Paediatric intensive care 'do not do' recommendations in Spain: Selection by Delphi method.

Introduction: Health care is not free of ineffective, unsafe or inefficient diagnostic and therapeutic practices. To address this, different scientific societies and health authorities have proposed 'do not do' recommendations (DNDRs). Our goal was the selection by consensus of a set of DNDRs for paediatric intensive care in Spain.

Neurogenic Stunned Myocardium in Two Children with Neurological Injury.

Neurogenic stunned myocardium is described as sudden and reversible cardiac dysfunction induced by an acute neurological event. This phenomenon has not been thoroughly investigated in infants, and is probably underdiagnosed. Here, we report the cases of two infants with neurogenic stunned myocardium in whom the clinical suspicion was relevant, with a brief discussion of this condition.

Set of Quality Indicators of Pediatric Intensive Care in Spain: Delphi Method Selection.

Introduction: This study objective was to identify, select, and define a basic set of quality indicators for pediatric intensive care in Spain.

Methods: (1) Review of the literature to identify quality indicators and their defining elements and (2) selection of indicators by consensus of a group of experts using basic Delphi methodology (2 rounds) and forms distributed by email among experts from the Spanish society of pediatric intensive care.

Results: We selected quality indicators according to their relevance and feasibility and the experts' agreement on their incorporation in the final set.