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- Presentation Topics | Oman Pediatric Critical Care
Choose a topic Clear selection Acute Chest Syndrome & Exchange Transfusion. Part 1 Dr. Saif Awlad Thani Pediatric Intensivist Royal Hospital Acute Kidney Injury in Children Dr. Amani Al-Ghadani Pediatric Resident. OMSB Cardiopulmonary interaction Dr.Shamsa Al kaabi Pediatric cardiology fellow, Royal, OMSB Fluid Balance in Critically Ill children Dr. Kholoud Al Mukhaini Pediatric Intensivist Royal Hospital Inotropes and Vasopressors. Which one to pick? Dr. Ahmed Al Farsi Pediatric Intensivist Rustaq Hospital Lung Point of Care Ultrasound (POCUS) Dr. Ahmed Al Farsi Pediatric Intensivist Rustaq Hospital Non Invasive Ventilation in children Dr. Kholoud Al Mukhaini Pediatric Intensivist Royal Hospital Plastic Bronchitis Dr. Saif Awlad Thani Pediatric Intensivist Royal Hospital Pulmonary Hypertensive Crisis Part 1 Dr. Saif Awlad Thani Pediatric Intensivist Royal Hospital Six pediatric cases with shock. (inotropes and vasopressors part 2) Dr. Ahmed Al Farsi Pediatric Intensivist Rustaq Hospital Acute Chest Syndrome & Exchange Transfusion. Part 2 Dr. Saif Awlad Thani Pediatric Intensivist Royal Hospital Cardiopulmonary Interaction. Basics and clinical Implications Dr. Abdulhamid Alhinai Pediatric resident R2 DKA in Children Dr. Saif Awlad Thani Pediatric Intensivist Royal Hospital Fontan Dr.Saif Awlad Thani Pediatric Intensivist Royal Hospital Introduction to Cerebral Physiology Dr. Ahmed Alfarsi Pediatric Intensivist Rustaq Hospital Non Invasive Ventilation Dr. Raghad Al-Abdwani Pediatric Intensivist SQUH Pediatric ARDS. Critical case discussion Dr. Saif Awlad Thani Pediatric Intensivist Royal Hospital Probability for Clinicians Dr. Saif Awlad Thani Pediatric Intensivist Royal Hospital Pulmonary Hypertensive Crisis part 2 Dr. Saif Awlad Thani Pediatric Intensivist Royal Hospital Ventilation Strategies in Pediatric ARDS Dr. Saif Awlad Thani Pediatric Intensivist Royal Hospital
- PICU Procedures and Skills | Oman Pediatric Critical Care
PICU Procedures S kills and Arterial Line Insertion Created by: EPPIC, University Hospital Southampton Posted with permission from PCCS Bronchoalveolar Lavage Created by: EPPIC, University Hospital Southampton Posted with permission from PCCS Central Line Insertion (Internal Jugular) Created by: EPPIC, University Hospital Southampton Posted with permission from PCCS Chest Drain Insertion (Seldinger) Created by: EPPIC, University Hospital Southampton Posted with permission from PCCS Chest Drain Insertion (Blunt) Created by: EPPIC, University Hospital Southampton Posted with permission from PCCS Chest Drain securing Created by: EPPIC, University Hospital Southampton Posted with permission from PCCS Chest drain removal Created by: EPPIC, University Hospital Southampton Posted with permission from PCCS Central Line Insertion (Subclavian) Created by: Arun Kannappan, Lydia Chang available in YouTube ATS channel Endotracheal Tube Change over bougie Created by: EPPIC, University Hospital Southampton Posted with permission from PCCS Intraosseous Line Insertion Created by: EPPIC, University Hospital Southampton Posted with permission from PCCS Peritoneal Catheter Insertion Created by: EPPIC, University Hospital Southampton Posted with permission from PCCS Tracheostomy Tube Change Created by: EPPIC, University Hospital Southampton Posted with permission from PCCS Anchor 1 Anchor 2 Anchor 3 Anchor 4 Anchor 5 Anchor 6 Anchor 7 Arterial line insertion Bronchoalveolar Lavage Central line insertion (internal Jugular) Central line insertion (Subclavian) Chest drain insertion (Seldinger) Chest drain insertion (Blunt) Chest drain Securing Chest drain removal Endotracheal tube change over bougie Intraosseous line insertion PD catheter insertion Tracheostomy tube change Anchor 8 Anchor 9 Anchor 10 Anchor 11 Anchor 12
- Medical Literature | Oman Pediatric Critical Care
Medical Literature To keep up to date Links to articles in Pediatric Critical Care stratified by systems or topics and labeled with themes to make it easy findings publications in the area of your interest. View More View More View More View More Respiratory & Ventilation Chest, Upper & Lower respiratory tract issues and Invasive and non invasive ventilation View More Shock & Vasoactive Agents Shock, Multiorgan failure, inotropes, and vasopressors View More Renal, Fluid & Electrolytes Renal system issues, fluids & electrolyte imbalance Analgesia & Sedation Sedatives , analgesics and other medications pertaining to sedation Hematology & Oncology Blood related disorders, Blood products and oncology Endocrine & Metabolic Endocrine system and metabolic disorders View More Miscellaneous About a lot of things in pediatric critical care that does not fit other classifications View More View More Neurology & Neuromuscular Central, peripheral nervous system and neuromuscular View More Gastrointestinal, Abdomen & Nutrition Gastrointestinal disorders, other abdominal organs and Nutrition Cardiovascular Heart, vessels and cardiac surgery PICU Guidlines & Protocols View
- Oman Pediatric Critical Care
O ma n Pediatric Criti cal Ca re Education platform to share knowledge and experience for improving the quality of care provided to critically ill children Read More Case of the month Monthly Critical Case Discussion Critical Thinking Explore Continuous medical Education Presentation Topics Let's Go Pediatric Hints Let's Go PICU Procedures & Skills Let's Go Recommended Websites Let's Go Courses & workshops Let's Go PICU Guidelines Let's Go
- PICU Guidlines 2 | OmanPCC
1 2 3 4 Oman national DNR policy Traumatic Brain Injury Hyperammonemia Fontan Circulation COVID19 ARDS Mechanical Ventilation Diabetic Ketoacidosis Status Epilepticus PRBC transfusion POCUS Nutrition Hemodynamic Monitoring Analgosedation Post Arrest Care Pediatric Acute Respiratory Distress Syndrome Consensus Recommendations From the Pediatric Acute Lung Injury Consensus Conference * The main consensus Journal: Pediatric Critical Care Medicine 2015 Noninvasive support and ventilation for pediatric acute respiratory distress syndrome : proceedings from the Pediatric Acute Lung Injury Consensus Conference Journal: Pediatric Critical Care Medicine 2015 Ventilatory support in children with pediatric acute respiratory distress syndrome: proceedings from the Pediatric Acute Lung Injury Consensus Conference Journal: Pediatric Critical Care Medicine 2015 Pulmonary Specific Ancillary Treatment for Pediatric Acute Respiratory Distress Syndrome : Proceedings From the Pediatric Acute Lung Injury Consensus Conference Journal: Pediatric Critical Care Medicine 2015 Nonpulmonary treatments for pediatric acute respiratory distress syndrome: proceedings from the Pediatric Acute Lung Injury Consensus Conference Journal: Pediatric Critical Care Medicine 2015 The Outcomes of Children With Pediatric Acute Respiratory Distress Syndrome: Proceedings From the Pediatric Acute Lung Injury Consensus Conference Journal: Pediatric Critical Care Medicine 2015 Monitoring of children with pediatric acute respiratory distress syndrome : proceedings from the Pediatric Acute Lung Injury Consensus Conference Journal: Pediatric Critical Care Medicine 2015 Comorbidities and assessment of severity of pediatric acute respiratory distress syndrome : proceedings from the Pediatric Acute Lung Injury Consensus Conference Journal: Pediatric Critical Care Medicine 2015 Pediatric acute respiratory distress syndrome : definition, incidence, and epidemiology: proceedings from the Pediatric Acute Lung Injury Consensus Conference Journal: Pediatric Critical Care Medicine 2015 Extracorporeal Support in Children With Pediatric Acute Respiratory Distress Syndrome : Proceedings From the Pediatric Acute Lung Injury Consensus Conference Journal: Pediatric Critical Care Medicine 2015
- About us, Oman Pediatric Critical Care
About this website Pediatric Critical Care is a rapidly evolving subspecialty. In the last decade, many scientific advances have resulted in a fundamental change in the way we view disease processes, such as sepsis, shock, acute lung injury, etc. All physicians caring for critically ill children must have a thorough understanding of the changing evidence. A group of pediatric intensivists in Oman have worked together to create this educational platform as a source of learning. It does not represent any organization but more of a personnel initiative that aims to share knowledge and experience easily and guide those interested in pediatric critical care to precious resources available worldwide. This website is a good learning platform for trainees, clinicians, and other allied health personnel who work in Pediatric Critical Care Unit and other healthcare workers who take care of critically ill children anywhere. It is a free platform that does not need you to subscribe or register to view its content. © The copyrights of all educational materials are for the authors who created them. We provide links to valuable sources of knowledge. We ensure that you view those linked materials in their sources of origin to acknowledge people who put a lot of effort into creating them. We try to choose the best educational materials that worth viewing. If you have any questions, suggestions, or educational material that you would like to share through this website, please contact us. Anchor 1
- Courses&workshops | Oman Pediatric Critical Care
Courses & Workshops Good clinicians always seek more knowledge, learn from others' experiences, and acquire more skills by attending conferences, workshops, courses, and other scientific events. Oman Pediatric Intensive Care Fellowship program Read more
- Critical care discussion | OmanPCC
Critical Case Discussion Monthly online case based discussion Case 2 December 2023 A 10-month-old infant known to have acute lymphoblastic leukemia presented with fever, cough and fast breathing. He does not have any cardiac issue or fluid overload. Clinical examination revealed: T: 39, HR: 160 b/m, RR: 60 b/m, BP: 80/50, Spo2: 85% in room air. Chest exam: accessory muscle use with b/l crepitations. He was started on full face mask NIV, and after 6 hours, his saturation raised to 92 % on the following settings: IPAP: 14, EPAP: 7, FiO2: 50%. ABG showed: PH: 7.30, PCO2: 50, PO2: 60, HCO3: 24. CXR is attached. Q1: Which one of the following is true about this patient? A: He does not have ARDS B: He has mild-moderate ARDS C: He has severe ARDS D: With above information, we cannot define ARDS After 24 hours, the patient clinical condition has worsened and became more hypoxic and got intubated. Ventilatory settings are as following: SIMV-PC/PS: PEEP: 5, PIP: 24, Rate: 30, inspiratory time: 0.6, Fio2: 80%, Mean Airway Pressure: 15. Saturation is 91%. Chest x-ray is attached. ABG: pH: 7.32, PCO2: 52, PO2: 50, Bicarb: 25. Q2: Which one of the following is the best option at this stage? A: Increase PEEP to 8-10 B: Increase PIP to 28 C: Give surfactant D: Start inhaled nitric oxide (iNO) Q3: On day 3 and during the clinical round, you observed that the patient was on the following ventilatory settings: SIMV-PRVC: PEEP: 10, TV: 12ml/kg, PIP: 32, rate: 30, Fio2: 40%. Based on the Second International Guidelines for the Diagnosis andManagement of Pediatric Acute Respiratory Distress Syndrome (PALICC-2), Which one of the following is correct? A: HFOV and APRV mode are superior modes for pediatric ARDS patients and they improve patient’s outcome. B: It is recommended to limit inspiratory plateau pressure to less than or equal to 36 cm H2O. C: Cuffed endotracheal tubes should be used when ventilating a patient with PARDS D: Keep the patient on tidal volumes between 10 and 12 mL/kg Case 1 October 2023 Noor is an 8-month-old baby born at term, she was found to have a heart murmur at the post-natal examination. The ECHO confirmed the diagnosis of VSD for which she was started on oral diuretics and now she is waiting for corrective cardiac surgery. Noor’s mother tells you that she has been struggling to gain weight, has become more breathless over the last 24 hours, and cannot complete feeds. On Assessment: She was lethargic, pale in color with respiratory distress. HR:180, RR: 60, BP:100/60, Temp: 39, Saturation 87% in RA, Capillary refill time: 4 sec. Chest: bilateral crepitation Herat: pan-systolic murmur best heard in the left lower sternal border. Abdomen: soft with hepatomegaly 3cm below the costal margin. Lab investigations: WCC:22, Hb:11, platelets:250, CRP: 90, RFT & LFT normal. CXR: bilateral haziness with obliteration of right heart border. Questions: What is the most likely diagnosis? What is the rule of lung point of care ultrasound (POCUS) in confirming or excluding the diagnosis? The linear ultrasound probe is best used to scan which of the two following structures: A. Vessels B. Heart C. lung in neonates/infants D. lung in adolescent 4. Which two of the following lung ultrasound features are normal findings during lung POCUS: A. Pleural sliding B. A-lines C. Multiple B-lines D. Shred sign E. Barcode sign 5) Which one of the following ultrasound features suggests lung consolidation: A. Barcode sign B. Absence of a lung pulse C. A-lines D. PLAPs point E. Tissue-like sign
- PICU Guidelines | Oman Pediatric Critical care
1 2 3 4 Oman national DNR policy Traumatic Brain Injury Hyperammonemia Fontan Circulation COVID19 ARDS Mechanical Ventilation Diabetic Ketoacidosis Status Epilepticus PRBC transfusion POCUS Nutrition Hemodynamic Monitoring Analgosedation Post Arrest Care National Clinical Protocol for Determination of Brain Death Anchor 1 Oman National DNR Policy English Arabic National Clinical Protocol for Determination of Br ain Death Review Guidelines for the Management of Pediatric Severe Traumatic Brain Injury , Third Edition: Update of the Brain Trauma Foundation Guidelines Journal: Pediatric Critical Care Medicine 2019 Management of Pediatric Severe Traumatic Brain Injury: 2019 Consensus and Guidelines-Based Algorithm for First and Second Tier Therapies Journal: Pediatric Critical Care Medicine 2019 Guidelines for the Management of Pediatric Severe Traumatic Brain Injury , Third Edition: Update of the Brain Trauma Foundation Guidelines, Executive summary Journal: Neurosurgery 2019 Evaluation and Management of the Child and Adult With Fontan Circulation : A Scientific Statement From the American Hear Association Journal: Circulation 2019 Consensus guidelines for management of hyperammonaemia in paediatric patients receiving continuous kidney replacement therapy Supplementary Information Journal: Nature Reviews Nephrology 2020 Caring for Critically Ill Children With Suspected or Proven Coronavirus Disease 2019 Infection: Recommendations by the Scientific Sections’ Collaborative of the European Society of Pediatric and Neonatal Intensive Care Journal: Pediatric Critical Care Medicine 2020 International evidence-based guidelines on Point of Care Ultrasound (POCUS) for critically ill neonates and children issued by the POCUS Working Group of the European Society of Paediatric and Neonatal Intensive Care (ESPNC) Journal: BMC Critical Care 2020 Pediatric Post–Cardiac Arrest Care: A Scientific Statement From the American Heart Association Journal: Circulation 2019 Anchor 2 Anchor 3 Anchor 4 Anchor 5 Anchor 6
- PICU Guidlines 3 | OmanPCC
1 2 3 4 Oman national DNR policy Traumatic Brain Injury Hyperammonemia Fontan Circulation COVID19 ARDS Mechanical Ventilation Diabetic Ketoacidosis Status Epilepticus PRBC transfusion POCUS Nutrition Hemodynamic Monitoring Analgosedation Post Arrest Care Recommendations for mechanical ventilation of critically ill children from the Paediatric Mechanical Ventilation Consensus Conference (PEMVECC) Journal: Intensive Care Medicine 2017 ISPAD Clinical Practice Consensus Guidelines 2018: Diabetic ketoacidosis and the hyperglycemic hyperosmolar state Journal: Pediatric Diabetes 2018 Evidence-Based Guideline: Treatment of Convulsive Status Epilepticus in Children and Adults: Report of the Guideline Committee of the American Epilepsy Society Journal: Epilepsy Current 2016 Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Pediatric Critically Ill Patient: Society of Critical Care Medicine and American Society for Parenteral and Enteral Nutrition Journal: Journal of Parenteral and Enteral Nutrition 2017 Nutritional support for children during critical illness: European Society of Pediatric and Neonatal Intensive Care (ESPNIC) metabolism, endocrine and nutrition section position statement and clinical recommendations Journal: Intensive Care Medicine 2020 Recommendations for hemodynamic monitoring for critically ill children-expert consensus statement issued by the cardiovascular dynamics section of the European Society of Paediatric and Neonatal Intensive Care (ESPNIC ) Journal: BMC Critical Care 2020 Clinical recommendations for pain, sedation, withdrawal and delirium assessment in critically ill infants and children: an ESPNIC position statement for healthcare professionals Journal: Intensive Care Medicine 2016 Anchor 1 Anchor 2 Anchor 3 Anchor 4 Anchor 5 Anchor 6
- PICU Guidlines 4 | OmanPCC
1 2 3 4 Oman national DNR policy Traumatic Brain Injury Hyperammonemia Fontan Circulation COVID19 ARDS Mechanical Ventilation Diabetic Ketoacidosis Status Epilepticus PRBC transfusion POCUS Nutrition Hemodynamic Monitoring Analgosedation Post Arrest Care Consensus Recommendations for Red Blood Cell Transfusion Practice in Critically Ill Children from the Pediatric Critical Care Transfusion and Anemia Expertise Initiative *The main Consensus Journal: Pediatric Critical Care Medicine 2018 Recommendations on the Indications for RBC Transfusion for the Critically Ill Child Receiving Support From Extracorporeal Membrane Oxygenation, Ventricular Assist, and Renal Replacement Therapy Devices From the Pediatric Critical Care Transfusion and Anemia Expertise Initiative Journal: Pediatric Critical Care Medicine 2018 Recommendations on RBC Transfusion in General Critically Ill Children Based on Hemoglobin and/or Physiologic Thresholds From the Pediatric Critical Care Transfusion and Anemia Expertise Initiative Journal: Pediatric Critical Care Medicine 2018 Recommendations on RBC Transfusion in Critically Ill Children With Nonlife-Threatening Bleeding or Hemorrhagic Shock From the Pediatric Critical Care Transfusion and Anemia Expertise Initiative Journal: Pediatric Critical Care Medicine 2018 Recommendations on RBC Transfusions for Critically Ill Children With Nonhemorrhagic Shock From the Pediatric Critical Care Transfusion and Anemia Expertise Initiative Journal: Pediatric Critical Care Medicine 2018 Recommendations on RBC Transfusions in Critically Ill Children With Acute Respiratory Failure From the Pediatric Critical Care Transfusion and Anemia Expertise Initiative Journal: Pediatric Critical Care Medicine 2018 Recommendations on RBC Transfusion in Critically Ill Children With Acute Brain Injury From the Pediatric Critical Care Transfusion and Anemia Expertise Initiative Journal: Pediatric Critical Care Medicine 2018 Recommendations on RBC Transfusion Support in Children With Hematologic and Oncologic Diagnoses From the Pediatric Critical Care Transfusion and Anemia Expertise Initiative Journal: Pediatric Critical Care Medicine 2018 Recommendations on RBC Transfusion in Infants and Children With Acquired and Congenital Heart Disease From the Pediatric Critical Care Transfusion and Anemia Expertise Initiative Journal: Pediatric Critical Care Medicine 2018 Recommendations on Selection and Processing of RBC Components for Pediatric Patients From the Pediatric Critical Care Transfusion and Anemia Expertise Initiative Journal: Pediatric Critical Care Medicine 2018
- Contact | Oman Pediatric Critical Care
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- Recommended websites | Oman Pediatric Critical Care
Recommended websites Pediatric Critical Care Medicine Journal Society of Critical Care Medicine Medical Calculator BMC Critical Care Institute for Healthcare Improvement (IHI) Open Pediatrics Current Opinion in Critical Care Journal of Pediatric Intensive Care Oman Pediatric Society PICU trials JAMA Pediatrics Oman Medical Speciality Board PICU Liber8
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Coming soon Different forms of Pediatric hints: 5 minutes teaching Short videos PICU cards