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Occurrence and Risk Factors for Unplanned Catheter Removal in a PICU: Central Venous Catheters Versus Peripherally Inser...
...We aimed to identify the occurrence and risk factors for unplanned catheter removal due to catheter-associated complications and the effects on catheter survival probability in a PICU. Retrospective, single-center, observational study of cases involving conventional central venous catheters or peripherally inserted central venous catheters. The PIC...
Factors Associated With Neurobehavioral Complications in Pediatric Abdominal Organ Transplant Recipients Identified Usin...
Neurologic complications occur in up to 40% of adult abdominal solid organ transplant recipients and are associated with increased mortality. Comparable pediatric data are sparse. This study describes the occurrence of neurologic and behavioral complications (neurobehavioral complications) in pediatric abdominal solid organ transplant recipients. W...
Gastrostomy and Tracheostomy After Complete Repair of Tetralogy of Fallot in Children With 22q11.2 Deletion Syndrome.
Caring for a child with gastrostomy and/or tracheostomy can cause measurable parental stress. It is generally known that children with 22q11.2 deletion syndrome are at greater risk of requiring gastrostomy or tracheostomy after heart surgery, although the magnitude of that risk after complete repair of tetralogy of Fallot has not been described. We...
Sedation, Analgesia, and Neuromuscular Blockade: An Assessment of Practices From 2009 to 2016 in a National Sample of 66...
...To describe the pharmaceutical management of sedation, analgesia, and neuromuscular blockade medications administered to children in ICUs. A retrospective analysis using data extracted from the national database Health Facts. One hundred sixty-one ICUs in the United States with pediatric admissions. Children in ICUs receiving medications from 2009 ...
How Do Children Die in PICUs Nowadays? A Multicenter Study From Spain.
To describe how children currently die in Spanish PICUs, their epidemiologic characteristics and clinical diagnoses. Prospective multicenter observational study. Eighteen PICUs participating in the MOdos de Morir en UCI Pediátrica-2 (MOMUCI-2) study in Spain. Children 1 to 16 years old who died in PICU during 2017 and 2018. None. During the 2-year ...
Closing the Gap: Optimizing Performance to Reduce Interruptions in Cardiopulmonary Resuscitation.
The American Heart Association recommends minimizing pauses of chest compressions and defines high performance resuscitation as achieving a chest compression fraction greater than 80%. We hypothesize that interruption times are excessively long, leading to an unnecessarily large impact on chest compression fraction. A retrospective study using vide...
Evaluation of Bivalirudin As an Alternative to Heparin for Systemic Anticoagulation in Pediatric Extracorporeal Membrane...
Heparin is the universal anticoagulant for patients receiving extracorporeal membrane oxygenation support. However, heparin has many disadvantages, especially in young children, who develop heparin resistance. Recently our center has used bivalirudin, a direct thrombin inhibitor, for systemic anticoagulation in pediatric extracorporeal life support...
Standardized Perioperative Feeding Protocol Improves Outcomes in Patients With d-Transposition of the Great Arteries Und...
To determine whether the presence of a standardized feeding protocol improves outcomes in a subset of neonates undergoing cardiac surgery. Retrospective cohort study. Cardiovascular ICU at a freestanding academic children's hospital. Neonates with a diagnosis of d-transposition of the great arteries undergoing arterial switch operation from January...
Diaphragm Atrophy During Pediatric Acute Respiratory Failure Is Associated With Prolonged Noninvasive Ventilation Requir...
Diaphragm atrophy is evident during invasive ventilation for pediatric acute respiratory failure, but with unknown significance. We hypothesized that diaphragm atrophy in pediatric acute respiratory failure is associated with prolonged noninvasive positive pressure ventilation following extubation. Prospective observational study. Single-center aca...
