jeffrey alten

snarky faithful servant and cardiac intensivist @cincychildrens @cincykidsheart

[jeffrey alten @bubblesdadee]

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! https://t.co/PmIabob2pW
@CincyKidsHeart @TiaTiaraymond @OvercomeCHD @pc4quality @simpsonWVTM13 @PedsICU_JC

[jeffrey alten @bubblesdadee]

@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

[David Cooper @davidscooper]

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

[Arun Ghose @drsmileyarun.bsky.social @drsmileyarun]

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

[Barney Scholefield 🌈 💙 @BarneyUoB]

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

[The Annals of Thoracic Surgery @annalsthorsurg]

#Congenital #CME article from @MichaelKimDO et al on Epidemiology of Postoperative Junctional Ectopic Tachycardia in Infants Undergoing Cardiac Surgery: https://t.co/whRAkVdDr7 #AnnalsCME
@shankar1415 @GLBird @mgoschu @bubblesdadee

[jeffrey alten @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

[jeffrey alten @bubblesdadee]

@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

[jeffrey alten @bubblesdadee]

@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

[Pediatric Nephrology @Ped_Neph]

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
https://t.co/gna8mF8tKX

[jeffrey alten @bubblesdadee]

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

[Critical Care Medicine @CritCareMed]

Selewski et al: Magnitude & Timing of #FluidOverload on Outcomes #pedsICU
2◦ analysis AWARE (Assessment of Worldwide #AKI, Renal Angina, & Epidemiology) study

Link: https://t.co/0eTLjz3St0

#CritCareMed @SCCM @PedCritCareMed

Fig. Δ #fluidoverload survivors vs non-survivor

[jeffrey alten @bubblesdadee]

@KatieBrandewie3 says we need to weigh our neonatal cardiac surgical patients to measure clinically relevant postoperative fluid overload. @CincyKidsHeart @pc4quality @pedscicu https://t.co/bg3IbI0D6Z

[jeffrey alten @bubblesdadee]

@KatieBrandewie3 says we need to weigh our neonatal cardiac surgical patients to measure clinically relevant postoperative fluid overload. @CincyKidsHeart @pc4quality @pedscicu https://t.co/bg3IbI0D6Z

[Pediatric Nephrology @Ped_Neph]

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.
https://t.co/cQkEwxFs9K

[Tenacious Tiff @Tenacious_Tiff]

@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.

https://t.co/fH2kW1655S

[David Cooper @davidscooper]

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

[jeffrey alten @bubblesdadee]

challenge the dogma, reduce patient harm. routine infection rule-outs in the #PICU and peds #cicu can be shortened to 24 hours! @CincyKidsHeart @CincyChildrens https://t.co/sJCRLpMjGM

[Infection Control & Hospital Epidemiology @ICHEJournal]

New from @mmchlebowski, @JaclynS09886661, @bubblesdadee:

Implementation of a 24-hour infection diagnosis protocol in the pediatric cardiac intensive care unit (CICU)

📄: https://t.co/PSEjnfOC8Z

[JAMA Pediatrics @JAMAPediatrics]

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. https://t.co/2pIm8DvKYA @bubblesdadee @MGaies #PedsCards #PedsCICU