Pediatr Crit Care Me
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Pediatr Crit Care Me · Jan 2004
Low inferior vena caval catheters for hemodynamic and pulmonary function monitoring in pediatric critical care patients.
To assess the value of low inferior vena caval (LIVC) catheters for estimating central venous pressure in pediatric intensive care patients and to assess influences of intra-abdominal pressures and mean airway pressure on these measurements. ⋯ LIVC catheters whose tips lie below the origin of the renal veins predict central venous pressure in pediatric intensive care unit patients. Intra-abdominal pressure and mean airway pressure do not affect this relationship, within the wide range of values for these variables included in this study. Blood samples drawn from femoral venous catheters can be used to monitor acid-base balance and partial pressure of carbon dioxide.
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Pediatr Crit Care Me · Jan 2004
Predicted versus measured energy expenditure by continuous, online indirect calorimetry in ventilated, critically ill children during the early postinjury period.
Compare the energy expenditure, predicted by anthropometric equations, with that measured by continuous on-line indirect calorimetry in ventilated, critically ill children during the early postinjury period. ⋯ Predictive equations do not accurately predict energy expenditure in ventilated, critically ill children during the early postinjury period; if available, indirect calorimetry must be performed.
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Pediatr Crit Care Me · Jan 2004
Use of the nursing acuity score in children admitted to a pediatric oncology intensive care unit.
To determine whether a unit specific nursing acuity score is useful for assessing patients with cancer admitted to the pediatric intensive care unit. ⋯ The nursing acuity score accurately predicts survival in pediatric patients with cancer, correlates with established indexes of severity of illness and predictors of mortality, and identifies different mortalities across the nursing acuity categories. Although its predictive value may have been enhanced by the use of a second shift score, these findings suggest that it may be a useful tool in this patient population and affirms the insight of the bedside nurse in assessing severity of illness.
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Pediatr Crit Care Me · Jan 2004
Clinical Trial Controlled Clinical TrialDecision making and satisfaction with care in the pediatric intensive care unit: findings from a controlled clinical trial.
To facilitate critical decision making and improve satisfaction with care among families of patients in a pediatric intensive care unit. ⋯ Prospectively screening for and intervening to mitigate potential conflict did not increase decision making or parental satisfaction with the care provided in this pediatric intensive care unit.
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Pediatr Crit Care Me · Jan 2004
Factors associated with early extubation after cardiac surgery in young children.
Children undergoing congenital heart surgery require mechanical ventilation. We sought to identify pre- and intraoperative factors (PrO, IO) associated with successful early extubation <24 hrs. ⋯ Early extubation is possible in many very young children undergoing congenital heart surgery, with a low rate of failed extubation. The model would be improved by prospective validation with larger numbers at multiple institutions.