Pediatr Crit Care Me
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Pediatr Crit Care Me · Mar 2022
Observational StudyPrevalence of and Associations With Avascular Necrosis After Pediatric Sepsis: A Single-Center Retrospective Study.
Avascular necrosis (AVN) is a rare, but serious, complication after sepsis in adults. We sought to determine if sepsis is associated with postillness diagnosis of AVN, as well as potential-associated risk factors for AVN in children with sepsis. ⋯ Although rare, sepsis was associated with a higher risk of subsequent AVN than suspected bacterial infection in children. Older age, malignancy, unknown site of infection, and minimum platelet count were potential risk factors for AVN after sepsis.
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Pediatr Crit Care Me · Mar 2022
Driving Pressure Is Associated With Outcome in Pediatric Acute Respiratory Failure.
Driving pressure (ratio of tidal volume over respiratory system compliance) is associated with mortality in acute respiratory distress syndrome. We sought to evaluate if such association could be identified in critically ill children. ⋯ Higher driving pressure was independently associated with increased time to extubation in mechanically ventilated children. Dynamic assessments of driving pressure should be cautiously interpreted.