Nisha Agasthya, MD

#PedsICU

Post Extubation Noninvasive Respiratory Support for Pediatric ARDS Background Pediatric ARDS (PARDS) survivors may need postextubation noninvasive respiratory support (NRS) via high-flow nasal cannula, CPAP, or noninvasive ventilation (NIV). We hypothesized that NR...

#PedsICU
onlinelibrary.wiley.com/doi/10.1002/...

Joy is Necessary You can't have a satisfying life without it. Discover how to create more... no burying your head in the sand required.

Joy is a key ingredient for a satisfying life.

And cultivating it allows us to resist and persist through difficult times.

You can learn how to create more joy in your life in this week’s post.

#PedsICU #MedSky

open.substack.com/pub/humansle...

#PedsICU

Sad Sad Bean GIF ALT: Sad Sad Bean GIF

normal mentation *doesn't* indicate adequate systemic perfusion

especially in cardiogenic shock, people can mentate well despite terrible CO & systemic perfusion

poor mentation is sometimes an early sign of *septic* shock, but often a very late indicator of other shock states #EMIMCC

PASSPORT: Paediatric Adaptive Sepsis Platform Trial | Join the Sepsis Research Priority Participate in the Paediatric Sepsis Research Priority Survey to help shape research and improve outcomes for children worldwide affected by sepsis.

Hey #PedsEM and #PedsICU colleagues. Do you have a moment to help with identifying priorities in pediatric #sepsis? Please fill out the quick survey (<1 min) at www.passport-platform.org #PedSky #MedSky #ICUSky

@esicm.bsky.social @wfpiccs.bsky.social #PedsICU #PedsCICU @picujournalwatch.bsky.social

🧠 Sedation Practices in Pediatric TBI

A global survey is currently open to explore sedation & pain management for children with moderate–severe TBI in the PICU.

⏱️ 5–10 min | Voluntary & anonymous
👉 Participate here: jh.qualtrics.com/jfe/form/SV_...

#PedsICU #Research

COVID vaccine can now be given by pharmacists to anyone >5YO without a prescription in Vermont 👏

Per order of Gov Phil Scott & the Vermont DOH

This obviously makes a ton of sense, especially for VT

Closure of beds in rural hospitals leaves our state with few extra staffed beds in the winter

Let’s be clear about what happened to Jimmy Kimmel Trump’s most brazen attack on free speech yet.

After years of complaining about cancel culture, the current administration has taken it to a new and dangerous level by routinely threatening regulatory action against media companies unless they muzzle or fire reporters and commentators it doesn’t like.

International PICU Women Speakers List (Add your name at bit.ly/picuwomenspeakersform)

Just a reminder to the #PedsICU gang, @sccm-pediatrics.bsky.social program committee is meeting now and tomorrow to plan the 2027 Congress (in San Diego) so this is a good time to submit proposals and update the bit.ly/picuwomenspeakers list

@wfpiccs.bsky.social is accepting workshop proposals for 2026 conference. Share your ideas today! #PedsICU

Build Your Resilience Toolkit: 7 Strategies to Navigate Hard Days Because we all have hard days

Having a toolkit won’t save us from hard times, but it will make it a lot easier to navigate them.
Learn to build yours with the 7 strategies in this podcast.

#PedsICU #MedSky

open.substack.com/pub/humansle...

#SCCM2026 Congress registration is now open !! #PedsICU

#PedsICU

Hi! We run a monthly free educational webinar focused on topics in pediatric neurocritical care.

Join us Friday, Sept 12th, 1-2pm CST for a lecture on Detection of Neurologic Morbidity in PICU!

Registration: bit.ly/46pp3ot

Video Library: vimeo.com/channels/pncc

#FOAMed #PedsICU #EMIMCC

Presenting (and smiling through the nerves) a Works in Progress for one of my fellowship projects at PALISI (the Long-Term Ventilation subgroup which is the best one but I’m biased!) @palisinet.bsky.social #PALISI #PALISI25 #PedsICU #MedSky #PICUSky

And Day 2 of the #PALISI25 fall meeting kicks off with opening remarks by our vice chair @DrHeidiFlori

Agenda: full study proposals, subgroup work, and more!

#PedsICU

Friends eating ice cream

Friends at #PALISI25 mtg

Work hard, play hard at the #PALISI25 meeting in Montreal. #PICUAPP @palisinet.bsky.social #PedsICU

Who is going to be at @palisinet.bsky.social Fall 2025 meeting ? Its my 1st meeting and I’m getting excited !!!! #PedsICU

@sccmcriticalcare.bsky.social offers hands on point of care ultrasound course. Register today !! #PedsICU

The World Won't End if You Do 1% Less Learn how to start doing less to live more.

Doing too much?

Feel like you can’t stop because the world will fall apart?

Try doing just 1% less.

#PedsICU #Womeninmedicine #MedSky

humansleading.substack.com/p/the-world-...

A study published in Pediatric Critical Care Medicine found transpulmonary pressure monitoring in pediatric patients with severe ARDS can result in improved oxygenation. Hear more from the author in the latest SCCM Podcast: sccm.org/pod546
#PedsICU #SCCM

Seize the Day with Ketamine and Midazolam for Pediatric Status Epilepticus thesgem.com/2025/08/sgem... #MedSky @dennisrenmd.bsky.social

#PedsICU @sccm-pediatrics.bsky.social

Apply or Nominate a colleague in critical care medicine to be honored by @sccmcriticalcare.bsky.social . Deadline 09/01/25. #PedsICU sccm.org/member-cente...

Inaugural PEDAL, NEAR4KIDS & BACON Datathon!

Join Thurs 9/11 after the main mtg ends. Lunch provided, CME pending! NEAR4Kids/BACON/PEDAL members focused on data analysis for a project related to NEAR4Kids or BACON

Project ideas or ?? - email pedal@palisi.org
#PedsICU

What We Get Wrong About Resilience How broadening your understanding can help you and your team.

Resilience doesn’t mean not being affected by adversity.

It means knowing that there will be times that we need help and giving ourselves permission to seek and accept that help.

No one who experiences adversity is truly unaffected by it.

#PedsICU #MedSky

Congratulations to SURP student Payton Keller and her mentor Dr. Amanda Marshall. They studied adverse events during IPV in the #pedsICU and #pedsCICU.