Indian pediatrics
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To investigate the relationship between score for neonatal acute physiology II (SNAP II) applied within 12 hours from the onset of severe sepsis, and death and persistent organ dysfunction (OD). ⋯ Severely septicemic neonates with high SNAP II scores (>40) have a higher risk of dying and persistent organ dysfunction. Individual SNAP II parameters do not contribute equally in prediction of mortality.
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To present our institutional experience with prolonged dexmedetomidine (DEX) infusions in critically ill infants and children. ⋯ Prolonged DEX infusions were associated with a reduction in concomitant analgesia and sedation medications. DEX was well tolerated with the exception of heart rate, which decreased during the initiation of therapy but may not represent a clinically significant reduction.
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We analyzed the association between the day 1 glucose values in 209 children admitted to the PICU and the outcome (mortality). 58 (27.7%) children had hyperglycemia while 18 (8.6%) children had hypoglycemia, on day 1 after admission. Hypoglycemia was associated with higher mortality. This is contrary to the prevalent view supporting the association of hyperglycemia with poor outcome in the critically ill children.