Ben Gelbart
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View article: Building the future of ICU care: Is our digital foundation strong enough? A multicentre survey of Australian and New Zealand intensive care units
Building the future of ICU care: Is our digital foundation strong enough? A multicentre survey of Australian and New Zealand intensive care units Open
Substantial variability exists across ANZ ICUs in digital health adoption, data capture, and data management resources. Quantifying differences in digital information, improving data extraction, and building collaborative networks are key …
View article: Epidemiology of community acquired sepsis in children in Australia and New Zealand: a multicentre prospective cohort study
Epidemiology of community acquired sepsis in children in Australia and New Zealand: a multicentre prospective cohort study Open
The National Health and Medical Research Council, the Medical Research Futures Fund, The Royal Children's Hospital Foundation, and the Victorian Government.
View article: Beta-lactam antibiotic administration in critically ill children with sepsis: an international survey of current practice
Beta-lactam antibiotic administration in critically ill children with sepsis: an international survey of current practice Open
Objective To assess current international practices and perceptions regarding beta-lactam antibiotic administration in critically ill children with sepsis. Design, setting, and participants An electronic survey was distributed among physic…
View article: External Validation of the Phoenix Sepsis Score in Children With Suspected Community-Acquired Sepsis
External Validation of the Phoenix Sepsis Score in Children With Suspected Community-Acquired Sepsis Open
Importance The novel Phoenix Sepsis Score and sepsis criteria were derived and validated using a multicountry dataset and proposed as a new definition for sepsis in children. Objective To externally validate the Phoenix Sepsis Score and se…
View article: Neurodevelopmental Outcomes After Nitric Oxide During Cardiopulmonary Bypass for Open Heart Surgery
Neurodevelopmental Outcomes After Nitric Oxide During Cardiopulmonary Bypass for Open Heart Surgery Open
Importance Children with congenital heart defects who undergo cardiopulmonary bypass (CPB) surgery are at risk for delayed or impaired neurodevelopmental outcomes. Nitric oxide (NO) added to the CPB oxygenator may reduce systemic inflammat…
View article: Forging an easier path through graduation: Improving the patient transition from paediatric to adult critical care
Forging an easier path through graduation: Improving the patient transition from paediatric to adult critical care Open
Adolescence and the journey to adulthood involves exciting opportunities as well as psychosocial stress for young people growing up. These normal experiences are potentially magnified for teenagers living with chronic illness or disability…
View article: Fluid management and active fluid removal practices: a global survey of paediatric critical care physicians
Fluid management and active fluid removal practices: a global survey of paediatric critical care physicians Open
Aims Fluid accumulation (FA) in critically ill children is associated with poor clinical outcomes. While conservative fluid management has been proposed, evidence to guide practice is scarce. We surveyed paediatric critical care (PCC) phys…
View article: Quantifying edema in skin tissue in children after cardiac surgery: the QuEST study
Quantifying edema in skin tissue in children after cardiac surgery: the QuEST study Open
Objectives To investigate the validity of a 19-point clinical edema score (CES) and mid-limb circumferences for quantifying edema. Methods A prospective exploratory study was performed in mechanically ventilated children after cardiac surg…
View article: Time to Continuous Renal Replacement Therapy Initiation and 90-Day Major Adverse Kidney Events in Children and Young Adults
Time to Continuous Renal Replacement Therapy Initiation and 90-Day Major Adverse Kidney Events in Children and Young Adults Open
Importance In clinical trials, the early or accelerated continuous renal replacement therapy (CRRT) initiation strategy among adults with acute kidney injury or volume overload has not demonstrated a survival benefit. Whether the timing of…
View article: Sepsis epidemiology in Austral<b>i</b>an and New Zealand children (SENTINEL): protocol for a multicountry prospective observational study
Sepsis epidemiology in Austral<b>i</b>an and New Zealand children (SENTINEL): protocol for a multicountry prospective observational study Open
Introduction Sepsis affects 25.2 million children per year globally and causes 3.4 million deaths, with an annual cost of hospitalisation in the USA of US$7.3 billion. Despite being common, severe and expensive, therapies and outcomes from…
View article: Lung ultrasound scores are not associated with subcutaneous oedema or fluid balance in infants after cardiac surgery
Lung ultrasound scores are not associated with subcutaneous oedema or fluid balance in infants after cardiac surgery Open
Background Lung ultrasound may help to estimate extravascular lung water (EVLW). However, after paediatric cardiac surgery, the relationship of a lung ultrasound score (LUS) with subcutaneous oedema, fluid balance, or body weight is unknow…
View article: Edema description in pediatric critical care: terms, patterns, and clinical characteristics
Edema description in pediatric critical care: terms, patterns, and clinical characteristics Open
Background No validated methods are currently available to objectively quantify edema in critical illness. Therefore, the frequency, timing of onset, and association between edema and outcomes are unknown. Since clinicians document the pre…
View article: Machine learning to predict poor school performance in paediatric survivors of intensive care: a population-based cohort study
Machine learning to predict poor school performance in paediatric survivors of intensive care: a population-based cohort study Open
A machine learning model using data available at time of ICU discharge predicted failure to meet minimum educational requirements at school age. Implementation of this prediction tool could assist in prioritizing patients for follow-up and…
View article: Worldwide Exploration of Renal Replacement Outcomes Collaborative in Kidney Disease (WE-ROCK)
Worldwide Exploration of Renal Replacement Outcomes Collaborative in Kidney Disease (WE-ROCK) Open
The retrospective WE-ROCK study represents the largest international registry of children receiving CRRT for AKI or FO. It will serve as a broad and invaluable resource for the field of pediatric critical care nephrology that will improve …
View article: A Clinical Score for Quantifying Edema in Mechanically Ventilated Children With Congenital Heart Disease in Intensive Care
A Clinical Score for Quantifying Edema in Mechanically Ventilated Children With Congenital Heart Disease in Intensive Care Open
IMPORTANCE: Standardized clinical measurements of edema do not exist. OBJECTIVES: To describe a 19-point clinical edema score (CES), investigate its interobserver agreement, and compare changes between such CES and body weight. DESIGN, SET…
View article: Transnasal Humidified Rapid Insufflation Ventilatory Exchange in children requiring emergent intubation (Kids THRIVE): A statistical analysis plan for a randomised controlled trial
Transnasal Humidified Rapid Insufflation Ventilatory Exchange in children requiring emergent intubation (Kids THRIVE): A statistical analysis plan for a randomised controlled trial Open
The placement of an endotracheal tube for children with acute or critical illness is a low frequency and high-risk procedure, associated with high rates of first attempt failure and adverse events, including hypoxaemia. To reduce the frequ…
View article: Admissions of Children and Adolescents With Deliberate Self-harm to Intensive Care During the SARS-CoV-2 Outbreak in Australia
Admissions of Children and Adolescents With Deliberate Self-harm to Intensive Care During the SARS-CoV-2 Outbreak in Australia Open
This cohort study found that the coronavirus pandemic in Australia was associated with a significant increase in admissions of children and adolescents to intensive care with DSH.
View article: Characteristics, management and changing incidence of children with empyema in a paediatric intensive care unit
Characteristics, management and changing incidence of children with empyema in a paediatric intensive care unit Open
Aim Paediatric intensive care unit (PICU) admissions for empyema increased following the 13‐valent pneumococcal conjugate vaccine (PCV13). We describe the clinical characteristics, management and outcomes for children with empyema and comp…
View article: PRagMatic Pediatric Trial of Balanced vs nOrmaL Saline FlUid in Sepsis: study protocol for the PRoMPT BOLUS randomized interventional trial
PRagMatic Pediatric Trial of Balanced vs nOrmaL Saline FlUid in Sepsis: study protocol for the PRoMPT BOLUS randomized interventional trial Open
Background/aims Despite evidence that preferential use of balanced/buffered fluids may improve outcomes compared with chloride-rich 0.9% saline, saline remains the most commonly used fluid for children with septic shock. We aim to determin…