheal tube. The piglets were randomly assigned to receive 3:1 C:V or CCaV method (n = 10 per group). Results The findings revealed that the median time to ROSC for survivors was 157 seconds (IQR: 113-219) for the 3:1 C:V group compared to 421 seconds (IQR: 118-660) for the CCaV group (p = 0.253). The total duration of resuscitation was also similar, with 3:1 C:V lasting 206 seconds (IQR: 119-660) versus 660 seconds (IQR: 212-660) for CCaV (p = 0.171). The number of piglets achieving ROSC was comparable between the two groups: 7 out of 10 for 3:1 C:V and 6 out of 10 for CCaV (p = 1.00). Conclusions Our study concluded that there is no significant difference in the time to ROSC or survival rates between the 3:1 C:V and CCaV techniques in infantile piglets. Both approaches appear equally viable for infantile CPR. Impact The results suggest that both 3:1 C:V ratio and CCaV are reasonable options for infant cardiopulmonary resuscitation, with no clear advantage of one method over the other in terms of ROSC time or survival. https://wix.to/SOHIq2q #neonatology #nicu #nicubaby #nicunurse #nicumom #newborn #newbornbaby #nurse #midwifery #midwife #resuscitation#cpr #patient #patientcare #patientsafety #education #medical #medicalstudent #medicalcollege #medicalschool#medicalstudents #medicine #medicaleducation #medico #medicina #medicos #pretermbaby #preterm #oxygen #science #RCT #research #researchpaper #researchers #scientists #latestposts #latestblogs #linkedlnarticles #article #articles #AcademicExcellence #researchproposal #clinicaltrials #ScienceForChange #health #canada #medical #europe #australia #usa #asia #africa #india  #ResearchMethods #HealthcareInsights #ClinicalTrialSuccess #PatientEngagement #MedicalResearch #InnovationsInHealthcare #ClinicalTrialManagement #ClinicalTrials #DataManagement #RegulatoryFrameworks #datatransparency #ClinicalDataTransparency #EMA #HealthCanada #medicalwriting #clinicaldatamanagement #clinicaloperations #clinicalresearch #FDA #babies #guidelines #ClinicalTrials

Our new study protocol, "The Effect of Swimmer Position During Prone Ventilation on the Onset of Brachial Plexus Injury in the ICU," has been published in Nursing in Critical Care! This multiprofessional research highlights the importance of safe positioning during prone ventilation. By focusing on potential nerve injuries like brachial plexus neuropathies, we aim to enhance patient outcomes and inform tailored rehabilitation strategies. Check out the article: 🔗 https://lnkd.in/dVjD2yHe Simone Gambazza, Federica Marelli, Veronica Rossi, Alessandro Galazzi, Maurizio Vergari, Mauro Panigada, Giacomo Grasselli

General principles of treatment of acute ischemic stroke in ICU

Which introducer to choose for the insertion of neonatal PICCs? https://lnkd.in/dQQe7c44