Speaker: Robert C.Tasker, MA, MBBS, MD, FRCP, FRCPCH
Robert C.Tasker, MA, MBBS, MD, FRCP, FRCPCH: Hello, my name is Robert Tasker and I'm your Editor-in-Chief of Pediatric Critical Care Medicine. Welcome to August 2023. I have three Editor's Choices for you. The first is an SCCM ICU Liberation paper by Lin et al, including 632 patients, over 6,000 days of patient care. Sadly, 47 deaths. The authors have looked at the ICU Liberation program with a QI bundle A to F or six components. Ties in very closely with the paper that we published. There is an accompanying editorial. The second paper that I've highlighted is by Paquette et al, with 80 ICU intensivists, neurologists and neurointensivists. This is looking at physician experiences with families around the time of diagnosing death or determining death by neurological criteria and parent refusals. It's around physician decision making and what those teams do. Highly topical because we've just had the Canadian new clinical practice guidelines published and the AAP AAN will be published later this year. So a very important topic and there's an accompanying editorial. My third paper is by Sick-Samuels et al. This is a QI implementation science paper looking at an algorithm of differential diagnosis for new fever with accompanying clinical instability. The authors have looked at pre- post- 4,000 patients and close to 3,000 patients. There's an accompanying editorial well worth a read. In the PCCM Connections section I have five papers on ECMO. The first is the neonatal paper on on centrifugal versus roller pump devices and ECMO support. The next two papers are to do with special populations. The first is status asthmaticus. The second is congenital diaphragmatic hernia. The other two papers, one on nutrition and one on electroencephalography. Then when you finished all of that, there's an excellent narrative to read called The Exchange. Enjoy August's reading and I hope to see you in September. Thank you very much for all of your support for PCCM and for SCCM.
