Pediatr Crit Care Me
-
Pediatr Crit Care Me · Jan 2003
Randomized Controlled Trial Comparative Study Clinical TrialComparison of intermittent versus continuous infusion of propofol for elective oncology procedures in children.
To compare the effects of administering propofol as a continuous infusion vs. bolus dosing in children undergoing ambulatory oncologic procedures in the pediatric intensive care unit (PICU). ⋯ Both continuous and bolus administration of propofol provided conditions for conducting oncologic procedures that were satisfying to patients, their families, and physicians. Continuous infusions were associated with a larger total dose and greater decreases in systolic blood pressure. Physician preference is likely to dictate which method is used.
-
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.
-
Pediatr Crit Care Me · Jan 2003
Procalcitonin is persistently increased among children with poor outcome from bacterial sepsis.
To examine the relationships between procalcitonin, bacterial infection, sepsis-induced multiple organ failure, and mortality rate in children. ⋯ Procalcitonin is persistently increased among children with poor outcome from bacterial sepsis. Further study is needed to better delineate this differential procalcitonin response to bacterial vs. nonbacterial sepsis and to characterize any mechanistic role that procalcitonin might play in the development of bacterial sepsis-induced multiple organ failure and mortality.
-
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.