OPENPediatrics

In this World Shared Practice Forum podcast, Dr. Martin Kneyber, Chief of the Division of Paediatric Critical Care Medicine at the Beatrix Children’s Hospital, provides an insightful overview of the current state of thinking regarding the concepts of mechanical power and driving pressure in adult and pediatric mechanical ventilation. He provides his perspective on current evidence-based best practices for lung protective ventilation in pediatric ARDS, and highlights important areas for ongoing and future research.

Learning Objectives:

-Review the concepts and interrelations between mechanical power, driving pressure, plateau pressure

-Understand the state of evidence linking driving pressure to outcomes in adult and pediatric patients receiving mechanical ventilation

-Describe current evidence-based best clinical practices in adjusting mechanical ventilation in pediatric patients with acute respiratory distress syndrome (ARDS)

Articles referenced:

• Kneyber MC. Driving Pressure and Mechanical Power: The Return of Physiology in Pediatric Mechanical Ventilation. Pediatric Critical Care Medicine. 2021 Oct 1;22(10):927-9. (00:57)

• Díaz, Franco, González-Dambrauskas, Sebastián, Cristiani, Federico, Casanova, Daniel R., Cruces, Pablo, Driving Pressure and Normalized Energy Transmission Calculations in Mechanically Ventilated Children Without Lung Disease and Pediatric Acute Respiratory Distress Syndrome, Pediatric Critical Care Medicine: 2021 Oct 1;22(10):870-8 (2:01)

• Amato MB, Meade MO, Slutsky AS, et al. Driving pressure and survival in the acute respiratory distress syndrome. N Engl J Med. 2015;372(8):747-755. (5:58)

• van Schelven P, Koopman AA, Burgerhof JGM, Markhorst DG, Blokpoel RGT, Kneyber MCJ. Driving Pressure Is Associated With Outcome in Pediatric Acute Respiratory Failure [published online ahead of print, 2021 Oct 20]. Pediatr Crit Care Med. 2021;10.1097/PCC.0000000000002848.(8:17)

Publication Date: November 22, 2021.

Citation: Kneyber M, Daniel D, Burns JP. Driving Pressure: The return of physiology in pediatric mechanical ventilation. 11/2021. Online Podcast. OPENPediatrics. https://soundcloud.com/openpediatrics/driving-pressure-the-return-of-physiology-in-pediatric-mechanical-ventilation-dr-martin-kneyber.

Please visit: http://www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children’s Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching a full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user. For further information on how to enroll, please email: [email protected]

In this podcast, Dr. Kate Douglas describes the best practices for effectively working with interpreters in the clinical setting.

Initial publication: November 11, 2021

Please visit: www.openpediatrics.org

OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user.

For further information on how to enroll, please email: [email protected]

In this World Shared Practice Forum podcast, Dr. Paul Offit, Director of the Vaccine Education Center, co-inventor of the rotavirus vaccine, member of the FDA Vaccine Advisory Committee, and attending physician in the Division of Infectious Diseases at Children’s Hospital of Philadelphia, shares his perspective on issues relating to COVID-19 vaccination in children. He provides historical perspective on prior pediatric vaccine development efforts, and shares his insights into the appraisal of scientific evidence and decision-making processes that are involved in federal approval of the COVID-19 vaccines.

 

After this podcast, listeners will be able to:

-Understand the challenges behind COVID-19 vaccination development for children from a historical perspective

-Describe the available evidence relating to antibody-dependent enhancement and vaccine-associated enhancement of disease with the COVID-19 vaccines

-Describe the considerations involved in federally approving COVID-19 vaccines for children

Initial publication date: October 22, 2021

Citation: Offit P, Daniel D, Burns JP. Pediatric Vaccine for COVID-19 Part 1. 10/2021. Online Podcast. OPENPediatrics. https://soundcloud.com/openpediatrics/pediatric-vaccine-for-covid-19-part-1-by-dr-paul-offit-for-openpediatrics.

Please visit: http://www.openpediatrics.org

OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children’s Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user.

For further information on how to enroll, please email: [email protected]

In this Nursing World Shared Practice Forum podcast, Drs. Patricia Dwyer and Michelle Schuster share their research on Post-Traumatic Stress Disorder (PTSD) in the nursing field. They discuss how to identify symptoms and potential causes of PTSD for nurses. They also discuss which nursing subspecialties carry a higher risk for PTSD and offer coping strategies for managing symptoms.

Learning Objectives

• Identify symptoms of PTSD

• Recognize which personality types could be more susceptible to PTSD

• Learn the prevalence rate of PTSD amongst pediatric subspecialties

• List coping strategies for managing PTSD symptoms

Publication Date: October 19, 2021.

Citation: Dwyer P, Schuster M, DeGrazia M. Mental Health and PTSD in the Nursing Profession. 10/2021. Online Podcast. OPENPediatrics. https://soundcloud.com/openpediatrics/mental-health-and-ptsd-in-the-nursing-profession

Please visit: http://www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children’s Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching a full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user. For further information on how to enroll, please email: [email protected]

This podcast will provide information about the diagnosis and management of child abuse, with a focus on the skeletal and cutaneous manifestations of physical abuse.

Initial Publication Date: September 29, 2021

Please visit: http://www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children’s Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user. For further information on how to enroll, please email: [email protected]

In Part Two of this special World Shared Practice Forum podcast, Dr. Robert Tasker, Editor-in-Chief of the journal Pediatric Critical Care Medicine, discusses the journal’s top publication priorities and how those priorities direct what works get published. Dr. Tasker gives his insights on publications that can be followed by clinicians looking to stay up to date on emerging trends and research related to the field of pediatric critical care medicine.

After this podcast, listeners will be able to:

-Predict a range of topics that we may see in upcoming journal publications

-Understand the prioritization that journals apply when choosing the content that is published

-Recognize which publications should be followed by clinicians looking to stay up to date

Articles referenced:

• Horvat C. Statistical Note: Confounding and Causality in Observational Studies. Pediatr Crit Care Med. 2021;22(5):496-498. doi:10.1097/PCC.0000000000002702 (06:55)

• Beshish AG, Jahadi O, Mello A, Yarlagadda VV, Shin AY, Kwiatkowski DM. Hyperoxia During Cardiopulmonary Bypass Is Associated With Mortality in Infants Undergoing Cardiac Surgery. Pediatr Crit Care Med. 2021;22(5):445-453. doi:10.1097/PCC.0000000000002661 (07:18)

• Peters MJ. Linking Hyperoxia and Harm: Consequence or Merely Subsequence?. Pediatr Crit Care Med. 2021;22(5):501-503. doi:10.1097/PCC.0000000000002709 (07:28)

• Bartman T, Brilli RJ. Quality Improvement Studies in Pediatric Critical Care Medicine. Pediatr Crit Care Med. 2021;22(7):662-668. doi:10.1097/PCC.0000000000002744 (07:57)

• Rotta AT. Randomized Controlled Trial of Negative Pressure Ventilation: We First Need a National Patient Registry. Pediatr Crit Care Med. 2021;22(6):e369-e370. doi:10.1097/PCC.0000000000002743 (10:05)

• Kneyber MCJ. Randomized Controlled Trial of Negative Pressure Ventilation: We First Need Characterized Physiology. Pediatr Crit Care Med. 2021;22(6):e371-e372. doi:10.1097/PCC.0000000000002742 (10:08)

• Schober ME, Pavia AT, Bohnsack JF. Neurologic Manifestations of COVID-19 in Children: Emerging Pathophysiologic Insights. Pediatr Crit Care Med. 2021;22(7):655-661. doi:10.1097/PCC.0000000000002774 (10:55)

Publication date: September 24, 2021

CV Citation:

Tasker R, Daniel D, Wolbrink TA. Emerging Trends in Research: Journal Prioritization. 9/2021. Online Podcast. https://youtu.be/DQ4RNFxgK6Q

Please visit: http://www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children’s Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching a full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user. For further information on how to enroll, please email: [email protected]

In this podcast, Dr. Barry Kussman discusses the basic principles and application of cerebral oximetry in pediatric anesthesia.

Initial publication date: September 13, 2021.

Please visit: http://www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children’s Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching a full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user. For further information on how to enroll, please email: [email protected]

In Part 1 of this two-part World Shared Practice Forum podcast, Dr. Robert Tasker, Editor-in-Chief of Pediatric Critical Care Medicine Journal, discusses emerging trends in clinical research along with the research topics he expects to grow in the near future. Dr. Tasker also offers suggestions to improve your manuscript submission and increase the likelihood of your manuscript being accepted for publication.

After the podcast, listeners will be able to:

-Forecast future trends in research using current data

-Gain an understanding of the factors considered by editors when choosing from content submissions

-Feel more confident about submitting their work to journals

Articles referenced:

• Wong HR, Reeder RW, Banks R, et al. Biomarkers for Estimating Risk of Hospital Mortality and Long-Term Quality-of-Life Morbidity After Surviving Pediatric Septic Shock: A Secondary Analysis of the Life After Pediatric Sepsis Evaluation Investigation. Pediatr Crit Care Med. 2021;22(1):8-15. doi:10.1097/PCC.0000000000002572 (04:03)

• Scott HF, Colborn KL, Sevick CJ, et al. Development and Validation of a Model to Predict Pediatric Septic Shock Using Data Known 2 Hours After Hospital Arrival. Pediatr Crit Care Med. 2021;22(1):16-26. doi:10.1097/PCC.0000000000002589 (04:19)

• Woods KS, Horvat CM, Kantawala S, et al. Intracranial and Cerebral Perfusion Pressure Thresholds Associated With Inhospital Mortality Across Pediatric Neurocritical Care. Pediatr Crit Care Med. 2021;22(2):135-146. doi:10.1097/PCC.0000000000002618 (06:14)

• Choong K, Zorko DJ, Awojoodu R, et al. Prevalence of Acute Rehabilitation for Kids in the PICU: A Canadian Multicenter Point Prevalence Study. Pediatr Crit Care Med. 2021;22(2):181-193. doi:10.1097/PCC.0000000000002601 (8:05)

• Patel BB, Sperotto F, Molina M, et al. Avoidable Serum Potassium Testing in the Cardiac ICU: Development and Testing of a Machine-Learning Model. Pediatr Crit Care Med. 2021;22(4):392-400. doi:10.1097/PCC.0000000000002626 (8:18)

• Tripathi S, Gist KM, Bjornstad EC, et al. Coronavirus Disease 2019-Associated PICU Admissions: A Report From the Society of Critical Care Medicine Discovery Network Viral Infection and Respiratory Illness Universal Study Registry. Pediatr Crit Care Med. 2021;22(7):603-615. doi:10.1097/PCC.0000000000002760 (13:50)

• Schober ME, Pavia AT, Bohnsack JF. Neurologic Manifestations of COVID-19 in Children: Emerging Pathophysiologic Insights. Pediatr Crit Care Med. 2021;22(7):655-661. doi:10.1097/PCC.0000000000002774 (14:34)

• Remy KE, Kissoon N. Coronavirus Disease 2019: A Pandemic Spawning an Infodemic. Pediatr Crit Care Med. 2021;22(7):651-654. doi:10.1097/PCC.0000000000002782 (15:25)

• Tasker RC. Writing for PCCM: The 3,000-Word Structured Clinical Research Report. Pediatr Crit Care Med. 2021;22(3):312-317. doi:10.1097/PCC.0000000000002700 (18:35)

Initial publication: August 20, 2021.

Speakers:

Robert C. Tasker, MA, MBBS, MD, FRCP, FRCPCH

Editor-in-Chief for Pediatric Critical Care Medicine Journal

Founding Chair in Neurocritical Care at Boston Children’s Hospital

Professor of Anaesthesia at Harvard Medical School

Traci Wolbrink, MD, MPH

Co-Director, OPENPediatrics

Senior Associate in Critical Care Medicine, Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital

Associate Professor of Anaesthesia, Harvard Medical School

Citation:

This recording is intended to be used as an educational resource for healthcare providers. It is in no way a substitute for the independent decision making and judgment of a qualified healthcare professional. It should not be used to make a diagnosis, or to overrule the advice of a qualified health care provider, nor should it be used to provide advice for emergency medical treatment.

Please visit: http://www.openpediatrics.org

This podcast will describe the benefits of breastmilk and the physiology of breastfeeding, discuss ways to counsel new mothers and families about nutrition for their infant, and explore some common breastfeeding challenges and solutions.

Initial publication date: August 10, 2021

Please visit: http://www.openpediatrics.org

OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children’s Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user.

For further information on how to enroll, please email: [email protected]

In this podcast, Dr. Elizabeth Profita reviews heart failure, including associated signs and symptoms, and indications of worsening heart failure.

Initial publication: July 6, 2021.

Please visit: http://www.openpediatrics.org

OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children’s Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user.

For further information on how to enroll, please email: [email protected]