Infants with bronchiolitis with high-flow nasal cannula in the paediatric ward. Is there a role for the ROXi (respiratory rate-oxygenation index) in predicting failure of high-flow nasal cannula?

Unlabelled: The respiratory rate-oxygenation index (ROXi) has been shown to be a reliable tool for predicting the risk of high-flow nasal cannula (HFNC) failure in adult patients with lower respiratory tract infections. However, the usefulness of the ROXi in paediatrics remains to be shown. The objective of this study was to evaluate the ability of the ROXi collected at the initiation of HFNC in the paediatric ward to predict HFNC failure in cases of bronchiolitis.

Use of norepinephrine in the pediatric intensive care unit: an international survey of prescription and administration habits in case of pediatric hypotensive shock.

Unlabelled: This international survey aimed to describe worldwide norepinephrine prescription habits in pediatric intensive care units (PICU) in case of hypotensive shock. We sought to identify reporting Querydiscrepancies regarding dosing units and conjugated salts of norepinephrine. Between November 1, 2023, and February 10, 2024, a cross-sectional electronic survey was emailed to PICU prescribers through the following networks: PICURe (French-speaking countries), ESPNIC (Europe), Be-PICS (Belgium), PALISI (America), PACCMAN (Asia), JSPICC (Japan), and ANZICS PSG (Oceania).

Formal guidelines from an expert panel: intensive care unit medical staffing, organisation and working hours to improve quality of life at work in France.

Background: Intensive care units (ICU) are characterized by high medical assistance costs and great complexity. Recommendations to determine the needs of medical staff are scarce, generating appreciable variability. The French Intensive Care Society (FICS) and the French National Council of Intensive Care Medicine (CNP MIR, Conseil National Professionel de Médecine Intensive Réanimation) have established a technical committee of experts, the purposes of which were to draft recommendations regarding staffing needs in ICUs and to propose optimal organisation of work hours, a key objective being improved workplace quality of life.

The severity of the first occurrence of bronchiolitis increased the risk of developing asthma symptoms.

Aim: The relationship between bronchiolitis and asthma is complex. We assessed whether patients admitted to a paediatric intensive care unit (PICU) with bronchiolitis had a greater risk of developing asthma than patients admitted to a paediatric ward.

Methods: We retrospectively included children under 1 year of age, who were hospitalised for bronchiolitis for the first time at the University Hospital of Caen, France, between 2010 and 2014.