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Association of unplanned extubations and neurodevelopmental outcomes in very low birthweight infants.
J Perinatol
December 2024
Department of Pediatrics, Division of Neonatology, Vanderbilt University Medical Center, Nashville, TN, USA.
Comparative Study Between Medical/Surgical Intensive Care Units vs. Mixed Intensive Care Units in Key Performance Indicators.
Cureus
November 2024
Pediatric Intensive Care Unit, Department of Pediatrics, King Saud University Medical City, College of Medicine, King Saud University, Riyadh, SAU.
Background This comparative study evaluates the performance of medical/surgical and mixed intensive care units (ICUs) at a tertiary care university hospital in Riyadh, Saudi Arabia, using key performance indicators (KPIs). Since its establishment in 1982, the hospital has provided comprehensive medical services, including specialized, closed-model ICUs, including medical, surgical, and pediatric ICUs. In 2021, these ICUs transitioned to a mixed ICU model to enhance efficiency and patient care.
View Article and Find Full Text PDFUnplanned Extubation in Extremely Preterm Neonates: Incidence, Risk Factors, and Impact on Clinical Outcomes.
Cureus
November 2024
Women's Wellness and Research Center, Hamad Medical Corporation, Doha, QAT.
Background Unplanned extubation (UE) poses a significant safety risk to mechanically ventilated, preterm, and critically ill neonates in the neonatal intensive care unit (NICU). Objective The aim of this study was to evaluate the incidence of UE from January 2018 to December 2021, identify contributing risk factors, and compare the outcomes with a cohort of extremely preterm (EP) infants. Methods A retrospective study was conducted in the NICU at the Women's Wellness and Research Center, Hamad Medical Corporation in Qatar.
View Article and Find Full Text PDFReducing unplanned extubation in the neonatal intensive care unit: a quality improvement project.
Arch Dis Child Fetal Neonatal Ed
December 2024
Monash Newborn at Monash Children's Hospital, Clayton, Victoria, Australia.
Background And Aim: Unplanned extubation (UE) is an adverse event that can occur for neonates that are intubated and mechanically ventilated. UE is recognised as an important quality measure in the neonatal intensive care unit (NICU) due to the negative impact these events may have on the neonate. We aimed to use quality improvement (QI) methodology to reduce the rate of UE to the global standard of <1/100 ventilation days.
View Article and Find Full Text PDFPalliative Care Outcomes for Critically ill Children After Rapid Whole Genome Sequencing.
J Intensive Care Med
December 2024
Department of Pediatrics, University of California at San Diego, La Jolla, CA, USA.
Objectives: Clinical utility of rapid whole genome sequencing (rWGS) has been reported in 30-70% of pediatric ICU patients who receive a molecular diagnosis. Rapid molecular diagnostic techniques have been increasingly integrated into critical care, yet the influence of genetic test results on palliative care related decision making is largely unknown. This study evaluates palliative care related outcomes after rWGS.
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