jeffrey alten

the best CPR is never needing CPR! teams continue to adapt proven cardiac arrest prevention (CAP) processes and build them into daily workflow see arrest rate stays low! jamanetwork.com/journals/jaman… @CincyKidsHeart @TiaTiaraymond @OvercomeCHD @pc4quality @simpsonWVTM13 @PedsICU_JC

@drsmileyarun @dr_mark_russell @AlisonSJones5 @sueburly It's spreading across the ocean! and the paradigm is changing - your multidisciplinary team CAN prevent cardiac arrest in the icu - get your center started today! well done team! @pc4quality @CincyKidsHeart

#Espnic2024 #PedsICU @dr_mark_russell presenting hugely encouraging data on a multifaceted cardiac arrest prevention program. 👏@AlisonSJones5 @sueburly

@drsmileyarun @dr_mark_russell @AlisonSJones5 @sueburly Looks like great implementation and evolution of @pc4quality CAP QI bundle!! Congrats!! @bubblesdadee @MGaies #noCPRisbetterthangoodCPR

@drsmileyarun @PICJournalWatch @dr_mark_russell @AlisonSJones5 @sueburly Fantastic impact of an important QI study. Well done @dr_mark_russell @AlisonSJones5 @sueburly and team!! #pedsicu 👏👏

#Congenital #CME article from @MichaelKimDO et al on Epidemiology of Postoperative Junctional Ectopic Tachycardia in Infants Undergoing Cardiac Surgery: annalsthoracicsurgery.org/cms/attachment… #AnnalsCME @shankar1415 @GLBird @mgoschu @bubblesdadee

Watch out for this future CICU superstar! Nicole Stegmeier presenting her NEPHRON work at WFPICCS. Early diuresis after neonatal cardiac surgery doesn't cause AKI and may improve outcomes. @pc4quality @WFPICCS @CincyKidsHeart @childrenswi

@Ped_Neph @picuglomgirl @HuaiyuZang @cathkrawczeski @slgold777 @GistKatja @drjosflynn after controlling for high-risk norwood factors, most post-op aki is transient, but if persistent on pod3, aki is independently associated with morbidity and mortality - especially when concurrent fluid accumulation @pc4quality @CincyKidsHeart @CincyChildrens

Cardiac surgery-associated-AKI is common but its impact on clinical outcomes is variable. Read this Original Article on durational sub-phenotyping of CS-AKI w/cumulative fluid balance & outcomes among neonates undergoing the Norwood procedure. #NEPHRON link.springer.com/article/10.100…

michael kim - dominating an oral presentation on a PC4 study about postop JET at the World Congress @pc4quality @CincyKidsHeart @8thWCPCCS2023 @MichaelKimDO

Selewski et al: Magnitude & Timing of #FluidOverload on Outcomes #pedsICU 2◦ analysis AWARE (Assessment of Worldwide #AKI, Renal Angina, & Epidemiology) study Link: ow.ly/xm5p50P2U34 #CritCareMed @SCCM @PedCritCareMed Fig. Δ #fluidoverload survivors vs non-survivor

@KatieBrandewie3 says we need to weigh our neonatal cardiac surgical patients to measure clinically relevant postoperative fluid overload. @CincyKidsHeart @pc4quality @pedscicu link.springer.com/article/10.100…

Read this Original Article on the association of postoperative day (POD) 2 weight-based fluid balance (FB-W) >10% w/outcomes after neonatal cardiac surgery, a retrospective cohort study of 22 hospitals in the NEPHRON registry. link.springer.com/article/10.100…

@PICJournalWatch @pc4quality @bubblesdadee @MGaies @DrKlugs @TiaTiaraymond @mommimaya @DrOrtmannCICU @davidscooper Cincinnati Children's CICU utilizes a CAP protocol for after OHS. It was like a dichotomy of if this then do this and no need to wait for orders. I think it helped my 12 day old her first night after OHS for TOF and Pulmonary Atresia. scienceblog.cincinnatichildrens.org/scientists-fin…

@TiaTiaraymond showing that cardiac arrest prevention using the CAP bundle is SUSTAINABLE!!! #pcics22 @pc4quality @MGaies @bubblesdadee @DrKlugs

challenge the dogma, reduce patient harm. routine infection rule-outs in the #PICU and peds #cicu can be shortened to 24 hours! @CincyKidsHeart @CincyChildrens doi.org/10.1017/ice.20…

New from @mmchlebowski, @JaclynS09886661, @bubblesdadee: Implementation of a 24-hour infection diagnosis protocol in the pediatric cardiac intensive care unit (CICU) 📄: doi.org/10.1017/ice.20…

Pediatric cardiac intensive care units at 15 @pc4quality hospitals used a cardiac arrest (CA) prevention bundle and saw a 30% relative reduction in adjusted CA rate. Control hospitals showed no change. ja.ma/3SPaKA7 @bubblesdadee @MGaies #PedsCards #PedsCICU