Pediatr Crit Care Me
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Pediatr Crit Care Me · May 2012
Multicenter Study Clinical TrialEchocardiography as a guide for patent ductus arteriosus ibuprofen treatment and efficacy prediction.
To evaluate echocardiography criteria in predicting the response to ibuprofen treatment. ⋯ Echocardiography may be a useful tool to help patent ductus arteriosus management. A combined use of ductal diameter and left-right ductal shunt maximum velocity criteria allows a more accurate prediction of the response of infants with patent ductus arteriosus to ibuprofen treatment.
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Pediatr Crit Care Me · May 2012
Comparative StudyCentral venous catheter-associated bloodstream infections in a pediatric intensive care unit: effect of the location of catheter insertion.
To compare the rate of central venous catheter-associated bloodstream infections between pediatric intensive care unit admissions where central venous catheters were inserted within the same hospital (internal central venous catheters) and those where central venous catheters were inserted before transfer from other hospitals (external central venous catheters). ⋯ The rate of catheter-associated bloodstream infections in the pediatric intensive care unit is significantly affected by external insertion of the central venous catheter. Future interventions to reduce nosocomial infections on pediatric intensive care units will need to be specifically targeted at this high-risk patient group.
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Pediatr Crit Care Me · May 2012
Comparative StudyEvaluation and comparison of parental needs, stressors, and coping strategies in a pediatric intensive care unit.
To evaluate and compare the needs, stressors, and coping strategies of mothers and fathers in a pediatric intensive care unit, and to advance the development of the COMPASS questionnaire for examining parent experiences. ⋯ Acute parental experiences can be documented using the COMPASS questionnaire. This study highlights the principal needs, stressors, and coping strategies of parents of children in the pediatric intensive care unit. The experiences of mothers and fathers are similar, but we identify some differences in stressors between the sexes.
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Pediatr Crit Care Me · May 2012
Clinical TrialThe role of passive leg raising to predict fluid responsiveness in pediatric intensive care unit patients.
Fluid challenge is often used to predict fluid responsiveness in critically ill patients. Inappropriate fluid expansion can lead to some unwanted side effects; therefore, we need a noninvasive predictive parameter to assess fluid responsiveness. We want to assess the hemodynamic parameter changes after passive leg raising, which can mimic fluid expansion, to predict fluid responsiveness in pediatric intensive care unit patients and to get a cutoff value of cardiac index in predicting fluid responsiveness in pediatric patients. ⋯ The concomitant measurements in cardiac index changes after the passive leg raising maneuver can be helpful in predicting who might have an increase in cardiac index with subsequent fluid resuscitation.