Pediatr Crit Care Me
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Pediatr Crit Care Me · Feb 2017
Comparative StudyThe Clinical Impact of Heated Humidified High-Flow Nasal Cannula on Pediatric Respiratory Distress.
To assess the impact on a single PICU of introducing high-flow nasal cannula as a management tool for respiratory distress. ⋯ The introduction of high-flow nasal cannula as a therapy for respiratory distress in the PICU was associated with a significant decrease in the PICU intubation rate with no associated change in mortality.
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Pediatr Crit Care Me · Feb 2017
Observational StudyRBC Distribution Width: Biomarker for Red Cell Dysfunction and Critical Illness Outcome?
RBC distribution width is reported to be an independent predictor of outcome in adults with a variety of conditions. We sought to determine if RBC distribution width is associated with morbidity or mortality in critically ill children. ⋯ Independent of illness severity in critically ill children, admission RBC distribution width is associated with ICU mortality and morbidity. These data suggest that RBC distribution width may be a biomarker for RBC injury that is of sufficient magnitude to influence critical illness outcome, possibly via oxygen delivery impairment.
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Pediatr Crit Care Me · Feb 2017
Observational StudyDelirium in Children After Cardiac Bypass Surgery.
To describe the incidence of delirium in pediatric patients after cardiac bypass surgery and explore associated risk factors and effect of delirium on in-hospital outcomes. ⋯ In our institution, delirium is a frequent problem in children after cardiac bypass surgery, with identifiable risk factors. Our study suggests that cardiac bypass surgery significantly increases children's susceptibility to delirium. This highlights the need for heightened, targeted delirium screening in all pediatric cardiothoracic ICUs to potentially improve outcomes in this vulnerable patient population.