Pediatr Crit Care Me
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Pediatr Crit Care Me · Jan 2003
Ductus arteriosus with left-to-right shunt during venoarterial extracorporeal membrane oxygenation: effects on cerebral oxygenation and hemodynamics.
To investigate the effect on cerebral oxygenation and hemodynamics of a patent ductus arteriosus with left-to-right shunt during venoarterial extracorporeal membrane oxygenation in a lamb model. ⋯ In this lamb model, a considerable left-to-right shunt over the ductus during venoarterial extracorporeal membrane oxygenation reduced cerebral circulation and oxygenation.
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Pediatr Crit Care Me · Jan 2003
Case ReportsSubarachnoid hemorrhage in a child with status asthmaticus: significance of permissive hypercapnia.
To report an 11-yr-old boy with acute status asthmaticus being managed with permissive hypercapnia who developed a subarachnoid hemorrhage during the course of his illness. ⋯ We conclude that this patient suffered subarachnoid hemorrhage in association with the use of permissive hypercapnia in the settling of severe asthma.
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To describe the red blood cell transfusion practices of pediatric intensivists. ⋯ This survey documented a significant variation in transfusion practice patterns among pediatric critical care practitioners with respect to the threshold hemoglobin concentration for red blood cell transfusion. The volume of packed red blood cells given was not adjusted to the hemoglobin concentration.
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Pediatr Crit Care Me · Oct 2002
Alternative arterial catheterization site using the ulnar artery in critically ill pediatric patients.
To examine the patterns of usage and associated complications among radial, femoral, and ulnar artery catheters in the pediatric intensive care unit to ascertain the utility of the ulnar artery as an alternative vessel of peripheral cannulation. ⋯ Based on the ischemic and infectious complication rates, the ulnar artery should be considered as a viable site for peripheral vessel cannulation in cases in which arterial catheterization is necessary and attempts at more common sites of catheterization are unsuccessful.