About other publications - February 2023

Abstract

Source: Trauma and Acute Care Surgery

Pediatric traumatic hemorrhagic shock consensus, conference recommendations.

Russell R, Esparaz J, Beckwith M et al. Pediatric traumatic hemorrhagic shock consensus conference recommendations. Journal of Trauma and Acute Care Surgery. 94(1S):p S2-S10, January 2023. DOI: 10.1097/TA.0000000000003805
https://journals.lww.com/jtrauma/toc/2023/01001

Abstract
Hemorrhagic shock in pediatric trauma patients remains a challenging but preventable cause of death. Few high-quality events are available to guide specific aspects of bleeding control and specific resuscitation practices in this population. We seek to generate clinical recommendations, expert consensus, and best practice statements to assist providers in the care of these challenging patients. The Pediatric Traumatic Hemorrhagic Hemorrhagic Shock Consensus Conference process included systematic reviews related to six subtopics and a consensus meeting. A 16-member panel of the multidisciplinary consensus committee evaluated the literature related to 6 topics: (1) blood products and fluid resuscitation for hemostatic resuscitation, (2) prehospital blood product utilization, (3) use of of hemostatic adjuncts, (4) use of tourniquets, (5) prehospital airway and blood pressure management, and (6) conventional coagulation testing or thromboelastography-guided resuscitation. A total of 21 recommendations are detailed in this article: 2 clinical recommendations, 14 expert consensus statements, and 5 best practice statements. The statement, panel voting results, and rationale for each statement are intended to provide pediatric trauma providers with the latest evidence and guidance for the care of pediatric trauma patients experiencing hemorrhagic shock. With broad multidisciplinary representation, the Pediatric Traumatic Hemorrhagic Shock Consensus systematically evaluated the literature and developed clinical recommendations, expert consensus, and best practices in pediatric trauma patients with hemorrhagic shock.

Source: Pediatrics

Risk factors for asphyxia and unexplained causes of infant deaths.
Parks SE, DeSisto CL, Kortsmit K, et al. Risk Factors for Suffocation and Unexplained Causes of Infant Deaths. Pediatrics. 2023;151(1):e2022057771. Diciembre 2022.
doi: 10.1542/peds.2022-057771 https://doi.org/10.1542/peds.2022-057771

Summary

Background: Observational studies have improved our understanding of risk factors for sudden infant death syndrome, but separate examination of the risk of sleep-related asphyxia and unexplained infant deaths have been limited. We examined the association between the risk of unsafe infant sleep practices and sudden infant deaths (sleep-related asphyxia and unexplained causes, including sudden infant death syndrome).

Source: Critical Care Explorations

Insulin Infusion Dosing in Pediatric Diabetic Ketoacidosis: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

Forestell B, Battaglia F, Sharif S, et al. Insulin Infusion Dosing in Pediatric Diabetic Ketoacidosis: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Critical Care Explorations. 5(2):pe0857, February2023.
DOI:10.1097/CCE.0000000000000857

Abstract
Aims: In children with diabetic ketoacidosis (DKA), insulin infusions are the mainstay of treatment; however, optimal dosing remains unclear. Our aim was to compare the efficacy and safety
was to compare the efficacy and safety of different insulin infusion doses for the treatment of pediatric DKA.

Source: British Journal of Anaesthesia

Needle-free pharmacological sedation techniques in paediatric patients for imaging procedures: a systematic review and meta-analysis.

Rover I, Wylleman J, Dogger J et al. Needle-free pharmacological sedation techniques in paediatric patients for imaging procedures: a systematic review and meta-analysis. British Journal of Anaesthesia, 130 (1): 51e73 (2023). January 2023. Doi: 10.1016/j.bja.2022.09.007.
https://doi.org/10.1016/j.bja.2022.09.007

Abstract

Background: Sedation techniques and drugs are increasingly used in children undergoing imaging procedures. In this systematic review and meta-analysis, we present an overview of the literature on sedation of children aged 0-8 years for magnetic resonance imaging (MRI) procedures using needleless pharmacological techniques.