Emma Alexander

Terlipressin in paediatric hepatorenal syndrome-acute kidney injury (HRS-AKI) - Pediatric Nephrology Children with chronic liver disease are at increased risk of acute kidney injury (AKI), which could be non-hepatorenal syndrome AKI (non-HRS-AKI) or hepatorenal syndrome AKI (HRS-AKI). Approximately 5...

Terlipressin in paediatric hepatorenal syndrome-acute kidney injury (HRS-AKI) link.springer.com/article/10.1...

Frontiers | Demonstrating the value for money of implementing evidence-based treatment: the case for further investment in magnesium sulphate as a neuroprotectant for preterm births BackgroundEffective and cost-effective treatments are not always optimally implemented. The benefit forgone due to sub-optimal implementation is often not co...

Very interesting paper examining MgSO4 treatment implementation for preterm babies, and the cost-effectiveness of improving implementation. We need a similar focus in #PedsICU!
www.frontiersin.org/journals/hea...

PICU colleagues in the following countries - Czechia, Denmark, Finland, Germany, Greece, Kosovo, Lithuania, Romania, Spain, Ukraine - we are looking for an estimate of total # of PICU beds in your countries (as part of our ESPNIC project). Do you have an estimate? Thank you! @espnic.bsky.social

Dual-phase machine learning framework for paediatric ventilator liberation: forecasting extubation readiness and nowcasting extubation outcomes Objective To develop and validate a machine learning framework for predicting optimal extubation timing in paediatric intensive care units (PICUs), addressing the clinical need for continuous monitori...

Dual-phase machine learning framework for paediatric ventilator liberation: forecasting extubation readiness and nowcasting extubation outcomes bmjdigitalhealth.bmj.com/content/1/1/...

Congratulations to the amazing and inspiring Ram!

Really looking forward to the next three days at the NIHR Paediatric Critical Care Fellowship retreat! @drsofia.bsky.social

Implementation Science in Paediatric Intensive Care Learn how peer assisted learning transforms education. Students learn more effectively through collaboration and support.

I have written for Don't Forget the Bubbles about implementation science in paediatric intensive care. To improve the care we give the sickest children, we need to understand how knowledge is mobilised to the bedside. If you are interested, get in touch!

dontforgetthebubbles.com/implementati...

Such an amazing time at #ESPNIC2025 especially inspired to see so many people talking about implementation as the next great hurdle! 💪😁

You are my power house inspiration! 😀

Thanks so much Lizzie, so kind of you! ☺️

We proudly welcome Prof. Joseph Manning as the newly elected Nursing President of #ESPNIC!

Congratulations! 💫

#CriticalCare #CriticalCareNurses #ScientificLeadership #PedsICU #NICU

ESPNIC MAPPING PROJECT – HOW MANY PICUs ARE THERE IN EUROPE? - ESPNIC

Our ESPNIC mapping project is now live on the @espnic.bsky.social website. How many PICUs are there in Europe? We are trying to find out! To see if your unit has responded, and to respond, go here: www.espnic.eu/espnic-mappi...

Please join us in congratulating Prof. Akash Deep, elected as the new Medical President of #ESPNIC! 👏👏👏

With his experience and commitment, we're excited for the journey ahead under his leadership. 🩺

#CriticalCare #ScientificLeadership #PedsICU #NICU

Nasal high-flow oxygen for apnoeic oxygenation during emergency endotracheal intubation of children Emergency endotracheal intubation of children is one of the most high-risk procedures in paediatrics. The most common complication is hypoxaemia, with an incidence of up to 50%,1 although haemodynamic...

Nasal high-flow oxygen for apnoeic oxygenation during emergency endotracheal intubation of children www.thelancet.com/journals/lan...

Great editorial by N Yehya and @markpicu.bsky.social about the importance to conduct research in #PedsICU and the critical need to use alternative model to obtain the parental consent, in those critical situations.
Based on great data by Furyk and coll.
journals.lww.com/pccmjournal/...

I have to say something. Preaching to the choir on this platform- but SPEAK UP- not just here, but on the platforms where everyone doesn’t agree with us. #PutKids1st #PedsICU #PedsAnes

Transplant Challenges in Pediatric Liver Failure by A. Deep et al. | OPENPediatrics YouTube video by OPENPediatrics

Great new podcast with Akash Deep, James Squires, and Barbara Wildhaber for everyone interested in paediatric acute liver failure and intricacies of organ transplant in children! #pedsicu @lancetchildadol.bsky.social @espnic.bsky.social @pccsociety.bsky.social www.youtube.com/watch?v=qEr4...

Coming up tomorrow at #SCCM2025!
pediatric acute liver failure #PALF #PedsICU
With Dr. Akash Deep
@espnic.bsky.social
@emmaaaaa8.bsky.social

Looks great! Wish I could be there! 😁

PICU colleagues, could I please ask for your help yet again - a 3-5 minute survey on how we use evidence in PICU imperial.eu.qualtrics.com/jfe/form/SV_... and how we can improve our provision of evidence-based care! Thank you so much 📚😀

Thank you Arun! I will put it on our Slack! 🤓

Last call before we write up our first report- we are especially missing responses from German PICUs - we believe there may be 100 of you but only 6 responses so far! If anyone is a paediatric intensive care professional in Germany we would be really grateful if you have time to reply!

Announcing… the PEdSIG PAFTAs! Do you know a paediatric medical educator who innovates, integrates or inspires? Nominate them for a PEdSIG PAFTA by 31/01/25 for the chance to celebrate them at RCPCH Conference! bit.ly/4fe6mpe

Healthcare Student Essay Prize 2024

PEdSIG are running two essay competitions this year, one for healthcare students and one for Foundation doctors - deadline for submissions is 16th January, prizes are tickets to RCPCH Conference! @pedsig-uk.bsky.social

See: pedsig.co.uk/articles/hea... and www.pedsig.co.uk/articles/fou...

I have written a blog about my very positive experiences with PPIE for paediatric intensive care research - thank you so much to @imperialperc.bsky.social who are wonderful, for all your guidance!

blogs.imperial.ac.uk/perc/2024/12...

Don’t miss our final blog of 2024! 💫 Featuring @emmaaaaa8.bsky.social Emma Alexander's amazing Public Involvement work in the Paediatric Intensive Care Unit research. Please find it here: blogs.imperial.ac.uk/perc/2024/12...

Let us know your thoughts in the comments!

Kidney and blood pressure outcomes 11 years after pediatric critical illness and longitudinal impact of AKI: a prospective cohort study - PubMed This study provides novel data showing that adverse kidney and blood pressure outcomes remain highly prevalent 10 years after critical illness in childhood. The association with AKI wanes over time.

Interesting paper in PICJournalWatch this month - single centre cohort study of renal outcomes 11 years after PICU admission! One of the few studies I have seen with such long follow-up. AKI was associated with CKD 11 years later pubmed.ncbi.nlm.nih.gov/39585355/

He sounds like an amazing man 🥰

Thanks so much to all who have responded so far!
We currently have few/no responses from PICUs in - Germany, Czechia, Denmark, Estonia, Greece, Hungary, Poland, Sweden, and Switzerland. If you work in PICU #PedsICU in these places, please fill it in! Thank you so much! 🤩

The management of paediatric acute liver failure: results from an international multi-centre survey across Europe - Intensive Care Medicine – Paediatric and Neonatal Background Paediatric acute liver failure (PALF) is a rare condition with high morbidity and mortality. The liver transplant era, and improvements in medical management, have transformed outcomes. How...

New survey - the management of paediatric acute liver failure: results from an international multi-centre survey across Europe #PedsICU

We highlight variation in key aspects of management across Europe, for children with paediatric acute liver failure
link.springer.com/article/10.1...