Pediatr Crit Care Me
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Pediatr Crit Care Me · Jul 2010
Challenge of predicting resting energy expenditure in children undergoing surgery for congenital heart disease.
To determine pre- and postoperative predictors of energy expenditure in children with congenital heart disease requiring open heart surgery; and to compare measured resting energy expenditure with current predictive equations. ⋯ Poor nutritional status preoperatively and cardiopulmonary bypass were associated with a greater energy expenditure post cardiac surgery. None of the current predictive equations predicted energy requirements within acceptable clinical accuracy.
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Pediatr Crit Care Me · Jul 2010
Are red blood cell transfusions associated with nosocomial infections in pediatric intensive care units?
To determine whether red blood cell transfusion is similarly associated with nosocomial infections in pediatric intensive care unit patients and whether reduced lymphocyte numbers is a possible mechanism. In adult studies, red blood cell transfusions are associated with nosocomial infections. ⋯ Red blood cell transfusion in pediatric intensive care unit patients is associated with an increased risk of nosocomial infections.
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Pediatr Crit Care Me · Jul 2010
Single-institution experience with interhospital extracorporeal membrane oxygenation transport: A descriptive study.
Patients with refractory cardiopulmonary failure may benefit from extracorporeal membrane oxygenation, but extracorporeal membrane oxygenation is not available in all medical centers. We report our institution's nearly 20-yr experience with interhospital extracorporeal membrane oxygenation transport. ⋯ Outcomes of patients transported by an experienced extracorporeal membrane oxygenation team to a busy extracorporeal membrane oxygenation center are very comparable to outcomes of nontransported extracorporeal membrane oxygenation patients as reported in the Extracorporeal Life Support Organization registry. As has been previously reported, interhospital extracorporeal membrane oxygenation transport is feasible and can be accomplished safely. Other experienced extracorporeal membrane oxygenation centers may want to consider developing interhospital extracorporeal membrane oxygenation transport capabilities to better serve patients in different geographic regions.