Objectives: To characterize the nutritional status of children admitted to Latin American (LA) PICUs and to describe the adequacy of nutrition support in reference to contemporary international recommendations.
Design: The Nutrition in PICU (NutriPIC) study was a combined point-prevalence study of malnutrition carried out on 1 day in 2021 (Monday 8 November) and a retrospective cohort study of adequacy of nutritional support in the week preceding.
Setting: Four-one PICUs in 13 LA countries.
The Surviving Sepsis Campaign International Guidelines for the Management of Septic Shock and Sepsis-associated Organ Dysfunction in Children was released in 2020 and is intended for use in all global settings that care for children with sepsis. However, practitioners managing children with sep sis in resource-limited settings (RLS) face several challenges and disease patterns not experienced by those in resource-rich settings. Based upon our collective experience from RLS, we aimed to reflect on the difficulties of implementing the international guidelines.
View Article and Find Full Text PDFCardiopulmonary Resuscitation (CPR) is a critical procedure with potential consequences over futu re vitality and functionality in survivors. In this document, we present a pragmatic and regional point of view on diagnosis, management, and prognostication in pediatric CPR developed by the Com mittee on CPR of the Latin American Society of Pediatric Intensive Care (SLACIP). We have chosen the main CPR topics with the aim of contribute for a better prevention and management of CPR, standardize the management of the post-cardiac arrest syndrome and neuro-prognostication, and identify opportunities for regional research.
View Article and Find Full Text PDFBackground: Our objective was to characterize the frequency, early impact, and risk factors for neurological manifestations in hospitalized children with acute severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection or multisystem inflammatory syndrome in children (MIS-C).
Methods: Multicenter, cross-sectional study of neurological manifestations in children aged <18 years hospitalized with positive SARS-CoV-2 test or clinical diagnosis of a SARS-CoV-2-related condition between January 2020 and April 2021. Multivariable logistic regression to identify risk factors for neurological manifestations was performed.
The aim of this study was to develop evidence-based recommendations for the diagnosis and treatment of sepsis in children in low- and middle-income countries (LMICs), more specifically in Latin America. A panel was formed consisting of 27 experts with experience in the treatment of pediatric sepsis and two methodologists working in Latin American countries. The experts were organized into 10 nominal groups, each coordinated by a member.
View Article and Find Full Text PDFObjective: To characterize the practices of nutritional support in Latin American and Spanish PICUs.
Design: Survey with a questionnaire sent to Latin American Society of Pediatric Intensive Care members.
Setting: PICUs of participant hospitals.
Pediatr Crit Care Med
November 2015