Author Of 4 Presentations
DETERMINE THE RESEARCH PRIORITIES IN PEDIATRIC CANCER PATIENTS ADMITTED TO THE PEDIATRIC INTENSIVE CARE UNIT: AN INTERNATIONAL DELPHI CONSENSUS STUDY.
- Marijn Soeteman,
- Martine Van Grotel, United States of America
- Eva Tschiedel, Germany
- Christian Dohna-Schwake, Germany
- Frederic Valla, France
- Jef Willems, Belgium
- Jeppe Sylvest Nielsen, Denmark
- Martin Krause, Germany
- Jenny Potratz, Germany
- Sjef Van Gestel, United States of America
- Patrick Marquis, Switzerland
- Omer Aziz, United Kingdom
- Joe Brierley, United Kingdom
- Marry Van Den Heuvel-Eibrink, United States of America
- Roelie M. Wösten-Van Asperen, Netherlands
Abstract
Background
Up to 40% of pediatric cancer patients require admission to PICU during the course of their disease. However, scarce are available on the standard of care in critical care delivery for this patient group, nor are systematic multi-center outcome data.
Objectives
To obtain consensus on the top five research priorities in the field of pediatric cancer patient critical care.
Methods
We conducted a three-round modified Delphi consensus process among pediatric intensivists and pediatric oncologists in Europe. An anonymous questionnaire was distributed online via SurveyMonkey. POKER consortium members drafted ten candidate research topics. Participants rated these topics using a 4-point scale. Research questions that met a priori consensus thresholds for >80% high priority were included in round 2, complemented with additional research topics suggested by participants. Round 2 yielded consensus on high prioritiy topics, which were ranked by POKER member in round 3 to create a final top five .
Results
One-hundred seventy-four and 154 colleagues participated in rounds 1 and 2, respectively (Fig. 1). Five research topics were identified as top priorities: (1) Optimal timing of the use of life-sustaining therapies; (2) Development of specific early warning scores; (3) Role of non-invasive ventilation in acute respiratory insufficiency; (4) End-of-life care and ethical issues; (5) Sepsis.
Profession and country of residence of the participants.
Conclusion
Admissions of pediatric cancer patients contribute to a substantial proportion of critical care patient- and work-load. In particular, optimum use of critical care resources in this group is an area requiring urgent research.
HOW MANY SECOND OPINIONS
INTERNATIONAL SECOND OPINIONS: CONTROVERSIES, CONFLICT AND AN EMERGING CONSENSUS
END OF LIFE TRANSFER
Abstract
Background
Aimed at multi-professional teams from paediatric and neonatal intensive care, transport, palliative care and the hospice setting, a simulation based course has been developed to improve the planning, communication and practical aspects of transferring a ventilated patient for an out-of-hospital, hospice based extubation.
Objectives
To improve the care provided to children and families for whom the direction of care has changed. Particular focus is given to multi-disciplinary team working in advance of complex decision making, supporting simulated actor parents through this process and enabling a smooth, safe transfer through effective planning and co-ordination.
Methods
Established in 2016 and drawing on a multi-professional faculty, this simulation based course encompasses the following:
1) Complex end of life decision making
2) Multi-site liaison to facilitate a transfer
3) Shared learning about the process of transferring a ventilated child from intensive care
4) Actors are used to enable depth and a sense of reality for candidates
Results
This highly evaluated programme addresses the recognised gap in knowledge and the provision of care in this specialised and complex group. Evaluation data indicates improved understanding of the planning and implementation of this type of transfer. Crucially, the multi-agency nature of the course has increased understanding between teams from different sites and allowed them to effectively collaborate in enabling this type of transfer.
Conclusion
The development and delivery of this course demonstrates the effective use of clinical simulation in an interprofessional context. We believe this goes some way towards closing the gap in knowledge and skills in this difficult and sensitive area.
Presenter of 3 Presentations
HOW MANY SECOND OPINIONS
INTERNATIONAL SECOND OPINIONS: CONTROVERSIES, CONFLICT AND AN EMERGING CONSENSUS
END OF LIFE TRANSFER
Abstract
Background
Aimed at multi-professional teams from paediatric and neonatal intensive care, transport, palliative care and the hospice setting, a simulation based course has been developed to improve the planning, communication and practical aspects of transferring a ventilated patient for an out-of-hospital, hospice based extubation.
Objectives
To improve the care provided to children and families for whom the direction of care has changed. Particular focus is given to multi-disciplinary team working in advance of complex decision making, supporting simulated actor parents through this process and enabling a smooth, safe transfer through effective planning and co-ordination.
Methods
Established in 2016 and drawing on a multi-professional faculty, this simulation based course encompasses the following:
1) Complex end of life decision making
2) Multi-site liaison to facilitate a transfer
3) Shared learning about the process of transferring a ventilated child from intensive care
4) Actors are used to enable depth and a sense of reality for candidates
Results
This highly evaluated programme addresses the recognised gap in knowledge and the provision of care in this specialised and complex group. Evaluation data indicates improved understanding of the planning and implementation of this type of transfer. Crucially, the multi-agency nature of the course has increased understanding between teams from different sites and allowed them to effectively collaborate in enabling this type of transfer.
Conclusion
The development and delivery of this course demonstrates the effective use of clinical simulation in an interprofessional context. We believe this goes some way towards closing the gap in knowledge and skills in this difficult and sensitive area.