Pediatr Crit Care Me
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Pediatr Crit Care Me · Oct 2018
Multicenter StudySelf-Reported Management of IV Fluids and Fluid Accumulation in Children With Acute Respiratory Failure.
Observational studies have shown that fluid overload is independently associated with increased morbidity in critically ill children, especially with respiratory pathology. It is unknown if recent evidence has influenced clinical practice. We sought to describe current IV fluid management in pediatric acute respiratory distress syndrome. ⋯ Pediatric intensivists agree that acting on 10% fluid overload in children with pediatric acute respiratory distress syndrome is important. Decisions are being made largely using intake and output documentation, not central venous pressure. These findings are important for future pediatric acute respiratory distress syndrome interventional trials.
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Pediatr Crit Care Me · Oct 2018
Cognitive and Behavioral Consequences of Pediatric Delirium: A Pilot Study.
To investigate the long-term impact of postoperative delirium in children. ⋯ Contrary to the findings in adults, there was no clear association between pediatric delirium and long-term cognition or behavior in this cohort. However, this is a first pilot study with several limitations that should promote more comprehensive prospective trials.
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Pediatr Crit Care Me · Oct 2018
Observational StudyApplying Artificial Intelligence to Identify Physiomarkers Predicting Severe Sepsis in the PICU.
We used artificial intelligence to develop a novel algorithm using physiomarkers to predict the onset of severe sepsis in critically ill children. ⋯ Artificial intelligence can be used to predict the onset of severe sepsis using physiomarkers in critically ill children. Further, it may detect severe sepsis as early as 8 hours prior to a real-time electronic severe sepsis screening algorithm.
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Pediatr Crit Care Me · Oct 2018
Longer Duration of Urinary Catheterization Increases Catheter-Associated Urinary Tract Infection in PICU.
Catheter-associated urinary tract infections account for 30% of healthcare-associated infections. To date, few studies have addressed pediatric catheter-associated urinary tract infection in PICUs. The aim of our study was to assess the risk of catheter-associated urinary tract infection in relation to the duration of catheterization in the PICU. ⋯ Longer duration of catheterization increased the risk of catheter-associated urinary tract infection by 5% each day at the PICU. Prompt removal of the urethral catheter is strongly recommended whenever feasible.