Episodes

  • In this Complex Care Journal Club podcast episode, Dr. Lorna Fraser discusses the results of a prospective cohort study comparing outcomes for children receiving home blends vs formula via gastrostomy tube. She describes the central role of patients and families in study design, opportunities for ensuring equitable access to blended diets, and next steps from this work.

    SPEAKER
    Lorna Fraser, PhD, MBChB, MRCPCH, MSc, MMedSci
    Professor of Palliative Care and Child Health, Cicely Saunders Institute and School of Life Sciences and Population Health
    King’s College London

    HOST
    Kathleen Huth, MD, MMSc
    Pediatrician, Complex Care Service, Division of General Pediatrics
    Boston Children's Hospital
    Assistant Professor of Pediatrics
    Harvard Medical School

    DATES
    Initial Publication date: April 8, 2024

    JOURNAL ARTICLES
    Journal Club Article Citations
    Fraser LK, Bedendo A, O'Neill M, Taylor J, Hackett J, Horridge KA, Cade J, Richardson G, Phung H, McCarter A, Hewitt CE. Safety, resource use and nutritional content of home-blended diets in children who are gastrostomy fed: Findings from 'YourTube' - a prospective cohort study. Arch Dis Child. 2023 Dec 21:archdischild-2023-326393. doi: 10.1136/archdischild-2023-326393.

    Fraser LK, Bedendo A, O'Neill M, Taylor J, Hackett J, Horridge K, Cade J, Richardson G, Phung H, Mccarter A, Hewitt C. 'YourTube' the role of different diets in gastrostomy-fed children: Baseline findings from a prospective cohort study. Dev Med Child Neurol. 2023 Nov 10. doi: 10.1111/dmcn.15799.

    OTHER REFERENCES
    Hron B, Fishman E, Lurie M, Clarke T, Chin Z, Hester L, Burch E, Rosen R. Health Outcomes and Quality of Life Indices of Children Receiving Blenderized Feeds via Enteral Tube. J Pediatr. 2019 Aug;211:139-145.e1. doi: 10.1016/j.jpeds.2019.04.023. Epub 2019 May 23. PMID: 31128885; PMCID: PMC6660979.

    Maddison J, Taylor J, O'Neill M, Cade J, Hewitt C, Horridge K, McCarter A, Fraser LK, Beresford B. Outcomes for gastrostomy-fed children and their parents: qualitative findings from the 'Your Tube' study. Dev Med Child Neurol. 2021 Sep;63(9):1099-1106. doi: 10.1111/dmcn.14868. Epub 2021 Apr 1. PMID: 33792913.

    University of York. YourTube: Home blended diets for children who are gastrostomy fed. Infographic. Accessed March 13, 2024. https://www.york.ac.uk/media/healthsciences/images/research/phs/mhrc/Yourtube%20-%200102%20Infographic%20print.pdf

    University of York. YourTube for parent/healthcare professional. YouTube. January 19, 2024. Accessed March 13, 2024. https://youtu.be/5POi2Cjp8og

    University of York. YourTube for young people. YouTube. January 19, 2024. Accessed March 13, 2024. https://youtu.be/NlVriI0O-oI

    TRANSCRIPT
    chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://op-docebo-images.s3.amazonaws.com/Transcripts/Building+the+Evidence+for+Blended+Diets_Fraser_040824.pdf

    Clinicians across healthcare professions, advocates, researchers, and patients/families are all encouraged to engage and provide feedback! You can recommend an article for discussion using this form: https://forms.gle/Bdxb86Sw5qq1uFhW6

    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]

    CITATION
    Fraser L, Huth K. Building the Evidence for Blended Diets: Benefits and Barriers to Access. 4/2024. OPENPediatrics. Online Podcast. https://on.soundcloud.com/pcQSrJTHvF4H4yiY6

  • In this World Shared Practice Forum Podcast, authors of the newly released publication, International Consensus Criteria for Pediatric Sepsis and Septic Shock, review their research and findings for treating and caring for children with sepsis and septic shock. They discuss how using the novel Phoenix Sepsis Score guided the development of this new globally applicable research model.

    LEARNING OBJECTIVES
    Upon listening to this presentation, learners will be able to:
    - Describe the goals and development of the new Phoenix Sepsis Score
    - Discuss how clinicians can apply the score in clinical practice and for research endeavors
    - Explain the challenges and limitations of using the Phoenix Sepsis score in lower-resource settings

    AUTHORS
    Luregn Schlapbach, MD, PhD, Prof, FCICM
    Head, Department of Intensive Care and Neonatology
    University Children’s Hospital in Zurich, Switzerland

    Scott Watson, MD, MPH
    Professor of Pediatrics
    University of Washington School of Medicine
    Associate Division Chief
    Division of Pediatric Critical Care Medicine
    Seattle Children’s Hospital

    Claudio Flauzino de Oliveira, MD, PhD
    Researcher
    Latin American Sepsis Institute

    Halden Scott, MD, MSCS
    Director of Research
    Section of Pediatric Emergency Medicine
    University of Colorado School of Medicine
    Children’s Hospital Colorado

    Tellen Bennett, MD, MS
    Professor of Biomedical Informatics and Pediatrics
    Vice Chair of Clinical Informatics
    Department of Biomedical Informatics
    University of Colorado School of Medicine
    Attending Physician
    Pediatric Intensive Care Unit
    Children’s Hospital Colorado

    Traci Wolbrink, MD, MPH
    Senior Associate in Critical Care Medicine; Department of Anesthesiology, Critical Care and Pain Medicine
    Boston Children's Hospital
    Associate Professor of Anesthesia
    Harvard Medical School

    DATES
    Initial publication date: March 26, 2024.

    ARTICLES REFERENCED
    Development and Validation of the Phoenix Criteria for Pediatric Sepsis and Septic Shock
    https://jamanetwork.com/journals/jama/fullarticle/2814296

    Global Study of Disease
    https://pubmed.ncbi.nlm.nih.gov/31954465/

    Sepsis-3
    https://jamanetwork.com/journals/jama/fullarticle/2492881

    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]

    CITATION
    Schlapbach LJ, Bennett TD, de Oliveira CF, Scott HF, Watson RS, O’Hara JE, Wolbrink TA. New Phoenix Pediatric Sepsis Criteria. 03/2024. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/new-phoenix-pediatric-sepsis-criteria.

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  • In this new Nursing World Shared Practice Forum video, Dr. Andrea Wallace shares the importance of implementing social determinants of health screening in healthcare delivery. She shares non-traditional strategies and resources nurses can use to participate in evidence-based practice activities. She also discusses firsthand experiences with implementing evidence-based practice in the context of improving outcomes when social determinants of health exist.

    LEARNING OBJECTIVES
    Following this discussion, learners will be able to:
    - Describe four social health factors
    - Discuss facilitators and barriers to implementing healthcare improvements when social determinants of health exist
    - List traditional and non-traditional strategies and resources to help nurses participate in evidence-based practice
    - Describe ways to incorporate evidence-based practice into nursing practice

    AUTHORS
    Andrea Wallace PhD, RN, FAAN‌
    Associate Dean for Research
    University of Utah

    Julie Waitt MSN, RN, CPHON
    Director of Nursing Patient Services
    Hematopoietic Stem Cell Transplant Unit
    Boston Children’s Hospital‌‌‌

    DATES
    Initial publication: March 18, 2024.

    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]

    CITATION
    Wallace A, Brodie K, DeGrazia M, Waitt J. Leveraging Research to Address Social Determinants of Health. 03/2024. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/leveraging-research-to-address-social-determinants-of-health-by-a-wallace-openpediatrics

  • In this Complex Care Journal Club podcast episode, Dr. Ulfat Shaikh discusses the development of an implementation toolkit to prevent medication errors in the home and community using quality improvement methodology. She describes the process of translating recommendations from a policy statement into practice, opportunities for collaboration with the Council on Quality Improvement and Patient Safety, and next steps from this work.

    SPEAKER
    Ulfat Shaikh, MD, MPH, MS
    Professor of Pediatrics and Medical Director for Healthcare Quality
    University of California Davis Health

    HOST
    Kristina Malik, MD
    Assistant Professor of Pediatrics,
    University of Colorado School of Medicine
    Medical Director, KidStreet
    Pediatrician, Special Care Clinic,
    Children's Hospital Colorado

    DATES
    Initial publication: March 11, 2024.

    JOURNAL CLUB ARTICLE
    Shaikh U, Kim JM, Yin SH. Implementing Strategies to Prevent Home Medication Administration Errors in Children With Medical Complexity. Clin Pediatr (Phila). 2023 Aug 29:99228231196750. doi: 10.1177/00099228231196750. Epub ahead of print. PMID: 37644803.

    OTHER ARTICLES REFERENCED
    Agency for Healthcare Research and Quality. Health Literacy Universal Precautions Toolkit, 3rd Edition. Use the Teach-Back Method: Tool 5. Content last reviewed February 2024. https://www.ahrq.gov/health-literacy/improve/precautions/tool5.html‌

    ‌‌American Academy of Pediatrics Council on Quality Improvement and Patient Safety. Preventing home medication administration errors implementation resources. Published November/December 2021. Accessed August 16, 2023. bit.ly/44kK68W.‌

    ‌Yin HS, Neuspiel DR, Paul IM, Franklin W, Tieder JS, Adirim T, Alvarez F, Brown JM, Bundy DG, Ferguson LE, Gleeson SP, Leu M, Mueller BU, Connor Phillips S, Quinonez RA, Rea C, Rinke ML, Shaikh U, Shiffman RN, Vickers Saarel E, Spencer Cockerham SP, Mack Walsh K, Jones B, Adler AC, Foster JH, Green TP, Houck CS, Laughon MM, Neville K, Reigart JR, Shenoi R, Sullivan JE, Van Den Anker JN, Verhoef PA. Preventing Home Medication Administration Errors. Pediatrics. 2021 Dec 1;148(6):e2021054666. doi: 10.1542/peds.2021-054666. PMID: 34851406.

    TRANSCRIPT
    https://op-docebo-images.s3.amazonaws.com/Transcripts/Preventing+Pediatric+Medication+Errors+at+Home_Shaikh_030824.pdf

    Clinicians across healthcare professions, advocates, researchers, and patients/families are all encouraged to engage and provide feedback! You can recommend an article for discussion using this form: https://forms.gle/Bdxb86Sw5qq1uFhW6

    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]

    CITATION
    Shaikh U, Malik K. Preventing Pediatric Medication Errors at Home: Putting a Policy Statement into Practice. 3/2024. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/preventing-pediatric-medication-errors-at-home-putting-a-policy-statement-into-practice

  • In this World Shared Practice Forum Podcast, Dr. Martin Kneyber discusses the implementation of the PALICC-2 guidelines in bedside monitoring and management of pediatric acute respiratory distress syndrome (PARDS). He shares insights on how the concepts of positive end-expiratory pressure (PEEP), driving pressure, patient self-inflicted lung injury (P-SILI), and the use of non-invasive ventilation are translated to the bedside management of PARDS.

    LEARNING OBJECTIVES
    - Explain the concept of driving pressure and its significance in the management of pediatric acute lung injury
    - Identify the potential benefits and drawbacks of neuromuscular blockade in pediatric acute lung injury patients
    - Describe the concept of non-invasive ventilation in the management of acute respiratory failure in pediatric patients, including its potential benefits, limitations, and challenges in implementation

    AUTHORS
    Martin Kneyber MD, PhD, FCCM
    Chief of the Division of Paediatric Critical Care Medicine
    Beatrix Children’s Hospital
    University Medical Center Groningen, Groningen, the Netherlands

    Jeffrey Burns MD, MPH
    Chief and Shapiro Chair, Division of Critical Care Medicine; Executive Chair, International Health Services
    Senior Associate in Critical Care Medicine; Department of Anesthesiology, Critical Care and Pain Medicine
    Boston Children's Hospital
    Professor of Anesthesia
    Harvard Medical School

    DATES
    Initial Publication Date: February 26, 2024.

    ARTICLES REFERENCED
    00:58 https://pubmed.ncbi.nlm.nih.gov/36661420/
    Emeriaud G, López-Fernández YM, Iyer NP, et al. Executive Summary of the Second International Guidelines for the Diagnosis and Management of Pediatric Acute Respiratory Distress Syndrome (PALICC-2). Pediatr Crit Care Med. 2023;24(2):143-168.

    01:46 https://pubmed.ncbi.nlm.nih.gov/29373802/
    Khemani RG, Parvathaneni K, Yehya N, Bhalla AK, Thomas NJ, Newth CJL. Positive End-Expiratory Pressure Lower Than the ARDS Network Protocol Is Associated with Higher Pediatric Acute Respiratory Distress Syndrome Mortality. Am J Respir Crit Care Med. 2018;198(1):77-89.

    02:53 https://pubmed.ncbi.nlm.nih.gov/30361119/
    Khemani RG, Smith L, Lopez-Fernandez YM, et al. Paediatric acute respiratory distress syndrome incidence and epidemiology (PARDIE): an international, observational study [published correction appears in Lancet Respir Med. 2018 Nov 13;:] [published correction appears in Lancet Respir Med. 2019 Mar;7(3):e12]. Lancet Respir Med. 2019;7(2):115-128.

    07:45 https://pubmed.ncbi.nlm.nih.gov/25693014/
    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.

    07:49 https://pubmed.ncbi.nlm.nih.gov/36661438/
    Yehya N, Smith L, Thomas NJ, et al. Definition, Incidence, and Epidemiology of Pediatric Acute Respiratory Distress Syndrome: From the Second Pediatric Acute Lung Injury Consensus Conference. Pediatr Crit Care Med. 2023;24(12 Suppl 2):S87-S98.

    18:09 https://pubmed.ncbi.nlm.nih.gov/20843245/
    Papazian L, Forel JM, Gacouin A, et al. Neuromuscular blockers in early acute respiratory distress syndrome. N Engl J Med. 2010;363(12):1107-1116.

    18:27 https://pubmed.ncbi.nlm.nih.gov/27779896/
    Huang DT, Angus DC, Moss M, et al. Design and Rationale of the Reevaluation of Systemic Early Neuromuscular Blockade Trial for Acute Respiratory Distress Syndrome. Ann Am Thorac Soc. 2017;14(1):124-133.

    19:26 https://pubmed.ncbi.nlm.nih.gov/27748627/
    Doorduin J, Nollet JL, Roesthuis LH, et al. Partial Neuromuscular Blockade during Partial Ventilatory Support in Sedated Patients with High Tidal Volumes. Am J Respir Crit Care Med. 2017;195(8):1033-1042.

    Kneyber MCJ, O’Hara JE, Burns JP. Bedside Implementation of the PALICC-2 Guidelines. 2/2024. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/bedside-implementation-of-the-palicc-2-guidelines-by-m-kneyber-openpediatrics.

  • In this Complex Care Journal Club podcast episode, Dr. Julie Hauer and Ms. Jennifer Siedman discuss the development of an anticipatory guidance tool for children with severe neurologic impairment called NeuroJourney, an initiative of the Courageous Parents Network. They describe its grounding in palliative care principles and literature, opportunities to support collaborative relationships between clinicians and families, and next steps from this work.

    SPEAKERS
    Julie Hauer, MD
    Pediatrician, Division of General Pediatrics
    Boston Children's Hospital
    Medical Director
    Seven Hills Pediatrics Center

    Jennifer Siedman, MEd
    Director of Community Engagement
    Courageous Parents Network

    HOST
    Emily Goodwin, MD
    Clinical Associate Professor of Pediatrics, University of Missouri Kansas City School of Medicine
    Pediatrician, General Academic Pediatrics Beacon Program, Children’s Mercy Kansas City

    DATES
    Initial publication: February 5, 2024.

    JOURNAL ARTICLE
    Hauer J, Siedman J, Trager C, Thienprayoon R. NeuroJourney. Courageous Parents Network. Accessed Jan 25th, 2024. https://neurojourney.courageousparentsnetwork.org/

    OTHER REFERENCES
    Thienprayoon, R; Lord, BT; Siedman, J; Hauer, J. Creating a “Journey Map” for Children with Severe Neurologic Impairment: A Collaboration Between Private and Academic Pediatric Palliative Care, Nonprofit Organizations, and Parents. Journal of Pain and Symptom Management. 2023; 65:e270-e271.

    Orkin J, Beaune L, Moore C, Weiser N, Arje D, Rapoport A, Netten K, Adams S, Cohen E, Amin R. Toward an Understanding of Advance Care Planning in Children With Medical Complexity. Pediatrics. 2020 Mar;145(3):e20192241. doi: 10.1542/peds.2019-2241.

    TRANSCRIPT
    https://op-docebo-images.s3.amazonaws.com/Transcripts/Shared+Journeys_+Evidence-Based+Anticipatory+Guidance_020524.pdf

    Clinicians across healthcare professions, advocates, researchers, and patients/families are all encouraged to engage and provide feedback! You can recommend an article for discussion using this form: https://forms.gle/Bdxb86Sw5qq1uFhW6

    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]

    CITATION
    Hauer J, Siedman J, Goodwin EJ. Shared Journeys: Evidence-Based Anticipatory Guidance for Children with Severe Neurologic Impairment. 2/2024. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/shared-journeys-evidence-based-anticipatory-guidance-for-children-with-severe-neurologic-impairment

  • In this World Shared Practice Forum Podcast, Dr. Robert Tasker, Editor-in-Chief of the journal Pediatric Critical Care Medicine, discusses his efforts to help scholars improve their writing and get published. He emphasizes the importance of reading contemporary literature, mastering the basics of scientific writing, and engaging with references critically in the age of AI.

    LEARNING OBJECTIVES
    Upon listening to the presentation, learners will be able to:
    - Recognize the importance of reading and thoroughly engaging with references in scientific writing
    - Discuss the limitations and uncertain place of AI-generated content in academic writing
    - Identify the role of mentors, reviewers, and editors in ensuring academic rigor in scholarly work
    - Preview upcoming innovations in the journal of PCCM

    AUTHORS
    Robert C. Tasker, MBBS, MD
    ditor-in-Chief, Pediatric Critical Care Medicine
    Pediatric Critical Care Medicine
    Senior Associate in Critical Care Medicine, Department of Anesthesiology, Critical Care and Pain Medicine
    Boston Children's Hospital
    Professor of Anesthesia
    Harvard Medical School
    College Lecturer in Medicine and Graduate Tutor
    Selwyn College, University of Cambridge

    Traci Wolbrink, MD, MPH
    Senior Associate in Critical Care Medicine; Department of Anesthesiology, Critical Care and Pain Medicine
    Boston Children's Hospital
    Associate Professor of Anesthesia
    Harvard Medical School

    DATES
    Initial Publication Date: January 22, 2024.

    ARTICLES REFERENCED
    2:17 https://pubmed.ncbi.nlm.nih.gov/33657612/
    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

    2:36 https://pubmed.ncbi.nlm.nih.gov/33790209/
    Tasker RC. PCCM Narratives, Letters, and Correspondence. Pediatr Crit Care Med. 2021;22(4):426-427. doi:10.1097/PCC.0000000000002732

    2:50 https://pubmed.ncbi.nlm.nih.gov/36165939/
    Tasker RC. Writing for PCCM: Instructions for Authors. Pediatr Crit Care Med. 2022;23(8):651-655. doi:10.1097/PCC.0000000000003032


    2:56 https://journals.lww.com/pccmjournal/fulltext/2022/08000/writing_for_pccm__instructions_for_authors.9.aspx
    Tasker, Robert C. MBBS, MD, FRCP1–3. Writing for PCCM: Instructions for Authors. Pediatric Critical Care Medicine 23(8):p 651-655, August 2022. | DOI: 10.1097/PCC.0000000000003032

    5:21 https://pubmed.ncbi.nlm.nih.gov/35390115/
    Horvat CM, Curley MAQ, Girard TD. Selecting Intermediate Respiratory Support Following Extubation in the Pediatric Intensive Care Unit. JAMA. 2022;327(16):1550-1552. doi:10.1001/jama.2022.4637

    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, thus at no expense to the user. For further information on how to enroll, please email: [email protected]

    CITATION
    Tasker RC, O’Hara JE, Wolbrink TA. The Future of Scholarly Writing in Pediatric Critical Care Medicine. 01/2024. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/pccm-in-the-future-era-of-writing-and-reading-by-r-tasker-openpediatrics.

  • In this video, the viewer will learn the clinical basics of fever as well as the physiology of body temperature and the approach to evaluation and management of fever.
    Initial publication: April 9, 2019.

    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 Complex Care Journal Club podcast episode, Dr. Arda Hotz discusses a cross-sectional study of the use of durable medical equipment and supplies by pediatric patients. She describes implications for the care of children with complex chronic conditions, key stakeholders involved in the analysis, and next steps from this work.

    SPEAKERS
    Arda Hotz, MD, MPH
    Instructor of Pediatrics, Harvard Medical School
    Pediatrician, Division of General Pediatrics, Boston Children's Hospital

    HOST
    Emily Goodwin, MD
    Clinical Associate Professor of Pediatrics, University of Missouri Kansas City School of Medicine
    Pediatrician, General Academic Pediatrics Beacon Program, Children’s Mercy Kansas City

    DATES
    Initial publication: January 5, 2024.

    ARTICLES REFERENCED
    Hotz A, Sprecher E, Bastianelli L, Rodean J, Stringfellow I, Barkoudah E, Cohen LE, Estrada C, Graham R, Greenwood J, Kyle J, Mann N, Pinkham M, Solari T, Rosen R, Saleeb S, Shah AS, Watters K, Wells S, Berry JG. Categorization of a Universal Coding System to Distinguish Use of Durable Medical Equipment and Supplies in Pediatric Patients. JAMA Netw Open. 2023 Oct 2;6(10):e2339449. doi: 10.1001/jamanetworkopen.2023.39449. PMID: 37874565; PMCID: PMC10599121.

    Adegboro CO, Coller RJ. An Important Tool to Understand Durable Medical Equipment and Supply Use in Children. JAMA Netw Open. 2023 Oct 2;6(10):e2339581. doi: 10.1001/jamanetworkopen.2023.39581. PMID: 37874568

    Children and Youth with Special Health Care Needs National Research Network. Emerging Investigator Program. https://cyshcnet.org/emerging-investigator-program/‌‌‌

    Feudtner C, Feinstein JA, Zhong W, Hall M, Dai D. Pediatric complex chronic conditions classification system version 2: updated for ICD-10 and complex medical technology dependence and transplantation. BMC Pediatr. 2014 Aug 8;14:199. doi: 10.1186/1471-2431-14-199. PMID: 25102958; PMCID: PMC4134331.‌‌‌‌

    TRANSCRIPT
    https://op-docebo-images.s3.amazonaws.com/Transcripts/Getting+Equipped_Understanding+the+Use+of+Durable+Medical+Equipment+in+Children_Hotz_010824.pdf

    Clinicians across healthcare professions, advocates, researchers, and patients/families are all encouraged to engage and provide feedback! You can recommend an article for discussion using this form: forms.gle/Bdxb86Sw5qq1uFhW6

    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, thus at no expense to the user. For further information on how to enroll, please email: [email protected]

    CITATION
    Hotz A, Goodwin EJ. Getting Equipped: Understanding the Use of Durable Medical Equipment in Pediatrics. 1/2024. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/getting-equipped-understanding-the-use-of-durable-medical-equipment-in-pediatrics.

  • In this Nursing World Shared Practice video, Dr. Ernest Grant discusses the catalysts that prompted the formation of the National Commission to Address Racism in Nursing. He identifies inequities within the nursing profession and provides examples of how nurses can become allies to confront individual and systemic racism.

    LEARNING OBJECTIVES
    Following this discussion, learners will be able to:
    - Explain why the National Commission to Address Racism in Nursing was founded
    - Define racism in nursing
    - Discuss how racism in nursing is being addressed
    - Identify ways to be an antiracist in nursing
    - Provide examples of effective allyship in nursing

    AUTHORS
    Ernest J. Grant, PhD, DSc(h), RN, FAAN
    Vice Dean for Diversity, Equity, Inclusion and Belonging
    Duke University School of Nursing
    Office of Diversity and Inclusion
    Immediate Past President of the American Nurses Association

    Laura J. Wood, DNP, RN, NEA-BC, FAAN
    EVP Patient Care Operations & System CNO
    Sporing Carpenter Chair for Nursing
    Boston Children's Hospital

    DATES
    Initial publication: December 18, 2023.

    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]

    CITATION
    Grant EJ, DeGrazia M, Wood LJ. Antiracism in Nursing and the Importance of Allyship. 12/2023. OPENPediatrics. Online Podcast: https://soundcloud.com/openpediatrics/antiracism-in-nursing-and-the-importance-of-allyship-by-dr-ernest-grant-for-openpediatrics

  • This podcast discusses trauma-informed care (TIC) for children including 1) why patients may not endorse a history of trauma, 2) why providers might not screen for trauma, and 3) what to do if a patient has a positive screen for trauma.

    LEARNING OBJECTIVES
    - Recognize why a patient may not endorse a history of trauma
    - Define reasons why a provider might not screen for trauma
    - Identify and utilize strategies to respond to a patient who does screen positive for a trauma history

    AUTHORS
    Ayesha Dholakia, MD
    Pediatrics Resident
    Boston Combined Residency Program
    Leadership in Equity and Advocacy (LEAD) Track
    Boston Children's Hospital | Boston Medical Center

    Katelin Blackburn, MD
    Adolescent Medicine Fellow
    Division of Adolescent and Young Adult Medicine
    Boston Children's Hospital

    Brenna Chase, MD
    Chief Resident in Pediatrics
    Boston Combined Residency Program
    Urban Health and Advocacy Track
    Boston Children's Hospital | Boston Medical Center

    Daniel O'Meara, MD
    Pediatrics Resident
    Boston Combined Residency Program
    Boston Children's Hospital | Boston Medical Center

    DATES
    Initial publication date: December 12, 2023

    CITATION
    Dholakia A, Perez C, Blackburn K, Chase B, Wills K, O'Meara D. Trauma Informed Care Part 2. 12/2023. OPENPediatrics. Podcast: https://soundcloud.com/openpediatrics/pediatric-behavioral-and-mental-health-trauma-informed-care-part-2.

    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]

  • This podcast discusses trauma-informed care (TIC) for children by 1) defining trauma, 2) discussing the common types of traumatic events children can experience, 3) detailing core principles of trauma-informed care, and 4) providing recommendations for how to incorporate TIC into pediatric practice.

    LEARNING OBJECTIVES
    Upon viewing this video, learners will be able to:
    - Recognize the ubiquitous nature of trauma
    - Identify the core tenets of trauma-informed care
    - Identify and utilize strategies to provide such care to our patients and families

    AUTHORS
    Ayesha Dholakia, MD
    Pediatrics Resident
    Boston Combined Residency Program
    Leadership in Equity and Advocacy (LEAD) Track
    Boston Children's Hospital | Boston Medical Center

    Catherine Coughlin, MD
    Emergency Medicine Fellow
    Division of Emergency Medicine
    Boston Children's Hospital

    Katelin Blackburn, MD
    Adolescent Medicine Fellow
    Division of Adolescent and Young Adult Medicine
    Boston Children's Hospital

    Brenna Chase, MD
    Chief Resident in Pediatrics
    Boston Combined Residency Program
    Urban Health and Advocacy Track
    Boston Children's Hospital | Boston Medical Center

    Daniel O'Meara, MD
    Pediatrics Resident
    Boston Combined Residency Program
    Boston Children's Hospital | Boston Medical Center

    DATES
    Initial Publication: December 12, 2023

    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]

    CITATION
    Dholakia A, Moye B, Blackburn K, Coughlin CG, Chase B, Wills K, O'Meara D. Trauma Informed Care Part 1. 12/2023. OPENPediatrics. Online Podcast: https://on.soundcloud.com/xZ1oU.

  • In this Complex Care Journal Club podcast episode, Dr. Lewis First and Ms. Cara Coleman discuss the role of the journal Pediatrics in disseminating emerging evidence in complex care and disability. They describe the unique Family Partnerships column, the inclusive decision-making process for publication, and opportunities for clinicians and families to engage with the journal.

    SPEAKERS
    Lewis R. First, MD, MS
    Editor-In-Chief, Pediatrics
    Professor and Chair, Department of Pediatrics,
    The University of Vermont Robert Larner, M.D. College of Medicine

    Cara L. Coleman, JD, MPH
    Associate Editor, Pediatrics
    Instructor of Medical Education,
    UVA Medicine Inova campus

    HOST
    Kathleen Huth, MD, MMSc
    Pediatrician, Complex Care Service, Division of General Pediatrics
    Boston Children's Hospital
    Assistant Professor of Pediatrics
    Harvard Medical School

    DATES
    Initial publication: December 4, 2023.

    ARTICLES REFERENCED
    https://publications.aap.org/pediatrics/pages/author-instructions#family_partnerships

    https://publications.aap.org/pediatrics/resources/26567/commentary-from-the-council-on-children-with

    Cohen E, Kuo DZ, Agrawal R, Berry JG, Bhagat SK, Simon TD, Srivastava R. Children with medical complexity: an emerging population for clinical and research initiatives. Pediatrics. 2011 Mar;127(3):529-38. doi: 10.1542/peds.2010-0910. Epub 2011 Feb 21. PMID: 21339266; PMCID: PMC3387912.

    Agrawal R, Stille C, Editors.
    Building Systems That Work for Children With Complex Health Care Needs
    March 2018, Vol 141, Supplement 3
    https://publications.aap.org/pediatrics/issue/141/Supplement_3

    Brown TW, McLellan SE, Mann MY, Scott JA. Guest Editors
    Blueprint for Change: A National Framework for a System of Services for Children and Youth with Special Health Care Needs
    June 2022, Vol 149, Supplement 7
    https://publications.aap.org/pediatrics/issue/149/Supplement%207

    TRANSCRIPT
    https://op-docebo-images.s3.amazonaws.com/Transcripts/+Collective+Voice_A+Conversation+about+Complex+Care_120523+.pdf

    Clinicians across healthcare professions, advocates, researchers, and patients/families are all encouraged to engage and provide feedback! You can recommend an article for discussion using this form: https://forms.gle/Bdxb86Sw5qq1uFhW6

    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.

    CITATION
    First LR, Coleman CL, Huth K. Collective Voice: A Conversation about Complex Care and Disability in the Journal Pediatrics. 12/2023. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/collective-voice-a-conversation-about-complex-care-and-disability-in-the-journal-pediatrics

  • In this World Shared Practice Forum Podcast, Dr. Mark Hall discusses immunology and inflammation in pediatric sepsis treatment, using immune phenotyping to personalize treatment for pediatric sepsis.

    LEARNING OBJECTIVES
    Upon listening to this presentation, learners will be able to:
    - Recall the history of understanding the inflammatory response in critically ill children
    - Identify the distinction between the pro-inflammatory response and the immune paralysis phenomenon
    - Describe the study of immune phenotyping to personalize treatment for pediatric sepsis

    AUTHORS
    Mark W. Hall, MD, FAAP, FCCM
    Chief, Division of Critical Care Medicine
    Nationwide Children's Hospital
    Professor in the Department of Pediatrics
    Division of Critical Care Medicine
    Nationwide Children's Hospital and The Ohio State University College of Medicine

    Jeffrey Burns, MD, MPH
    Chief and Shapiro Chair, Division of Critical Care Medicine; Executive Chair, International Health Services
    Senior Associate in Critical Care Medicine; Department of Anesthesiology, Critical Care and Pain Medicine
    Boston Children's Hospital
    Professor of Anesthesia
    Harvard Medical School

    DATES
    Initial publication: November 27, 2023.

    ARTICLES REFERENCED
    15:48: Cornell TT, Sun L, Hall MW, et al. Clinical implications and molecular mechanisms of immunoparalysis after cardiopulmonary bypass. J Thorac Cardiovasc Surg. 2012;143(5):1160-1166.e1. doi:10.1016/j.jtcvs.2011.09.011

    16:10 Collaborative Pediatric Critical Care Research Network, https://www.cpccrn.org/

    17:04 VanBuren JM, Hall M, Zuppa AF, et al. The Design of Nested Adaptive Clinical Trials of Multiple Organ Dysfunction Syndrome Children in a Single Study [published online ahead of print, 2023 Jul 27]. Pediatr Crit Care Med. 2023;10.1097/PCC.0000000000003332. doi:10.1097/PCC.0000000000003332

    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]

    CITATION
    Hall MW, O’Hara JE, Burns JP. Immunoparalysis and the Future of Personalized Immunotherapy for Critically Ill Children. 11/2023. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/immunoparalysis-and-the-future-of-personalized-immunotherapy-for-critically-ill-children.

  • In this Complex Care Journal Club podcast episode, Dr. Catherine Diskin and Ms. Kate Robinson discuss their team's approach to co-developing a continuing education seminar series. They describe the value of family partnership in complex care education and research, important considerations for effectively engaging families, and next steps from this work.

    SPEAKERS
    Catherine Diskin, MB, BCh, BAO
    Assistant Professor of Pediatrics, University of Toronto
    Co-Educational Lead, Complex Care Program, Department of Paediatrics, The Hospital for Sick Children

    Kate Robinson, MFA
    Founder and Artistic Director, Foxservingpie.org
    Mother of a child with medical complexity

    HOST
    Emily Goodwin, MD
    Clinical Associate Professor of Pediatrics, University of Missouri Kansas City School of Medicine
    Pediatrician, General Academic Pediatrics Beacon Program, Children’s Mercy Kansas City

    DATES
    Initial Publication: November 6, 2023.

    CITATION
    Diskin C, Robinson K, Goodwin EJ. Partnering in Pedagogy: Reflections of a Family Leader and Clinician-Educator. 11/2023. OPENPediatrics. Online Podcast. Links: https://youtu.be/o7qTC7WsAKg, https://soundcloud.com/openpediatrics/partnering-in-pedagogy-reflections-of-a-family-leader-and-clinician-educator.

    JOURNAL ARTICLE REFERENCED
    Diskin C, Robinson K, Agrawal R, Masterson D, Coleman C, Cohen E. Family Partnership in Continuing Medical Education: A Collaborative Experience. Pediatrics. 2023;151(5):e2022060280. doi:10.1542/peds.2022-060280

    ADDITIONAL ARTICLES CITED
    Diskin C, Malik K, Gill PJ, Rashid N, Chan CY, Nelson KE, Thomson J, Berry J, Agrawal R, Orkin J, Cohen E. Research priorities for children with neurological impairment and medical complexity in high-income countries. Dev Med Child Neurol. 2022 Feb;64(2):200-208. doi: 10.1111/dmcn.15037. Epub 2021 Aug 30. PMID: 34462917; PMCID: PMC9291325.

    TRANSCRIPT
    https://op-docebo-images.s3.amazonaws.com/Transcripts/Partnering+in+Pedagogy+Reflections+of+a+Family+Leader+and+Clinician-Educator.pdf

    Clinicians across healthcare professions, advocates, researchers, and patients/families are all encouraged to engage and provide feedback! You can recommend an article for discussion using this form: https://forms.gle/Bdxb86Sw5qq1uFhW6

    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 thus at no expense to the user. For further information on how to enroll, please email: [email protected]

  • This podcast discusses pediatric behavior management counseling covering a wide range of topics including: 1) common challenging behaviors encountered at various stages of childhood and adolescence, 2) ways to create a safe space for children, adolescents, and caretakers to share their thoughts and concerns regarding challenging behaviors, and 3) strategies to incorporate de-escalation and behavior modification strategies into routine well-child visits in order to teach parents these skills.

    LEARNING OBJECTIVES
    - Describe common challenging behaviors encountered at various stages of childhood and adolescence.
    - Create a safe space for children, adolescents, and their caretakers to share thoughts and concerns about behaviors.
    - Describe a framework for behavior dysregulation and an approach to its management.
    - Incorporate de-escalation and behavior modification strategies into routine well child visits.

    AUTHORS
    Daniel O'Meara, MD
    Pediatrics Resident
    Boston Combined Residency Program
    Boston Children's Hospital | Boston Medical Center

    Beverly Aiyanyor, MD
    Pediatrics Resident
    Boston Combined Residency Program
    Boston Children's Hospital | Boston Medical Center

    Brenna Chase, MD
    Chief Resident in Pediatrics
    Boston Combined Residency Program
    Urban Health and Advocacy Track
    Boston Children's Hospital | Boston Medical Center

    Katelin Blackburn, MD
    Adolescent Medicine Fellow
    Division of Adolescent and Young Adult Medicine
    Boston Children's Hospital

    DATES
    Initial Publication: November 3, 2023

    CITATION
    O'Meara D, Perez C, Aiyanyor B, Chase B, Wills K, Blackburn K. Outpatient Behavior Management Counseling. 11/2023. OPENPediatrics. Online Course: https://learn.openpediatrics.org/learn/course/internal/view/elearning/5493/pediatric-behavioral-and-mental-health-outpatient-behavior-management-counseling. Video: https://youtu.be/wyo5oaMtFS0. Podcast: https://soundcloud.com/openpediatrics/pediatric-behavioral-and-mental-health-outpatient-behavior-management-counseling.

    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. Brenda Morrow discusses the structure of the World Federation of Pediatric Intensive & Critical Care Societies, her journey to become President of the Federation, and shares a preview of features in the upcoming World Congress.

    LEARNING OBJECTIVES
    Upon listening to this presentation, learners will be able to:
    - Recognize the goals and organizational framework of the World Federation of Pediatric Intensive and Critical Care Societies or WFPICCS
    - Describe examples of some of the WFPICCS subgroups, subcommittees, and the multidisciplinary evolution of the Federation
    - Preview features of and review deadlines for the upcoming WFPICCS Congress
    - Provide suggestions for those that might be trying to submit their work, particularly those coming from lower middle-income countries

    AUTHORS
    Brenda Morrow, PhD
    President
    World Federation of Pediatric Intensive & Critical Care Societies (WFPICCS)
    Physiotherapist and Full Professor
    Department of Paediatrics
    University of Cape Town, South Africa

    Traci Wolbrink MD, MPH
    Senior Associate in Critical Care Medicine
    Boston Children's Hospital
    Associate Professor of Anaesthesia
    Harvard Medical School

    DATES
    Initial Publication: October 24, 2023.

    CITATION
    Morrow BM, O’Hara JE, Wolbrink TA. The World Federation of Pediatric Intensive & Critical Care Societies: Insights from President Dr. Brenda Morrow. 10/2023. OPENPediatrics. Online Podcast. Links: https://youtu.be/2hdssv7N6qA, https://soundcloud.com/openpediatrics/the-world-federation-of-pediatric-intensive-critical-care-societies-insights-from-the-president.

    REFERENCES
    https://wfpiccs.org/

    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]

  • This podcast explains the pathophysiology of single ventricle cardiac lesions, and reviews the three-step surgical procedure used for palliation.
    0:00 Introduction
    1:55 Anatomy & Pathophysiology
    3:56 Typical Palliation
    8:50 Long Term Complications After Repair

    LEARNING OBJECTIVES
    After listening to this podcast, the learner should be able to:
    • Explain the pathophysiology of single ventricle heart disease
    • Discuss the different stages of palliation for single ventricle heart disease
    • Describe the physiological consequences of the Fontan circulation
    • Recognize long term problems associated with the Fontan circulation

    AUTHORS
    Madeleine Alvin, MD
    Pediatric Anesthesiology Fellow
    Boston Children's Hospital

    Annette Schure, MD
    Senior Associate in Cardiac Anesthesia
    Boston Children's Hospital

    DATES
    Initial publication: October 19, 2023

    CITATION
    Alvin ML, Marcley S, Soohey R, McFee AM, Wolbrink TA, Schure AY. Surgical Palliation for Single Ventricle Lesions. 10/2023. OPENPediatrics. Online Course: https://learn.openpediatrics.org/learn/course/internal/view/elearning/5439/Surgical-Palliation-for-Single-Ventricle-Lesions. Video: https://youtu.be/zptfxT1pjxg. Podcast: https://soundcloud.com/openpediatrics/surgical-palliation-for-single-ventricle-lesions-by-madeleine-alvin-for-openpediatrics/s-j1wNCnQ9ZIX.

    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]

  • This podcast discusses the preoperative, operative, and postoperative considerations for patients undergoing surgical treatment for moyamoya disease including: anatomy and pathophysiology, clinical presentation, diagnosis, preoperative evaluation, anesthetic management, operative approach, and postoperative care.

    LEARNING OBJECTIVES
    Upon listening this podcast, learners will be able to:
    • Describe the anatomy and pathophysiology of moyamoya disease
    • Explain the common preoperative evaluation for surgery to treat moyamoya disease
    • Provide an anesthetic management plan to be used during surgery to treat moyamoya disease
    • Describe several operative approaches used to treat moyamoya disease
    • Anticipate the postoperative considerations following surgery to treat moyamoya disease

    AUTHORS
    Weston Northam, MD
    Shilito Clinical Staff Associate
    Boston Children's Hospital

    Edward Smith, MD, MBA
    Director, Pediatric Neurovascular Surgery
    Boston Children's Hospital

    Jessica Laird-Gion, MD
    Clinical Fellow in Pediatrics
    Boston Children's Hospital

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

    DATES
    Initial Publication: October 9, 2023.

    CITATION
    Northam W, Laird-Gion J, Soohey R, Marcley S, Marques B, Perez J, Smith ER, Wolbrink TA. Moyamoya. 10/2023. OPENPediatrics. Online Course. https://learn.openpediatrics.org/learn/course/internal/view/elearning/5472/moyamoya-disease. Video: https://youtu.be/2PWwtLTZAUs. Podcast: https://soundcloud.com/openpediatrics/moyamoya-disease/s-H6ggQgYd6xw.

    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]

    Please note: OPENPediatrics does not support nor control any related videos in the sidebar, these are placed by YouTube. We apologize for any inconvenience this may cause.

  • In this Complex Care Journal Club podcast episode, Dr. Mark Brittan discusses a qualitative study of stakeholders in a family-certified nursing assistant program in Colorado. He describes the limitations of the paid family caregiver model, opportunities for advocacy, and the next steps from this work.

    SPEAKER
    Mark Brittan, MD, MPH
    Associate Professor of Pediatrics, University of Colorado Anschutz Medical Campus
    Section of Pediatric Hospital Medicine, Children's Hospital Colorado

    HOST
    Kilby Mann, MD
    Assistant Professor of Pediatrics, University of Colorado Anschutz Medical Campus
    Pediatric Rehabilitation Medicine, Children's Hospital Colorado

    DATES
    Initial Publication: October 9, 2023

    CITATION

    JOURNAL ARTICLE REFERENCED
    Brittan MS, Chavez C, Blakely C, Holliman BD, Zuk J. Paid Family Caregiving for Children With Medical Complexity. Pediatrics. 2023;151(6):e2022060198. doi:10.1542/peds.2022-060198

    OTHER ARTICLES REFERENCED
    Foster CC, Kwon S, Blakely C, Carter K, Sobotka SA, Goodman DM, Agrawal R, Brittan M. Paying Family Medical Caregivers for Children's Home Healthcare in Colorado: A Working Medicaid Model. J Pediatr. 2023 Feb 10;261:113347. doi: 10.1016/j.jpeds.2022.12.043. Epub ahead of print. PMID: 36775189; PMCID: PMC10412725.

    Kaye N, Teshale S. Medicaid Supports for Family Caregivers. National Academy for State Health Policy. October 2020. Accessed September 22, 2023. https://www.nashp.org/wp‐content/uploads/2020/10/Medicaid‐Supports‐for‐Family‐Caregivers.pdf

    TRANSCRIPT
    https://op-docebo-images.s3.amazonaws.com/Transcripts/Financial+Compensation+of+Family+Caregivers_Brittan_100923.pdf

    Clinicians across healthcare professions, advocates, researchers, and patients/families are all encouraged to engage and provide feedback! You can recommend an article for discussion using this form: https://forms.gle/Bdxb86Sw5qq1uFhW6

    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]