Evidence map›Paper›PMID 37537325›Full record

ArticleCanadian journal of anaesthesia = Journal canadien d'anesthesie2023

The care of critically ill adults with COVID-19 in Ontario pediatric intensive care units.

Olugbenga Akinkugbe, Sonny Dhanani, Salmas Watad, Prasant D Aravind, Myra Pereira, Karen Dryden-Palmer, Fuad Alnaji, Chaim Bell, Luke Devine, Eddy Fan and 8 more

Open access · hybridAbstract read
PubMed Publisher
In one paragraph

Article in Canadian journal of anaesthesia = Journal canadien d'anesthesie, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.7field-weighted citation impact, top 31% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 3 citations in OpenAlex.

  1. Canadian anesthesiologists: it's high time to unmask the physician behind the drapes.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2023
    Article
  2. Answering global challenges to the determination of death: consensus-building leadership from Canada.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2023
    Article
  3. Answering global challenges to the determination of death: consensus-building leadership from Canada.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2023
    Article
  4. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 7 institutions in 3 countries.

Olugbenga AkinkugbeDepartment of Critical Care Medicine, The Hospital for Sick Children, Toronto, ON, Canada. olugbenga.akinkugbe@sickkids.ca.ORCID http://orcid.org/0000-0002-7270-8046
Sonny DhananiPediatric Intensive Care Unit, Children's Hospital of Eastern Ontario, Ottawa, ON, Canada.
Salmas WatadDepartment of Pediatric Cardiac Critical Care Medicine, Schneider Children's Medical Center of Israel, Petah Tikva, Israel.
Prasant D AravindPaediatric Intensive Care Unit, Birmingham Children's Hospital, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, UK.
Myra PereiraDepartment of Critical Care Medicine, The Hospital for Sick Children, Toronto, ON, Canada.
Karen Dryden-PalmerDepartment of Critical Care Medicine, The Hospital for Sick Children, Toronto, ON, Canada.
Fuad AlnajiPediatric Intensive Care Unit, Children's Hospital of Eastern Ontario, Ottawa, ON, Canada.
Chaim BellDivision of General Internal Medicine, Mount Sinai Hospital, Toronto, ON, Canada.
Luke DevineInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada.
Eddy FanInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada.
Anne-Marie GuerguerianDepartment of Critical Care Medicine, The Hospital for Sick Children, Toronto, ON, Canada.
Andrew HelmersDepartment of Critical Care Medicine, The Hospital for Sick Children, Toronto, ON, Canada.
Melanie LavignePediatric Intensive Care Unit, Children's Hospital of Eastern Ontario, Ottawa, ON, Canada.
Christie LeeDepartment of Medicine, University of Toronto, Toronto, ON, Canada.
Christina MarattaDepartment of Critical Care Medicine, The Hospital for Sick Children, Toronto, ON, Canada.
Nicole K McKinnonDepartment of Critical Care Medicine, The Hospital for Sick Children, Toronto, ON, Canada.
David NeilipovitzFaculty of Medicine, University of Ottawa, Ottawa, ON, Canada.
Elaine GilfoyleDepartment of Critical Care Medicine, The Hospital for Sick Children, Toronto, ON, Canada.
University of Toronto · CAHospital for Sick Children · CAUniversity of Ottawa · CABirmingham Children's Hospital · GBChildren's Hospital of Eastern Ontario · CAMount Sinai Hospital · CASchneider Children's Medical Center · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo describe and review the experience of two pediatric intensive care units (PICUs) in Ontario, Canada, adapting and providing care to critically ill adults during the COVID-19 pandemic. CLINICAL FEATURES: At a time of extreme pressure to adult intensive care unit (ICU) capacity, two PICUs provided care to critically ill adults with COVID-19 pneumonia. Substantial yet rapid planning was required to facilitate safe delivery of critical care to adult patients while maintaining PICU services, including thoughtful development of care pathways and patient selection. To prepare clinical staff, several communication strategies, knowledge translation, skill consolidation, and system-adaptation mechanisms were developed. There was iterative adaptation of operational processes, including staffing models, specialist consultation, and the pharmacy. Care provided by the interprofessional teams was reoriented as appropriate to the needs of critically ill adults in close collaboration with adult ICU teams. Forty-one adults were admitted to the two PICUs over a 12-week period. In total, 36 patients (88%) received invasive ventilation, eight patients (20%) were supported with venovenous extracorporeal membrane oxygenation, and six patients (15%) received continuous renal replacement therapy. Four died in the PICU during this period. Feedback from staff included anxiety around reorienting practice to the care of critically ill adults, physical exhaustion, and psychological distress. Importantly, staff also reported a renewed sense of purpose with participation in the program.

conclusionThough challenging, the experience has provided opportunity to enhance collaboration with partner institutions and improve the care of older children and adolescents in the PICU.

Indexed as

COVID-19AdolescentAdultChildCritical IllnessHumansIntensive Care UnitsIntensive Care Units, PediatricOntarioPandemicsCOVID-19critical careICUpediatricsPICU

Identifiers

PMID37537325
OpenAlexW4385564150

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.