Pediatr Crit Care Me
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To determine whether known serum markers of neurologic injury are increased in children with septic shock. ⋯ Markers of neurologic injuries are increased in children with septic shock. This may indicate subclinical injuries that are either transient or permanent. Studies that correlate the long-term neurologic outcome of children with these markers are needed to identify children at risk for neurologic injuries from septic shock.
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Pediatr Crit Care Me · May 2008
Intensive care experience with sclerotherapy for cervicofacial lymphatic malformations.
To describe a cohort of patients needing intensive care support after sclerotherapy for cervicofacial lymphatic malformations. ⋯ Children with extensive disease and airway involvement need multiple PICU admissions. The potential for life-threatening respiratory embarrassment is unpredictable following sclerotherapy. Consideration should be given to performing further sclerotherapy while the patients are intubated in the PICU. The PICU provides a safe and secure environment for such procedures.
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Pediatr Crit Care Me · May 2008
Serial blood lactate levels as a predictor of mortality in children after cardiopulmonary bypass surgery.
To assess the role of serial lactate levels in determining outcome after cardiopulmonary bypass surgery in children. ⋯ Lactime was a useful predictor of mortality in children undergoing repair or palliation of congenital cardiac defects under cardiopulmonary bypass. Initial and peak lactate levels had a poor positive predictive value for mortality. Lactime also was associated with the number of ventilator days and hospital days in those who survived.
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Pediatr Crit Care Me · May 2008
Worsening renal function in children hospitalized with decompensated heart failure: evidence for a pediatric cardiorenal syndrome?
The purpose of this study was to determine the incidence of renal insufficiency in children hospitalized with acute decompensated heart failure and whether worsening renal function is associated with adverse cardiovascular outcome. ⋯ These data suggest that an important cardiorenal interaction occurs in children hospitalized for acute decompensated heart failure. Renal function commonly worsens in such patients and is associated with prolonged hospitalization and in-hospital death or the need for mechanical circulatory assistance.
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Pediatr Crit Care Me · May 2008
Cerebrospinal fluid values in very low birth weight infants with suspected sepsis at different ages.
Lumbar puncture can be an essential part of the septic work-up in premature infants who are at risk for sepsis and meningitis. Cerebrospinal fluid (CSF) values for cell counts, protein concentrations, and glucose concentrations in children and full-term infants are well established. CSF values in premature infants, however, have not been well studied. We sought to determine CSF values in very low birth weight premature infants at different ages (birth, postmenstrual age, and postnatal age). ⋯ In very low birth weight premature infants, CSF WBC count and CSF protein concentrations vary with advancing postnatal and postmenstrual ages.