Journal of pediatric surgery
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Comparative Study
The incidence of septic complications in newborns on extracorporeal membrane oxygenation is not affected by feeding route.
The aim of this study was to compare the effects of enteral and total parenteral feeding on septic complications in neonates on extracorporeal membrane oxygenation (ECMO). ⋯ Enteral nutrition does not affect the risk of sepsis in neonates on ECMO when compared with total parenteral nutrition. Enteral nutrition is well tolerated and not associated with adverse effects.
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Comment Letter Biography Historical Article
A historical vignette, the Halifax disaster of 1917 and the birth of North American Pediatric Surgery.
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Case Reports
Severe hypothermia with cardiac arrest: complete neurologic recovery in a 4-year-old child.
A 4-year-old girl was lost for 17 hours in a snowstorm. Upon discovery, her core temperature was 72 degrees F (22 degrees C). While undergoing endotracheal intubation in the emergency department, she experienced sudden ventricular fibrillation and cardiac arrest. ⋯ Lavage was continued until core temperature reached 34 degrees C, at which time transport to the pediatric intensive care unit was arranged. She was extubated the next day and discharged home, on the fourth hospital day, with apparent complete neurologic recovery. This is the first report of the successful use of rapid high-volume peritoneal lavage for the treatment of accidental severe hypothermia in a pediatric patient.