Pediatr Crit Care Me
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Pediatr Crit Care Me · Dec 2020
Gender and Authorship in Pediatric Critical Care Randomized Control Trials.
To examine the gender distribution of authorship of pediatric critical care randomized control trials. ⋯ Although increasing over time, the percentage of researchers publishing pediatric critical care randomized control trials who are women still lags behind the percentage clinicians who are women. Trials that female researchers publish are similar in characteristics and impact as male researchers. Further work should identify barriers to gender diversity and potential solutions in pediatric critical care research.
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Pediatr Crit Care Me · Dec 2020
Observational StudyAccuracy of Bedside Ultrasound Femoral Vein Diameter Measurement by PICU Providers.
Perform a needs assessment by evaluating accuracy of PICU provider bedside ultrasound measurement of femoral vein diameter prior to utilization of the catheter-to-vein ratio for central venous catheter size selection. ⋯ PICU provider measurement of femoral vein diameter by bedside ultrasound is inaccurate when compared with expert reference measurement. Central venous catheter size selection based on age or PICU provider femoral vein diameter measurement can lead to a catheter-to-vein ratio greater than 0.5 and potentially increase the risk of catheter-associated venous thromboembolism. Structured bedside ultrasound training with assessment of accuracy is necessary prior to implementation of venous thromboembolism reduction efforts based on catheter-to-vein ratio recommendations.
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Pediatr Crit Care Me · Dec 2020
Apnea Testing Using Continuous Positive Airway Pressure When Determining Death by Neurologic Criteria in Children: Retrospective Analysis of Potential Adverse Events.
To determine the prevalence of adverse events during apnea testing for determination of death by neurologic criteria using continuous positive airway pressure in children. ⋯ Apnea testing following a protocol that uses continuous positive airway pressure for apneic oxygenation has a low rate of adverse events in children meeting prerequisite criteria and determined by a pediatric intensivist to be physiologically appropriate for testing.
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Pediatr Crit Care Me · Dec 2020
Observational StudyUse of a Servo-Controlled Cooling Gel Pad System to Regulate Body Temperature in Critically Ill Children.
To assess the efficacy and safety of a servo-controlled cooling pad system for target temperature management in critically ill pediatric patients. ⋯ Despite the small sample size, the results of the study showed that target temperature management by the servo-controlled gel pad system in critically ill pediatric patients was effective in achieving satisfactory temperature control and it was well-tolerated.
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Pediatr Crit Care Me · Dec 2020
Observational StudyTotal Daily Production and Periodicity of Melatonin Metabolite in Critically Ill Children.
To determine whether total daily 6-sulfatoxymelatonin excretion and diurnal variation of melatonin secretion was maintained during the early phase of PICU admission through examination of the melatonin urinary metabolite, 6-sulfatoxymelatonin. ⋯ Total daily and diurnal variation of 6-sulfatoxymelatonin excretion is heterogeneously maintained early in pediatric critical illness. However, this may not hold true for specific diagnostic categories.