Burnout and resiliency
Pearls • Both individual and organizational measures can be used to mitigate burnout and build resilience. • Organizational strategies to promote a healthy work environment include team debriefings after critical…
Ultrasonography in the pediatric intensive care unit
Pearls • Intensivist-operated ultrasound is an important adjunct for vascular procedures at the pediatric intensive care unit bedside and is emerging as an important procedural aid across all percutaneous vascular…
Organ donation process and management of the organ donor
Pearls • Successful organ recovery for transplantation requires perioperative donor management expertise to correct physiologic derangements associated with neurologic death. • A collaborative, multidisciplinary approach to end-of-life care and donation…
Ethical issues around death and dying
Pearls • Although decision-making at the end of life most commonly rests with a child’s parents, there may be times when a parent requests therapies that are deemed inappropriate by…
Pediatric critical care ethics
Pearls • Ethical issues in the pediatric intensive care unit (PICU) include high-visibility crises as well as subtle everyday ethical issues that stem from values and biases that infuse daily…
Patient- and family-centered care in the pediatric intensive care unit
Pearls • Patient- and family-centered care (PFCC) uses an “innovative approach to the planning, delivery, and evaluation of healthcare that is grounded in a mutually beneficial partnership among patients, families,…
Pediatric vascular access and centeses
Pearls • Intraosseous infusion is an essential emergency vascular access, with several mechanical devices available. Vigilant observation of the needle insertion site is essential to recognize extravasation and prevent serious…
Pediatric critical care transport
Pearls • The goal of interfacility transport is to ensure critical care delivery to the patient, provide acute and ongoing stabilization, and to anticipate disease progression as well as the…
Prediction of short-term outcomes during critical illness in children
Pearls • Physiologic instability is a key factor in the prediction of short-term outcomes in critically ill patients. • Prediction tools are central to controlling for severity of illness in…
Essential concepts in clinical trial design and statistical analysis
Pearls • Clinical trials require appropriate design, conduct, and analysis in order to provide valid, unbiased, and reliable results that will be useful to clinicians. • Trial design is more…
