Current Concepts in Pediatric Critical Care-Q&A Session 1

Video Transcription

Video Summary

In this faculty session, the speakers discuss various topics related to critical care pediatrics, including brain death examination, neuroprotective strategies, transfusion thresholds, and management of massive bleeding. They highlight the importance of standardization and education in these areas. The speakers mention that the revised guidelines for brain death examination have been widely accepted and have reduced diagnostic errors. They recommend performing a neurologic exam after 24 to 48 hours of neuroprotective strategies, with specific considerations for temperature management. In terms of transfusion thresholds, they discuss the challenges of using hemoglobin as a trigger and the need for individualized approaches based on patient factors and disease factors. The speakers emphasize the need to educate healthcare professionals about the risks and adverse effects of transfusions. They also discuss the use of rotational thromboelastometry (ROTEM) to guide transfusion strategies and the potential for increasing the use of cryoprecipitate or fibrinogen concentrates. When managing massive bleeding, the speakers emphasize the importance of balanced resuscitation and the need for hypocalcemia management. They also mention ongoing research studies to improve transfusion strategies and the development of products to reduce immune modulation. Overall, the speakers highlight the need for multidisciplinary collaboration, standardized protocols, and ongoing education in critical care pediatrics.

Asset Caption

Current Concepts in Pediatric Brain Death (Thomas A. Nakagawa, MD, FAAP, FCCM)
Neuroprotective Strategies (Utpal Bhalala, MD, FCCM)
Transfusion Thresholds in Critically Ill Children (Christopher M. Watson, MD, MPH, FCCM)
Massive Bleeding (Philip Spinella, MD, FCCM)

Moderators: Sharon Y. Irving, PhD, CRNP, FCCM, FAAN, FASPEN; Kyle J. Rehder, MD, CPPS, FCCM; Nick Ettinger, MD, PhD, CMQ, CPPS, FAAP

Keywords

critical care pediatrics

brain death examination

neuroprotective strategies

transfusion thresholds

massive bleeding management

standardization

ROTEM

cryoprecipitate

multidisciplinary collaboration

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