Pediatr Crit Care Me
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Pediatr Crit Care Me · Dec 2017
Feasibility and Safety of Controlled Active Hypothermia Treatment During Transport in Neonates With Hypoxic-Ischemic Encephalopathy.
To evaluate the feasibility and safety of controlled active hypothermia versus standard intensive care during neonatal transport in patients with hypoxic-ischemic encephalopathy. ⋯ Therapeutic hypothermia during transport is feasible and safe, allowing for significantly earlier initiation and achievement of target temperature, possibly providing further benefit for neonates with hypoxic-ischemic encephalopathy.
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Pediatr Crit Care Me · Dec 2017
Critical Care Resource Utilization and Outcomes of Children With Moderate Traumatic Brain Injury.
To characterize admission patterns, critical care resource utilization, and outcomes in moderate pediatric traumatic brain injury. ⋯ Critical care resources are used in more than half of all moderate pediatric traumatic brain injury, and many receive care at nontrauma hospitals. Up to one third of moderate pediatric traumatic brain injury have poor outcomes, risk factors for which include age greater than 10 years, lower admission Glasgow Coma Scale, higher Injury Severity Score, and polytrauma. There is urgent need to optimize triage, care, and outcomes in this vulnerable population.
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Pediatr Crit Care Me · Dec 2017
Discussing Benefits and Risks of Tracheostomy: What Physicians Actually Say.
When contemplating tracheostomy placement in a pediatric patient, a family-physician conference is often the setting for the disclosure of risks and benefits of the procedure. Our objective was to compare benefits and risks of tracheostomy presented during family-physician conferences to an expert panel's recommendations for what should be presented. ⋯ When discussing tracheostomy placement, physicians emphasized benefits that are shared by physicians and families while minimizing the risks. The expert panel recommended a balanced approach by equally weighing risks and benefits. To facilitate educated decision making, physicians should present a more extensive range of risks and benefits to families making this critical decision.
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Pediatr Crit Care Me · Dec 2017
Observational StudyDelirium in the Pediatric Cardiac Extracorporeal Membrane Oxygenation Patient Population: A Case Series.
To determine the prevalence of delirium in children who require extracorporeal membrane oxygenation. ⋯ In this cohort, delirium occurred in all children who required venoarterial extracorporeal membrane oxygenation. It is likely that this patient population has an extremely high risk for delirium and will benefit from routine screening in order to detect and treat delirium sooner. This has potential to improve both short- and long-term outcomes.