Pediatr Crit Care Me
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Pediatr Crit Care Me · May 2017
Multicenter Study Observational StudyDevelopment and Prospective Validation of Tools to Accurately Identify Neurosurgical and Critical Care Events in Children With Traumatic Brain Injury.
To develop and validate case definitions (computable phenotypes) to accurately identify neurosurgical and critical care events in children with traumatic brain injury. ⋯ In children with traumatic brain injury, computable phenotypes based on simple Boolean classifiers were highly accurate for most neurosurgical and critical care diagnoses and events. The computable phenotypes we developed and validated can be used in any observational study of children with traumatic brain injury and can reasonably be applied in studies of these interventions in other patient populations.
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Pediatr Crit Care Me · May 2017
Randomized Controlled TrialNebulized Fluticasone for Preventing Postextubation Stridor in Intubated Children: A Randomized, Double-Blind Placebo-Controlled Trial.
To evaluate the efficacy of nebulized fluticasone propionate in the prevention of postextubation stridor in children. ⋯ The single dose of 1,000-µg nebulized fluticasone did not decrease the prevalence of postextubation stridor. However, it might be beneficial in emergently intubated children.
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Pediatr Crit Care Me · May 2017
Clinical TrialReducing Pediatric Sternal Wound Infections: A Quality Improvement Project.
To evaluate whether a quality improvement intervention reduces sternal wound infection rates in children after cardiac surgery. ⋯ Implementation of a sternal wound prevention bundle during the perioperative period was associated with lower sternal wound infection rates in surgeries with delayed sternal closure.
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Pediatr Crit Care Me · May 2017
Randomized Controlled TrialThe Impact of Neonatal Simulations on Trainees' Stress and Performance: A Parallel-Group Randomized Trial.
Assess impact of neonatal simulation and simulated death on trainees' stress and performance. ⋯ Neonatal simulations cause significant anticipatory and participatory stress. Despite this, trainees' performance score in simulation was over 80%. Simulated death did not impact performance, magnitude of rise in salivary cortisol level, and perceived stress level. Trainees performed better at advanced resuscitation skills (which are rarely needed) compared with basic skills routinely performed in practice.
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Pediatr Crit Care Me · May 2017
Observational StudyOutcomes Related to the Use of Frozen Plasma or Pooled Solvent/Detergent-Treated Plasma in Critically Ill Children.
To determine if the use of fresh frozen plasma/frozen plasma 24 hours compared to solvent detergent plasma is associated with international normalized ratio reduction or ICU mortality in critically ill children. ⋯ Solvent detergent plasma use in critically ill children may be associated with improved survival. This hypothesis-generating data support a randomized controlled trial comparing solvent detergent plasma to fresh frozen plasma/frozen plasma 24 hours.