Post-Intensive Care Syndrome in Children (PICS-P) with Dr. Elizabeth Killien--Part 1

01/22/24 • 35 min

Elizabeth Killien, MD MPH is an Assistant Professor of Pediatrics at the University of Washington and an attending physician in the Pediatric ICU at Seattle Children’s. She earned her MD from Dartmouth Medical School in 2011. She completed her residency in General Pediatrics and fellowship in Pediatric Critical Care Medicine at the University of Washington. She underwent additional training in pediatric trauma research at the Harborview Injury Prevention and Research Center in the Pediatric Injury Research Training Program from 2017-2019, and completed her Master of Public Health degree in Epidemiology at the University of Washington in 2019. She is a member of the Society of Critical Care Medicine, Pediatric Acute Lung Injury and Sepsis Investigators, and American Thoracic Society. Her scholarly work focuses on organ failure after traumatic injury and long-term outcomes after critical illness.
Learning Objectives:

By the end of this podcast, listeners should be able to:

Define post-intensive care syndrome, recognize the clinical presentation and make the presumptive diagnosis.
Recognize common risk factors of post-intensive care syndrome in children.
Discuss practical ways to reduce the risk of post-intensive care syndrome in children admitted to the pediatric ICU.
Discuss management strategies to optimize the care provided to children suffering from post-intensive care syndrome.
Recall key next steps in post-intensive care syndrome research.

References:
Manning, Joseph C. RN, PhD1,2,3; Pinto, Neethi P. MD, MS4; Rennick, Janet E. RN, PhD5,6; Colville, Gillian MPhil, CPsychol7; Curley, Martha A. Q. RN, PhD8,9,10. Conceptualizing Post Intensive Care Syndrome in Children—The PICS-p Framework*. Pediatric Critical Care Medicine 19(4):p 298-300, April 2018. | DOI: 10.1097/PCC.0000000000001476

https://www.palisi.org/

Killien EY, Zimmerman JJ, Di Gennaro JL, Watson RS. Association of Illness Severity With Family Outcomes Following Pediatric Septic Shock. Crit Care Explor. 2022 Jun 15;4(6):e0716. doi: 10.1097/CCE.0000000000000716. PMID: 35733611; PMCID: PMC9203075.

Smith MB, Killien EY, Dervan LA, Rivara FP, Weiss NS, Watson RS. The association of severe pain experienced in the pediatric intensive care unit and postdischarge health-related quality of life: A retrospective cohort study. Paediatr Anaesth. 2022 Aug;32(8):899-906. d

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Thank you for listening to this episode of PedsCrit. Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at [email protected]. Check out http://www.pedscrit.com for detailed show notes. And visit @critpeds on twitter and @pedscrit on instagram for real time show updates.

By the end of this podcast, listeners should be able to:

Define post-intensive care syndrome, recognize the clinical presentation and make the presumptive diagnosis.
Recognize common risk factors of post-intensive care syndrome in children.
Discuss practical ways to reduce the risk of post-intensive care syndrome in children admitted to the pediatric ICU.
Discuss management strategies to optimize the care provided to children suffering from post-intensive care syndrome.
Recall key next steps in post-intensive care syndrome research.

https://www.palisi.org/

Questions, comments or feedback? Please send us a message at this link (leave email address if you would like us to relpy) Thanks! -Alice & Zac

Support the show

Previous Episode

Post–Cardiac Arrest Syndrome with Dr. Alexis Topjian-Part 2

Alexis Topjian, MD, MSCE is a Professor of Anesthesiology and Critical Care at the University of Pennsylvania. She is an intensivist at the Children’s Hospital of Philadelphia where she also serves as the Fellowship Director of Neurocritical Care, Director of the Pediatric Neurocritical Care Program, and the Director of Faculty Development. She also was the first author on the 2019 Pediatric Post–Cardiac Arrest Care Scientific Statement from the American Heart Association.

Learning Objectives:

By the end of this podcast, listeners should be able to describe:

The clinical characteristics of post-cardiac arrest syndrome.
The general goals and guiding principles of high quality post-cardiac arrest care.
An evidence-based approach to diagnostic testing and monitoring of the post-cardiac arrest patient.
An evidence-based approach to supportive treatment of the post-cardiac arrest patient with an emphasis on targeted temperature management.
Relevant prognostic factors and best practices communicating prognosis to families of children who have suffered a cardiac arrest.

References:

Topjian AA, de Caen A, Wainwright MS, Abella BS, Abend NS, Atkins DL, Bembea MM, Fink EL, Guerguerian AM, Haskell SE, Kilgannon JH, Lasa JJ, Hazinski MF. Pediatric Post-Cardiac Arrest Care: A Scientific Statement From the American Heart Association. Circulation. 2019 Aug 6;140(6):e194-e233. doi: 10.1161/CIR.0000000000000697. Epub 2019 Jun 27. PMID: 31242751.
Moler et al. Therapeutic hypothermia after out-of-hospital cardiac arrest in children. N Engl J Med. 2015 May 14;372(20):1898-908. doi: 10.1056/NEJMoa1411480. Epub 2015 Apr 25. PMID: 25913022; PMCID: PMC4470472.
Moler et al; THAPCA Trial Investigators. Therapeutic Hypothermia after In-Hospital Cardiac Arrest in Children. N Engl J Med. 2017 Jan 26;376(4):318-329. doi: 10.1056/NEJMoa1610493. Epub 2017 Jan 24. PMID: 28118559; PMCID: PMC5310766.

Questions, comments or feedback? Please send us a message at this link (leave email address if you would like us to relpy) Thanks! -Alice & Zac

Support the show

Next Episode

Post-Intensive Care Syndrome in Children (PICS-P) with Dr. Elizabeth Killien--Part 2

By the end of this podcast, listeners should be able to:

Define post-intensive care syndrome, recognize the clinical presentation and make the presumptive diagnosis.
Recognize common risk factors of post-intensive care syndrome in children.
Discuss practical ways to reduce the risk of post-intensive care syndrome in children admitted to the pediatric ICU.
Discuss management strategies to optimize the care provided to children suffering from post-intensive care syndrome.
Recall key next steps in post-intensive care syndrome research.

https://www.palisi.org/

Questions, comments or feedback? Please send us a message at this link (leave email address if you would like us to relpy) Thanks! -Alice & Zac

Support the show