A5042269545- Clinical Nutrition and Gastroenterology
- Family and Patient Care in Intensive Care Units
- Emergency and Acute Care Studies
- Neonatal Respiratory Health Research
- Childhood Cancer Survivors' Quality of Life
- Palliative Care and End-of-Life Issues
- Infant Development and Preterm Care
- Sepsis Diagnosis and Treatment
- Grief, Bereavement, and Mental Health
- Child and Adolescent Health
- Congenital Anomalies and Fetal Surgery
- Cardiac Arrest and Resuscitation
- Congenital Diaphragmatic Hernia Studies
- Breastfeeding Practices and Influences
- Nutrition and Health in Aging
- Respiratory Support and Mechanisms
- Mechanical Circulatory Support Devices
- Electrolyte and hormonal disorders
KK Women's and Children's Hospital
2017-2024
Boston Children's Museum
2015
Boston Children's Hospital
2015
There is currently no standardized way to determine suitability for extubation of pediatric ICU (PICU) patients, potentially resulting in prolonged duration mechanical ventilation. We aimed design and implement a protocol screening all intubated PICU patients readiness.We adopted the quality improvement (QI) Model Improvement with Plan-Do-Study-Act (PDSA) cycles achieve this aim. This QI project was conducted over 11 months multidisciplinary PICU. Outcome measures included (1) development...
This study examined satisfaction of parents whose children were admitted to the PICU identify priority areas for improvement. We hypothesized that differences exist in different ethnicities.Prospective observational study.PICU a tertiary care pediatric hospital.All English-literate child was our between February 2014 and 2015 eligible after informed consent obtained. Parents included this previous admission(s) excluded.Nil.We adapted Empowerment Parent Intensive Care Questionnaire, validated...
Critically ill children frequently receive inadequate nutritional support. Feeding protocols have been shown to facilitate optimal care.We aim determine the perceptions of critical care nurses with regard implementation a feeding protocol as well their preferred teaching methods before introducing this in our pediatric intensive unit (PICU). We hypothesize that nursing experience and educational level are factors predict readiness adopt protocol.All PICU were invited participate an online...
OBJECTIVE Pediatric early warning systems identify patients at risk for deterioration. We aimed to determine if a locally adapted pediatric system [KK hospital score (KEWS)] can distinguish who require transfer from general ward high dependency unit (HDU) or PICU, those do not. METHODS conducted retrospective case-control single-center audit. All unplanned PICU/HDU January December 2021 were included as cases. collected KEWS the time of and 2, 4 6 hours prior transfer. Univariate...
Strategies to improve nutritional management are associated with better outcomes in pediatric intensive care units. We implemented a calorie-based protocol that integrated an electronic feeds calculator and stepwise increment algorithm.Using pretest-posttest design, we compared the effectiveness of existing fluid-based quality improvement project. The main outcome measure was proportion patients prescribed appropriate amount calories (defined as 90%-110% calculated energy requirements)....
Abstract Nutritional practice in children with severe sepsis or septic shock remains poorly described. We aimed to describe nutrition received by and explore the association of nutritional intake clinical outcomes. This study was a retrospective who required pediatric intensive care unit (PICU) admission from 2009 2016. Outcomes were mortality, ventilator-free days (VFDs), PICU-free (IFDs). A total 74 patients identified. Forty-one (55.4%) enteral (EN) only, 6 (8.1%) parental (PN) 15 (20.3%)...
Introduction: Pediatric early warning systems (PEWS) help identify patients at risk of clinical deterioration. The primary aim our study was to determine if a locally adapted PEWS [KKH score (KEWS)] can distinguish requiring transfer from general ward (GW) high dependency unit (HDU) or pediatric intensive care (PICU) those not needing transfer. Methods: We conducted retrospective case-control between January - December 2021. All unplanned GW PICU/HDU were included as cases. KEWS modified 7...