Pediatr Crit Care Me
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Pediatr Crit Care Me · Jan 2003
ReviewThe use of extracorporeal techniques to remove humoral factors in sepsis.
To determine whether there is sufficient evidence of a benefit of hemofiltration or plasma filtration in sepsis. ⋯ There is a lack of randomized trials. The available studies show an absence of benefit for hemofiltration. Further studies are needed in plasma filtration.
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Pediatr Crit Care Me · Jan 2003
Case ReportsExtracorporeal life support as a treatment of supraventricular tachycardia in infants.
There have been few reports of the use of extracorporeal life support (ECLS) to provide cardiac support in children with low cardiac output as a result of arrhythmias. We present two patients in whom venoarterial ECLS was used to provide support for cardiogenic shock secondary to intractable supraventricular tachycardia. In both cases, the arrhythmia terminated once bypass was established. In one case, the time on ECLS was used to optimize drug treatment, and in the other case, radiofrequency ablation was successfully undertaken during ECLS.
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Pediatr Crit Care Me · Jan 2003
Comparative StudySedation monitoring of children by the Bispectral Index in the pediatric intensive care unit.
To compare the Bispectral Index with clinical sedation assessment using the Ramsay score in normal sedated and paralyzed critically ill children. ⋯ The Bispectral Index correlates well with the Ramsay score in the normal sedated child. The Ramsay score and bedside nurse assessment are inadequate for monitoring the depth of sedation in paralyzed children. The Bispectral Index is a useful adjunct in assessing sedation in a paralyzed patient.
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Pediatr Crit Care Me · Jan 2003
Intrapleural instillation of fibrinolytic agents for treatment of pleural empyema.
To describe the use of intrapleural instillation of fibrinolytic agents as adjunctive therapy for children with complicated pleural effusions and empyema. ⋯ Intrapleural instillation of fibrinolytic agents appears to be an effective and less invasive alternative to surgical drainage for children who have complicated pleural effusions or empyemas that do not drain adequately with tube thoracostomy alone.