Retour direct à domicile après une hospitalisation aux soins intensifs pédiatriques : une approche sécuritaire pour plusieurs enfants, selon deux études de la Dre Nadia Roumeliotis.
recherche.chusj.org/fr/Calendrie...

🟠Moderate certainty evidence that DXM has little/no effect on duration of mechanical ventilation, clinically important bradycardia, or clinically important hypotension
🔴Low certainty evidence for reduction in delirium
⚫Very low certainty evidence for impact on withdrawal and long-term outcomes

Key findings:
➡️12 RCTs, 592 participants
➡️Variable dosing across RCTs (max dose, 0.2 to 1.6 mcg/kg/hr)
➡️Outcomes variably evaluated & defined - do we need a core outcome set for PICU sedation trials?
➡️Paucity of data in cardiac surgical pop'n - most subgroup analyses could not be performed

Our systematic review and meta-analysis of RCTs evaluating dexmedetomidine in critically ill mechanically ventilated children is live in Intensive Care Medicine-Paediatric and Neonatal @espnic.bsky.social

link.springer.com/article/10.1...

🌟 Meet IMPaCT Fellow David Zorko 🌟

"I’m passionate about long-term health outcomes for children who survive critical illness. This is important to me because many children do not return to full health right away after critical illness, and face ongoing functional, cognitive, social, ...

"There are over 4,000 Tim Hortons stores in Canada and less than 20 PICUs… everyone kind of knows each other ... and if you want to get large-scale #research done, we all need to partner together,” says @zorkosaurus.bsky.social in the Healthcare Change Makers podcast.

#Pedsky, have a listen 👇

Thanks HIROC for inviting me to the Healthcare Change Makers podcast to talk about post-PICU outcomes and follow-up care! @macupediatrics.bsky.social

Have a listen to hear my ramblings on #PedsICU survivorship: open.spotify.com/episode/2R5s...

Thank you all #PedsICU for the follow! Slowly transitioning from "similar social media platform that shall not be named" to bsky... Glad to see many friends here.

Happy to share our latest in PedCritCareMed 🎉

Creation of #PedsICU outcome database by recruiting a global team at WFPICCS & machine learning

16,055 citations ➡️ 1,301 full text in 2mo, sensitivity 98%

@zorkosaurus.bsky.social & I equal effort aka dream team, w/ an incredible group 🙌