The purpose of this document is to highlight practical recommendations to assist acute care
hospitals to prioritize and implement strategies to prevent ventilator-associated pneumonia …

Importance Considerable controversy exists regarding the best spontaneous breathing trial
(SBT) technique to use. Objective To summarize trials comparing alternative SBTs. Data …

Background The spontaneous breathing trial (SBT) technique that best balance successful
extubation with the risk for reintubation is unknown. We sought to determine the comparative …

Rationale: Pediatric-specific ventilator liberation guidelines are lacking despite the many
studies exploring elements of extubation readiness testing. The lack of clinical practice …

Importance There is limited evidence on the optimal strategy for liberating infants and
children from invasive mechanical ventilation in the pediatric intensive care unit. Objective …

Objectives: To evaluate current international practice in PICUs regarding components of the
“Assessing Pain, Both Spontaneous Awakening and Breathing Trials, Choice of Sedation …

Ventilation is one of the most common procedures in critically ill children admitted to the
pediatric intensive care units (PICUs) and is associated with potential severe side effects …

Background Fontan surgery with cardiopulmonary bypass (CPB) causes tremendous
systemic stress and inflammatory responses, affecting postoperative organ function …

Invasive mechanical ventilation is prevalent and associated with considerable morbidity.
Pediatric critical care teams must identify the best timing and approach to liberating …

Congenital heart disease (CHD) is a complex common defect in pediatric patients, and
definitive treatment is usually cardiac surgery, especially for diseases with complex …