Pediatr Crit Care Me
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Pediatr Crit Care Me · Nov 2015
A Novel Method to Identify the Start and End of the Winter Surge in Demand for Pediatric Intensive Care in Real Time.
Implementation of winter surge management in intensive care is hampered by the annual variability in the start and duration of the winter surge. We aimed to develop a real-time monitoring system that could identify the start promptly and accurately predict the end of the winter surge in a pediatric intensive care setting. ⋯ We have developed and tested a novel method to identify the start and predict the end of the winter surge in emergency demand for pediatric intensive care.
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Pediatr Crit Care Me · Nov 2015
Multicenter StudyClinical Epidemiology of Extubation Failure in the Pediatric Cardiac ICU: A Report From the Pediatric Cardiac Critical Care Consortium.
To describe the clinical epidemiology of extubation failure in a multicenter cohort of patients treated in pediatric cardiac ICUs. ⋯ Though extubation failure is uncommon overall, there may be opportunities to improve extubation readiness assessment in patients ventilated more than 24 hours. These data suggest that extubation in the operating room after cardiac surgery can be done with a low failure rate. We observed variation in extubation failure rates across hospitals, and future investigation must elucidate the optimal strategies of high-performing centers to reduce ventilation time while limiting extubation failures.
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Pediatr Crit Care Me · Nov 2015
Comparative Study Observational StudyLocation of the Central Venous Catheter Tip With Bedside Ultrasound in Young Children: Can We Eliminate the Need for Chest Radiography?
To compare the use of bedside ultrasound and chest radiography to verify central venous catheter tip positioning. ⋯ Bedside ultrasound showed a good agreement with chest radiography in detecting central venous catheter tip location and revealing incorrect positions. Ultrasound could be a preferable method for routine verification of central venous catheter tip and can contribute to increased patient safety.