Pediatr Crit Care Me
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Pediatr Crit Care Me · Jul 2007
Case ReportsFatal acute fibrinous and organizing pneumonia in an infant: The histopathologic variability of acute respiratory distress syndrome.
The histopathologic pattern of acute fibrinous and organizing pneumonia (AFOP) has been described recently in cases of acute respiratory distress syndrome (ARDS) in adults and differs from the well-recognized pattern of classic diffuse alveolar damage (DAD). The objective of this study was to determine whether similar appearances can be seen in infant ARDS. ⋯ The histopathologic features of AFOP may be seen in some cases of infant ARDS. The variability in the histopathology of ARDS raises questions as to the pathogenesis and clinical correlates of these different patterns.
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Pediatr Crit Care Me · Jul 2007
Going back for more: an evaluation of clinical outcomes and characteristics of readmissions to a pediatric intensive care unit.
To determine mortality, length of stay, and factors associated with readmissions to the pediatric intensive care unit (PICU). ⋯ Patients readmitted to the PICU during the same hospitalization have significantly adverse outcomes. The study highlights important factors associated with PICU readmissions that can be incorporated into efforts to reduce mortality and resource utilization associated with readmission of critically ill children.
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Pediatr Crit Care Me · Jul 2007
Multicenter StudyAcute lung injury in pediatric intensive care in Australia and New Zealand: a prospective, multicenter, observational study.
Acute lung injury (ALI) is poorly defined in children. The objective of this prospective study was to clarify the incidence, demographics, management strategies, outcome, and mortality predictors of ALI in children in Australia and New Zealand. ⋯ ALI in children is uncommon but has a high mortality rate. Risk factors for mortality are easily identified. Ventilatory variables and indexes of lung severity were significantly associated with mortality.
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Pediatr Crit Care Me · Jul 2007
Association of nursing workload and unplanned extubations in a pediatric intensive care unit.
To estimate nursing workload from the patient acuity level (PAL) assigned to patients in a pediatric intensive care unit (PICU) and to determine its influence on unplanned extubations. ⋯ The likelihood of an unplanned extubation increased with higher patient/nurse and patient acuity/nurse ratios. Successful interventions to reduce the frequency of this medical error may need to address both nurse demand methodology and workload.