The Journal of pediatrics
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The Journal of pediatrics · Mar 1997
Femoral venous access is safe in burned children: an analysis of 224 catheters.
To document the incidence of septic and mechanical complications associated with femoral venous catheters in a subgroup of patients thought to be at particularly high risk of both: young children with large burns. ⋯ Femoral venous catheters are safe in burned children and are associated with a low incidence of infectious and mechanical complications.
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The Journal of pediatrics · Mar 1997
Inhaled nitric oxide enhances oxygenation but not survival in infants with alveolar capillary dysplasia.
A complex vascular abnormality in the lungs, termed alveolar capillary dysplasia (ACD) and misalignment of the lung vessels, has been recently recognized in some infants with persistent pulmonary hypertension. These infants die despite maximal medical support including extracorporeal membrane oxygenation (ECMO). Inhaled nitric oxide has been reported to improve oxygenation in neonates with persistent pulmonary hypertension of the newborn, and may allow some infants to avoid the need for ECMO. ⋯ This experience demonstrates that a short-term improvement after inhalation of nitric oxide does not lead to long-term survival in ACD. Further, in three infants the diagnosis of ACD was established by lung biopsy before death. Increasing awareness of this clinical entity may allow for the avoidance of costly, invasive procedures such as ECMO until more specific therapies become available.