Management Practices for Standard-Risk and High-Risk Patients With Bronchiolitis.

Objective: Management guidelines for bronchiolitis advocate for supportive care and exclude those with high-risk conditions. We aim to describe and compare the management of standard-risk and high-risk patients with bronchiolitis.

Methods: This retrospective study examined patients <2 years of age admitted to the general pediatric ward with an International Classification of Diseases, 10th Revision discharge diagnosis code of bronchiolitis or viral syndrome with evidence of lower respiratory tract involvement.

Interprofessional geriatric and palliative care intervention associated with fewer hospital days.

Background: With increasing complexity of our aging inpatient population, we implemented an interprofessional geriatric and palliative care intervention on a hospitalist service. This study aimed to measure the intervention's impact on length of stay (LOS), 30-day readmission, and the daily intensity of inpatient services utilization.

Methods: Using a nonrandomized controlled intervention at a 1000-bed U.

Comparing Methadone Rotation to Consensus Opinion.

Context: Methadone is a complex but useful medication for pain management in palliative care. Recent expert opinions have been published on the safe and effective use of methadone.

Objectives: To determine the success of methadone rotations and evaluate concordance with consensus recommendations by a palliative care consult service.

Interprofessional Intervention to Improve Geriatric Consultation Timing on an Acute Medical Service.

Objectives: To determine whether an interprofessional intervention would improve the use and timing of a geriatric consultation on a hospitalist service.

Design: Difference-in-differences (DID), which measures the difference in improvement over time between intervention and control team patients attributable to the intervention.

Setting: 1,000-bed U.

Interprofessional Rounds Improve Timing of Appropriate Palliative Care Consultation on a Hospitalist Service.

Despite known benefits, palliative care (PC) consultation for hospitalized patients remains underutilized. The objective was to improve frequency and timeliness of appropriate inpatient PC consultation. On 2 of 11 hospitalist teams, a PC representative attended discharge rounds twice a week.

Single-Center Experience Providing Palliative Care to Pediatric Patients with End-Stage Renal Disease.

Background: End-stage renal disease (ESRD) affects nearly 1400 new children each year in the United States. Morbidity and mortality rates remain high for pediatric patients with ESRD, including those that have received a renal transplant.

Objective: To better understand ESRD patients referred to palliative care, including their physical symptoms, topics discussed, and themes emerging during initial palliative care consultation.

Continuous Lidocaine Infusions to Manage Opioid-Refractory Pain in a Series of Cancer Patients in a Pediatric Hospital.

Background: Research on the safety and efficacy of continuous lidocaine infusions (CLIs) for the treatment of pain in the pediatric setting is limited. This article describes a series of pediatric oncology patients who received lidocaine infusions for refractory, longstanding, cancer-related pain.

Procedure: This is a retrospective review of patients who underwent lidocaine infusions to manage severe, opioid-refractory, cancer-related pain.

Use of intravenous acetaminophen (paracetamol) in a pediatric patient at the end of life: case report.

Background: For the better part of 100 years, acetaminophen (or paracetamol as it is known outside of the United States) has been a common first-line analgesic in pediatrics and is typically well tolerated with minimal side effects. Its use as an anti-pyretic is also well-documented and thus it is used broadly for symptom control in the general pediatric population.

Discussion: In pediatric palliative care, acetaminophen is also used as an adjuvant to opioid therapy for pain as well as an anti-pyretic.