Pediatr Crit Care Me
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Pediatr Crit Care Me · Jan 2005
Comparative StudyPredictors of successful extubation of preterm low-birth-weight infants with respiratory distress syndrome.
The aim of the study was to measure pulmonary mechanics in infants with respiratory distress syndrome before extubation and to correlate pulmonary function values with successful extubation. ⋯ On the average, tidal volume values of >6 mL/kg, minute ventilation of >309 mL/kg/min, work of breathing of <0.172 J/L, dynamic compliance of >/=1 mL/cm H(2)O/kg, and resistance of airways of
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Pediatr Crit Care Me · Jan 2005
Physician assistants as physician extenders in the pediatric intensive care unit setting-A 5-year experience.
To describe the scope of practice and complementary role of physician assistants as physician extenders in the pediatric intensive care unit. ⋯ Physician assistants play a complementary role as physician extenders in the pediatric intensive care unit, enabling compliance with New York state and Accreditation Council for Graduate Medical Education resident work hour regulations. Physician assistants perform similar tasks and activities as the pediatric intensive care unit residents and integrate well with them in enhancing bedside patient care. Over time, physician assistants provide additional direction to the residents by virtue of their familiarity with unit-specific policies and procedures and repetitive pediatric intensive care unit practice patterns. As multifunctional members of the health care team, they support nursing and respiratory therapy functions and improve the day-to-day functioning of the unit. The physician assistant serves as a key member of the pediatric intensive care unit transport team. Limitations observed include high job turnover rates among the physician assistants and confusion between their role as shift workers or professional employees.
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Pediatr Crit Care Me · Jan 2005
Case ReportsLong-term treatment of plastic bronchitis with aerosolized tissue plasminogen activator in a Fontan patient.
To report the successful treatment of plastic bronchitis with aerosolized tissue plasminogen activator. ⋯ Treatment of plastic bronchitis with aerosolized tissue plasminogen activator may benefit patients in whom other therapies have failed.
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Pediatr Crit Care Me · Jan 2005
Utilization and outcomes of neonatal cardiac extracorporeal life support: 1996-2000.
Extracorporeal life support for neonatal respiratory failure has decreased, but utilization and outcome of cardiac extracorporeal life support are not well characterized. Among neonates born 1996-2000, our objects were to evaluate changes in utilization and outcome of cardiac extracorporeal life support and characterize correlates of survival. ⋯ Neonatal cardiac extracorporeal life support use increased substantially from 1996 to 2000, with survival to discharge or transfer in more than one third of patients. Hypoplastic left heart syndrome was not associated with nonsurvival. Fewer hours on extracorporeal life support, diagnoses of persistent pulmonary hypertension of the neonate and transposition of the great arteries, and extracorporeal life support at <3 days were associated with survival.
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Pediatr Crit Care Me · Jan 2005
Editorial CommentPediatric definitions for sepsis: it's about time!